health assessment practice questions

Questions 45

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health assessment practice questions Questions

Question 1 of 5

During the examination of a patient in her third trimester of pregnancy, the nurse notices that the patient's thyroid gland is slightly enlarged. No enlargement had been noted previously. The nurse suspects that:

Correct Answer: C

Rationale: Step-by-step rationale for why choice C is correct: 1. Enlargement of the thyroid gland during pregnancy is a normal finding due to hormonal changes. 2. The thyroid gland enlarges to meet the increased demands of thyroid hormone production. 3. This condition is known as gestational thyrotoxicosis and is usually benign. 4. No further testing is needed for thyroid cancer unless other concerning symptoms are present. Summary: A: Not relevant as iodine deficiency is not typically associated with thyroid enlargement in pregnancy. B: Incorrect as early signs of goitre would involve more pronounced symptoms than just slight enlargement. D: Unnecessary as thyroid cancer is not a common concern in this scenario of a slightly enlarged thyroid in the third trimester of pregnancy.

Question 2 of 5

A 60-year-old man is at the clinic for an eye examination. The nurse suspects that he has ptosis of one eye. Ptosis is:

Correct Answer: C

Rationale: The correct answer is C: drooping of the upper eyelid. Ptosis refers to the drooping of the upper eyelid, which may occur due to weakened eyelid muscles or nerve damage. In this case, the nurse suspects ptosis in the 60-year-old man, which is likely due to age-related muscle weakness. Choice A, a cloudy cornea, is incorrect as it refers to a different eye condition. Choice B, an unequal red reflex, is incorrect as it is related to abnormalities in the retina. Choice D, protruding and bulging eyes, is incorrect as it indicates exophthalmos, a condition typically seen in thyroid eye disease.

Question 3 of 5

During examination of a 4-year-old Aboriginal child, the nurse notices that her uvula is partially split. Which of the following statements about this condition is accurate?

Correct Answer: B

Rationale: The correct answer is B: This is a bifid uvula, which is a common occurrence in some Aboriginal groups. 1. A bifid uvula is a condition where the uvula is split or divided, which is a common variation seen in some Aboriginal populations. 2. Cleft palate is a different condition involving a gap in the roof of the mouth, not specifically related to Aboriginal people. 3. Uvular injury is not a common cause of a split uvula in children, so reporting to authorities is unnecessary. 4. Torus palatinus is a bony growth on the roof of the mouth and not related to a split uvula or specific to Aboriginal populations.

Question 4 of 5

When examining the face, the nurse is aware that the two pairs of salivary glands that are accessible to examination are the _____ glands.

Correct Answer: C

Rationale: The correct answer is C, parotid and submandibular glands. The parotid and submandibular glands are the two pairs of salivary glands that are accessible for examination in the face. The parotid gland is located near the ear, while the submandibular gland is located under the jaw. The other choices are incorrect because: A: Occipital and submental glands are not salivary glands accessible for examination in the face. B: Parotid gland is correct, but jugulodigastric gland is not a salivary gland. D: Submandibular gland is correct, but occipital gland is not a salivary gland.

Question 5 of 5

A patient says that she has recently noticed a lump in the front of her neck below her"Adam's apple" that seems to be getting bigger. During the assessment, the finding that reassures the nurse that this may not be a cancerous thyroid nodule is that the lump (nodule):

Correct Answer: B

Rationale: The correct answer is B: the lump is mobile and not hard. A cancerous thyroid nodule is typically fixed and hard, whereas a noncancerous nodule is more likely to be mobile and soft. This characteristic suggests it may be a benign condition such as a thyroid cyst rather than a malignant tumor. The other choices are incorrect because A: tenderness does not necessarily indicate benignity or malignancy, C: disappearance when smiling is more related to a salivary gland issue, and D: hardness and fixation are more indicative of a potentially cancerous nodule.

Similar Questions

A patient says that she has recently noticed a lump in the front of her neck below her"Adam's apple" that seems to be getting bigger. During the assessment, the finding that reassures the nurse that this may not be a cancerous thyroid nodule is that the lump (nodule):
When performing an otoscopic examination on a 5-year-old child with a history of chronic ear infections, the nurse sees that his right tympanic membrane is amber-yellow in colour and there are air bubbles behind the tympanic membrane. The child reports occasional hearing loss and a popping sound with swallowing. The preliminary analysis based on this information would be that:
A patient's vision is recorded as 20/80 in each eye. The nurse recognizes that this finding indicates:
The nurse is performing an assessment on a 21-year-old patient and notes that his nasal mucosa appears pale, grey, and swollen. What would be the most appropriate question to ask the patient?
An 85-year-old female patient is complaining about the fact that the bones in her face have become more noticeable. What explanation should the nurse provide?

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