Chapter 13: Head, Face, and Neck, Including Regional Lymphatics

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A physician tells the nurse that a patient’s vertebra prominens is tender and asks the nurse to reevaluate the area in 1 hour. The area of the body the nurse will assess is:

a.	Just above the diaphragm.
b.	Just lateral to the knee cap.
c.	At the level of the C7 vertebra.
d.	At the level of the T11 vertebra.

 

 

ANS:  C

The C7 vertebra has a long spinous process, called the vertebra prominens, which is palpable when the head is flexed.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 251

MSC:  Client Needs: Physiologic Integrity: Physiologic Adaptation

 

2. A mother brings her 2-month-old daughter in for an examination and says, “My daughter rolled over against the wall, and now I have noticed that she has this spot that is soft on the top of her head. Is something terribly wrong?” The nurse’s best response would be:

a.	“Perhaps that could be a result of your dietary intake during pregnancy.”
b.	“Your baby may have craniosynostosis, a disease of the sutures of the brain.”
c.	“That ‘soft spot’ may be an indication of cretinism or congenital hypothyroidism.”
d.	“That ‘soft spot’ is normal, and actually allows for growth of the brain during the first year of your baby’s life.”

 

 

ANS:  D

Membrane-covered “soft spots” allow for growth of the brain during the first year of life. They gradually ossify; the triangular-shaped posterior fontanel is closed by 1 to 2 months, and the diamond-shaped anterior fontanel closes between 9 months and 2 years.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 255

MSC:  Client Needs: Health Promotion and Maintenance

 

3. The nurse notices that a patient’s palpebral fissures are not symmetric. On examination, the nurse may find that damage has occurred to which cranial nerve (CN)?

a.	III
b.	V
c.	VII
d.	VIII

 

 

ANS:  C

Facial muscles are mediated by CN VII; asymmetry of palpebral fissures may be attributable to damage to CN VII (Bell palsy).

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 259

MSC:  Client Needs: Physiologic Integrity: Physiologic Adaptation

 

4. A patient is unable to differentiate between sharp and dull stimulation to both sides of her face. The nurse suspects:

a.	Bell palsy.
b.	Damage to the trigeminal nerve.
c.	Frostbite with resultant paresthesia to the cheeks.
d.	Scleroderma.

 

 

ANS:  B

Facial sensations of pain or touch are mediated by CN V, which is the trigeminal nerve. Bell palsy is associated with CN VII damage. Frostbite and scleroderma are not associated with this problem.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   pp. 252-253

MSC:   Client Needs: Physiologic Integrity: Physiologic Adaptation