Chapter 16 Health & Physical Assessment In Nursing 3rd Edition by Donita T D'Amico

Chapter 16 Health & Physical Assessment In Nursing 3rd Edition by Donita T D’Amico

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 2

Type: MCSA

The client is experiencing the effects of a recent cerebrovascular accident (CVA). The client is unable to smell. Which cranial nerve was most likely affected by the CVA?

1. Cranial nerve I.
2. Cranial nerve XII.
3. Cranial nerve VIII.
4. Cranial nerve VII.

Correct Answer: 1

Rationale 1: The sense of smell is controlled by cranial nerve I.

Rationale 2: Tongue movement is controlled by cranial nerve XII.

Rationale 3: Hearing and balance is controlled by cranial nerve VIII.

Rationale 4: The sense of taste is controlled by cranial nerves VII and IX.

Global Rationale: The sense of smell is controlled by cranial nerve I. Tongue movement is controlled by cranial nerve XII. The sense of taste is controlled by cranial nerves VII and IX. Hearing and balance is controlled by cranial nerve VIII.

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and processes.

AACN Essentials Competencies: I.1. Integrate theories and concepts from liberal education into nursing practice.

NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe patient care.

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 16.1: Describe the anatomy and physiology of the ear, nose, mouth, and throat.

MNL Learning Outcome: 4.1.1. Correlate the anatomy and physiology to the landmarks that direct physical assessment.

Page Number: p. 331

Question 3

Type: MCHS

Which structure separates the vestibule from the mouth?

1. A.
2. B.
3. C.
4. D.

Correct Answer: 2

Rationale: The vestibule is made up of the lips, buccal mucosa, outer surface of the gums and the teeth and cheeks. The mouth is separated from the vestibule by the teeth. The mouth is made up of the tongue, hard and soft palate, uvula, mandibular arch, and axillary arch.

Global Rationale: The vestibule is made up of the lips, buccal mucosa, outer surface of the gums and the teeth and cheeks. The mouth is separated from the vestibule by the teeth. The mouth is made up of the tongue, hard and soft palate, uvula, mandibular arch, and axillary arch.

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and processes.

AACN Essentials Competencies: I.1. Integrate theories and concepts from liberal education into nursing practice.

NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe patient care.

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 16.1: Describe the anatomy and physiology of the ear, nose, mouth, and throat.

MNL Learning Outcome: 4.1.1. Correlate the anatomy and physiology to the landmarks that direct physical assessment.

Page Number: p. 332

Question 4

Type: MCSA

The nurse educates the client about the major functions of the nose and sinuses. Which structure is specifically responsible for filtering, moistening, and warming air that enters the lower portion of the respiratory tract?

1. Olfactory cells.
2. Columella.
3. Turbinates.
4. Nares.

Correct Answer: 3

Rationale 1: The olfactory cells assist the client to smell.

Rationale 2: The columella is located at the base of the nose and helps form the nares.

Rationale 3: The superior, middle, and inferior turbinates are specifically responsible for warming, moistening, and filtering the air before it enters the trachea and lungs.

Rationale 4: The nares are structures that lead into the internal vestibule and nasal cavity.

Global Rationale: The superior, middle, and inferior turbinates are specifically responsible for warming, moistening, and filtering the air before it enters the trachea and lungs. The olfactory cells assist the client to smell. The columella is located at the base of the nose and helps form the nares. The nares are structures that lead into the internal vestibule and nasal cavity.

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and processes.

AACN Essentials Competencies: I.1. Integrate theories and concepts from liberal education into nursing practice.

NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe patient care.

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 16.1: Describe the anatomy and physiology of the ear, nose, mouth, and throat.

MNL Learning Outcome: 4.1.1. Correlate the anatomy and physiology to the landmarks that direct physical assessment.

Page Number: p. 331

Question 5

Type: MCSA

Which structure attaches the tongue to the floor of the mouth?

1. Hard palate.
2. Papillae.
3. Frenulum.
4. Alveoli sockets.

Correct Answer: 3

Rationale 1: The hard palate is the anterior portion of the roof of the mouth.

Rationale 2: The papillae contain the taste buds and assist with moving food within the mouth. The papillae are located on the dorsal surface of the tongue.

Rationale 3: The frenulum connects the anterior portion of the tongue to the floor of the mouth.

Rationale 4: The alveoli sockets contain the teeth within the mandible and maxilla.

Global Rationale: The frenulum connects the anterior portion of the tongue to the floor of the mouth. The hard palate is the anterior portion of the roof of the mouth. The papillae contain the taste buds and assist with moving food within the mouth. The papillae are located on the dorsal surface of the tongue. The alveoli sockets contain the teeth within the mandible and maxilla.

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and processes.

AACN Essentials Competencies: I.1. Integrate theories and concepts from liberal education into nursing practice.

NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe patient care.

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 16.1: Describe the anatomy and physiology of the ear, nose, mouth, and throat.

MNL Learning Outcome: 4.1.1. Correlate the anatomy and physiology to the landmarks that direct physical assessment.

Page Number: p. 332