pg. 1 Health Assessment- Chapter 16 and 18 Exam/ Questions with Correct Answers/ Latest 2024/2025.
The primary purpose of the ciliated mucous membrane in the nose is to:
- warm the inhaled air.
- filter out dust and bacteria.
- filter coarse particles from inhaled air.
- facilitate movement of air through the nares. - ANSWER - B
The nurse is reviewing the development of the newborn infant. Regarding the sinuses, which statement is true in relation to a newborn infant?
- The sphenoid sinuses are full size at birth.
- The maxillary sinuses reach full size after puberty.
- The frontal sinuses are fairly well developed at birth.
- The maxillary and ethmoid sinuses are the only sinuses present at birth. - ANSWER - D
The nurse is assessing an 80-year-old patient. Which of these findings would be expected for this patient?
- Hypertrophy of the gums
- An increased production of saliva
- A decreased ability to identify odors
- Finer and less prominent nasal hair - ANSWER - C
A 92-year-old patient has had a stroke. The right side of his face is drooping. The nurse might also suspect which of these assessment findings?
- Epistaxis 1 / 3
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- Rhinorrhea
- Dysphagia
- Xerostomia - ANSWER - C
The nurse is using an otoscope to assess the nasal cavity. Which of these techniques is correct?
- Insert the speculum at least 3 cm into the vestibule.
- Avoid touching the nasal septum with the speculum.
- Gently displace the nose to the side that is being examined.
- Keep the speculum tip medial to avoid touching the floor of the nares. - ANSWER - B
The nurse is doing an assessment on a 21-year-old patient and notices that his nasal mucosa appears pale, gray, and swollen. What would be the most appropriate question to ask the patient?
- "Are you aware of having any allergies?"
- "Do you have an elevated temperature?"
- "Have you had any symptoms of a cold?"
- "Have you been having frequent nosebleeds?" - ANSWER - A
A 40-year-old patient who has just finished chemotherapy for breast cancer tells the nurse that she is concerned about her mouth. During the assessment the nurse finds areas of buccal mucosa that are raw and red with some bleeding as well as other areas that have a white, cheesy coating. The nurse
recognizes that this abnormality is:
- aphthous ulcers.
- candidiasis.
- leukoplakia.
- Koplik spots. - ANSWER - B
When examining the mouth of an elderly patient, the nurse recognizes that which finding is due to the aging process?
- Teeth that appear shorter
- A tongue that looks smoother in appearance 2 / 3
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- Buccal mucosa that is beefy red in appearance
- A small, painless lump on the dorsum of the tongue - ANSWER - B
When assessing the tongue of an adult, the nurse knows that an abnormal finding would be:
- a smooth glossy dorsal surface.
- a thin white coating over the tongue.
- raised papillae on the dorsal surface.
- visible venous patterns on the ventral surface. - ANSWER - A
A woman who is in the second trimester of pregnancy mentions that she has had "more nosebleeds than
ever" since she became pregnant. The nurse recognizes that this is due to:
- a problem with the patient's coagulation system.
- increased vascularity in the upper respiratory tract as a result of the pregnancy.
- increased susceptibility to colds and nasal irritation.
- inappropriate use of nasal sprays. - ANSWER - B
The nurse is teaching a health class to high-school-age boys. When discussing the topic of the use of smokeless tobacco (SLT), which of these statements are accurate? Select all that apply.
- One pinch of SLT in the mouth for 30 minutes delivers the equivalent of one cigarette.
- The use of SLT has been associated with a greater risk of oral cancer than smoking has.
- Pain is an early sign of oral cancer.
- Pain is rarely an early sign of oral cancer.
- Tooth decay is another risk of SLT because of the use of sugar as a sweetener.
- SLT is considered a healthy alternative to smoking. - ANSWER - B D E
During an assessment, a patient mentions that "I just can't smell like I used to. I can barely smell the roses in my garden. Why is that?" The nurse will assess for what possible causes of changes in the sense of smell? Select all that apply.
- Chronic alcohol use
- Cigarette smoking
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