Chapter 13

Front 1

During an examination the nurse observes a patient’s elongated head, overgrowth of the lower jaw, heavy eyebrow ridge, and coarse facial features. What condition is indicated by this patient’s features?

Back 1

Acromegaly

Front 2

What are the signs and symptoms of myxedema? Select all that apply.

Back 2

Fatigue

Puffy face

Cold intolerance

Front 3

The nurse is caring for a geriatric patient who has a flat, expressionless face. While reviewing the laboratory reports, the nurse finds decreased levels of dopamine. What diagnosis does the nurse suspect?

Back 3

Parkinson syndrome

Front 4

Which condition involves excessive secretion of adrenocorticotrophin hormone (ACTH)?

Back 4

Cushing syndrome

Front 5

The registered nurse teaches a student nurse how to palpate the thyroid gland of a patient. Which action by the student nurse would indicate a need for further teaching?

Back 5

Asking the patient to lie in the side lying position

Front 6

What is the best description of the supraclavicular region?

Back 6

The area at the sternomastoid muscle

Front 7

Which signs and symptoms would the nurse find while assessing a patient with Grave’s disease (hyperthyroidism)? Select all that apply.

Back 7

Tachycardia

Weight loss

Bulging eyeballs

Front 8

Which characteristic features does the nurse expect in an infant who is at risk for fetal alcohol syndrome? Select all that apply.

Back 8

Epicanthal folds

Midfacial hypoplasia

Narrow palpebral fissures

Front 9

Which statement accurately describes the lymphatic system?

Back 9

It eliminates foreign substances from the body.

Front 10

The nurse is caring for a patient who reports lightheadedness and a swimming sensation. The patient tells the nurse, "I feel like I’m going to faint." What condition may cause these symptoms in the patient?

Back 10

Decreased blood flow to the brain

Front 11

The nurse is caring for a patient who has severe throbbing supraorbital pain. During the assessment, the patient reports nausea and visual disturbances. Which nursing interventions should the nurse include in the patient’s care plan? Select all that apply.

Back 11

Instruct the patient to avoid alcohol.

Inform the patient to avoid chocolates.

Encourage the patient to practice relaxation exercises.

Front 12

A patient reports to the nurse an intermittent headache that starts abruptly, peaks after a minute, and lasts for about one and a half hours. Which disorder could this patient be describing?

Back 12

Cluster headache

Front 13

A patient is brought to the emergency unit with a head injury. Which signs and symptoms are likely to be found in the patient? Select all that apply.

Back 13

Double vision

Staggered walk

Discharge from the ears

Front 14

What is the cause of vertigo?

Back 14

Disturbance in the sensory nerve pathway

Front 15

The nurse is examining the cranial x-ray of a patient undergoing treatment for a fractured cranium. Which bones will the nurse see in the x-ray? Select all that apply.

Back 15

Parietal

Occipital

Temporal

Frontal

Front 16

What clinical manifestations does the nurse look for while screening for meningitis? Select all that apply.

Back 16

Fever

Nuchal rigidity

Front 17

The nurse, while caring for an infant who has setting sun eyes, observes Macewen’s sign. What risk does the nurse expect in the infant?

Back 17

Hydrocephalus

Front 18

While assessing an infant, the nurse observes frontal bossing and downcast eyes. On percussion with the plexor finger against the head surface, the nurse hears a cracked pot sound. What could be the reason for this finding?

Back 18

Separation of sutures

Front 19

The nurse is palpating the lymph nodes of a patient. What finding would indicate the nodes may be cancerous? Select all that apply.

Back 19

The nodes are matted.

The nodes are rubbery.

The nodes are nontender.

Front 20

While auscultating the enlarged thyroid with the bell of a stethoscope, the nurse hears a soft, pulsatile, whooshing, blowing sound. What would the nurse conclude from this finding?

Back 20

There is a bruit in the thyroid.

Front 21

The nurse is caring for a patient with a migraine. The patient tells the nurse, "My headache persisted even after I took the medication regularly." Which medication from the patient’s prescription could be responsible for this condition?

Back 21

Salmeterol (Serevent)

Front 22

The nurse is describing the process of palpating the lymph nodes with a student nurse. Which statement, if made by the nurse, is accurate?

Back 22

"Use a gentle circular motion of the finger pads to feel the lymph nodes."

Front 23

A patient reports to the hospital with a headache. Which finding in the patient would indicate a migraine?

Back 23

The patient feels pain behind the ears and forehead.

Front 24

Which nerve mediates facial sensations of pain and touch?

Back 24

Trigeminal nerve

Front 25

The nurse is palpating the lymph nodes of a patient with an acute infection. What does the nurse expect to find?

Back 25

Lymph nodes are bilateral, enlarged, warm, and firm, but freely movable.

Front 26

The nurse is assessing a patient who has an acute infection and enlarged lymph nodes. Which assessment finding would the nurse expect?

Back 26

The lymph nodes are warm, tender, and firm, but freely movable.

