Test Bank for Seidel's Guide To Physical Examination an Interprofessional Approach 10th Edition by Jane W. Ball, Joyce E. Dains Chapter 1-26

Test Bank for Seidel's Guide To Physical Examination an Interprofessional Approach 10th Edition by Jane W. Ball, Joyce E. Dains Chapter 1-26 1. Observation during history taking is the best way to examine for: a. head position. b. scalp lice. c. thyroid size. d. tracheal alignment. ANS: A Head position as well as facial features is best observed when talking to the patient during the history. Scalp lice, thyroid size, and tracheal alignment are best assessed by palpation and closer physical observation. DIF: Cognitive Level: Applying (Application) OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation 2. During a head and neck assessment of a neonate, it is important to screen for: a. the presence of torticollis. b. signs and symptoms of cerebral palsy. c. uneven movement of the eyes. d. unilateral movement of the tongue. ANS: A Torticollis is usually caused by constraint of the newborn in utero or injury during vaginal deli er . The other s mptoms ma be diffic lt to discern beca se of the infant s lack of fine motor skills and control of voluntary muscle groups. During a head and neck assessment of a neonate, it is not important to screen for signs and symptoms of cerebral palsy, uneven movement of the eyes, or unilateral movement of the tongue. DIF: Cognitive Level: Applying (Application) OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation 3. During a physical examination of a 30-year-old Chinese man, you notice a slight asymmetry of his face. The cranial nerve examination is normal. Your best action is to: a. ask the patient if this characteristic runs in his family. b. perform monofilament testing on the face. c. consult with the clinician regarding the laboratory tests needed. d. record the finding in the patient s chart. ANS: D It is not abnormal to have some slight asymmetry of the face that does not require further questioning, tests, or unnecessary laboratory work, but it does require a notation in the chart that could be referenced for future concerns. DIF: Cognitive Level: Applying (Application) OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation 4. Which is the best a to position a patient s neck for palpation of the th roid? a. Flexed away from the side being examined b. Flexed directly forward c. Flexed toward the side being examined B.COM d. Hyperextended directly backward ANS: C The patient should be positioned so that the sternocleidomastoid muscle is relaxed and the thyroid is easier to palpate. This is done by having the patient flex the neck slightly forward and laterally toward the side being examined. DIF: Cognitive Level: Applying (Application) OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation 5. The thyroid gland should: a. be slightly left of midline. b. have a clear vascular sound. c. move when the patient swallows. d. tug with each heartbeat. ANS: C It is a normal finding for the thyroid gland to move with swallowing; however, being off center may indicate a nodular growth or enlargement. The thyroid gland should not be slightly left of midline. Vascular sounds indicate hypermetabolic states such as hyperthyroidism, and a tug with each heartbeat is a sign of an aortic aneurysm. DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation 6. Yo are palpating a patient s th roid and find that its broadest dimension meas res 4 cm. The right lobe is 25% larger than the left. These data would indicate: a. a congenital anomaly. b. a multinodular goiter.