Chapter 15 Health Assessment in Nursing 5th Edition

Chapter 15  Health Assessment in Nursing 5th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1. The nurse is preparing to palpate a client’s temporal artery. The nurse would place the
hands at which location?
A) On each side of the client’s face, anterior and inferior to the ears
B) On each side between the top of the ear and the eye
C) Bilaterally, parallel to and anterior to the sternomastoid muscle
D) Inferior to the lower jaw beneath the client’s tongue

2. A nurse is preparing to assess an adult client’s carotid pulses. Which of the following
actions would be contraindicated?
A) Asking the client to flex his or her neck
B) Compressing the arteries bilaterally
C) Performing the examination while the client is seated
D) Asking the client to swallow water

3. The nurse’s assessment reveals that a male client can neither turn his head against
resistance nor shrug his shoulders. The nurse should document a potential deficit in the
functioning of which cranial nerve?
A) Abducens (VI)
B) Accessory (XI)
C) Hypoglossal (XII)
D) Trochlear (IV)

4. During the health history, a client describes recent episodes of intermittent facial pain
lasting several minutes. The nurse should recognize that this complaint is suggestive of
what health problem?
A) Trigeminal neuralgia
B) Migraine headache
C) Meningitis
D) Temporomandibular joint dysfunction

5. A client describes her frequent headaches as being severe and lasting for days. The
client’s positive response to what question would most clearly suggest to the nurse that
these headaches are migraines?
A) ìDo they occur after you have been tense or anxious?î
B) ìWhen you consume alcohol, do you get a headache?î
C) ìDo you have any eye symptoms, such as tearing?î
D) ìDo you have any visual changes before the headache?î

Answer Key

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