Front 27

The nurse is caring for a patient with severe headache and fever. While reviewing the reports, the nurse finds inflammation in the brain of the patient. Which other complication does the nurse expect in the patient?

Back 27

Nuchal rigidity

Front 28

The nurse is reviewing the lab results of a patient who has primary hypothyroidism. Which finding would the nurse expect?

Back 28

Increased thyroid-stimulating hormone (TSH)

Front 29

The nurse is caring for a patient with nasal congestion and headache. The nurse finds that the patient also has drooping eyelids, eye reddening, and rhinorrhea. Which condition could these findings indicate?

Back 29

Cluster headache

Front 30

The nurse instructs an infant’s parents to put their infant to sleep in a supine position. During the follow-up visit after few months, the nurse observes that the infant has positional plagiocephaly. Which finding would be consistent with this diagnosis?

Back 30

Flatness of occipital bone

Front 31

The nurse is reviewing the medical history of four infants. Which infant does the nurse expect to be at a higher risk for developing jaundice?

Back 31

Infant D

Front 32

While examining the facial features of a patient, the nurse suspects cachexia. Which findings would support this diagnosis? Select all that apply.

Back 32

Sunken eyes

Hollow cheeks

Front 33

A patient complains that the lights in the hospital room are too bright and cause eye pain. The patient tells the nurse, "I have a severe headache that is gripping my head like a vice." What assumption can the nurse make from this information?

Back 33

Tension Headache

Front 34

When reviewing the ultrasound report of a 55-year-old female patient, the nurse finds that a rapidly growing single nodule is seen in the thyroid gland. What does such a report signify?

Back 34

Thyroid gland with a benign tumor

Front 35

The nurse is caring for a patient with head tilt to one side and limited neck range of motion (ROM) to the opposite side. Which complications could this patient have? Select all that apply.

Back 35

Poor vision

Fibrotic muscles

Asymmetry of the head

Shortening of muscles

Front 36

The nurse is evaluating a student nurse who is palpating a patient’s cervical lymph nodes. Which action, if performed by the student nurse, should be corrected by the nurse?

Back 36

The student nurse uses strong pressure for assessing lymphatic glands.

Front 37

During an assessment, the nurse finds that the patient shows fine muscle tremor and an unblinking appearance. The laboratory reports indicate the heart rate is 145 beats/minute and the serum free thyroxine (T4) is 18 ng/dL. Which complication does the nurse expect in the patient?

Back 37

Graves’ disease

Front 38

The nurse is observing a 6-month-old infant who has fever. The infant turns the head to one side and extends the limbs of the same side and flexes the limbs of the opposite side when placed in the supine position. Which complication could this behavior indicate?

Back 38

Brain damage

Front 39

The nurse is assessing an older adult patient who has edema and cardiovascular complications. The patient reports swelling under the earlobe. Which complication is this patient at risk for?

Back 39

Stensen duct obstruction

Front 40

The nurse finds that the patient has an edematous face, fatigue, brittle nails, and increased sensitivity to cold. The patient has a body temperature of 36° C. Which parameter should the nurse check in the patient’s laboratory reports?

Back 40

Thyroid-stimulating hormone levels

Front 41

While assessing a patient with fibromyalgia, the nurse finds that the patient has disequilibrium. Which statement by the patient led the nurse to such a conclusion?

Back 41

"Please help me; I’m going to fall."

Front 42

The nurse is caring for a patient who complains of vomiting, anorexia, and weight loss. While assessing the patient, the nurse finds an enlarged lymph node near the sternomastoid muscle. Which complication does the nurse expect?

Back 42

Abdominal malignancy

Front 43

The nurse is assessing a child during a routine checkup. The nurse suspects atopic dermatitis. Which associated findings would support this diagnosis? Select all that apply.

Back 43

Morgan's lines

Allergic shiners

Open mouth breathing

Front 44

The nurse is caring for an infant born using forceps delivery. On examination, the nurse finds that the infant’s head tilts to one side with limited neck rotation range of motion (ROM) to the opposite side. Which cranial nerve does the nurse expect to be damaged?

Back 44

Cranial nerve IX

Front 45

What complication does the nurse expect in the patient who has lower facial muscle paralysis?

Back 45

Brain attack

Front 46

Which signs and symptoms are likely to be found in a patient with hypothyroidism? Select all that apply.

Back 46

Dry coarse hair

Dry cool skin

Cold intolerance

Front 47

Which instruction should the nurse include in the diet plan of a patient who has migraines?

Back 47

Avoid the intake of cheese.

Front 48

Which finding would the nurse expect to observe in a 7-year old patient with increased intracranial pressure?

Back 48

Bruits

Front 49

The nurse is caring for a patient with a brain injury. The nurse asks the patient to smile, but finds that the patient is unable to smile properly, showing an asymmetric grin. Which nerve damage could cause this appearance in the patient’s smile?

Back 49

Cranial nerve VII