1. The nurse assesses an adult client’s head and neck.
While examining the carotid arteries, the
nurse assesses each artery individually in order to prevent a
A. Reduction of blood supply to the brain
2. A client visits the out-patient center with a complaint of sudden head and neck pain and
stiffness. The client’s oral temperature is 100 ⁰F. the nurse suspects the client is experiencing
symptoms of :
B. meningeal irritation
3. While assessing the head and neck of an adult client, the client tells the nurse she has been
experiencing sharp shooting facial pains that last from 10 to 20 seconds but are occurring more
frequently. The nurse should refer the client for possible
D. trigeminal neuralgia
4. A female client visits the clinic and tells the nurse that she frequently experiences severe
recurring headaches that sometimes last for several days and are accompanied by nausea and
vomiting. The nurse determines what type of headache the client is describing is a
Migraine headaches
5. An adult client visits the clinic and tells the nurse that she has headaches recently that are
intense and stabbing and often occur in the late evening. The nurse should document the
presence of
Cluster headaches
6. A client visits the clinic and tells the nurse that he is depressed because of the recent job loss.
He complains of dull aching tight and diffuse headaches that have lasted for several days. The
nurse should document
D. tension headaches
7. An older client visits the client accompanied by his daughter. The daughter tells the nurse that
her father has been experiencing severe headaches that usually begin in the morning and
become worse when he coughs. The client for further evaluation because symptom are
characteristic of a
D. tumor related headache
8. The nurse is preparing to performs head and neck assessment of an adult client who has
immigrated to United States from Cambodia. The nurse should first
B. ask the client it touching the head is permissible
9. While assessing an adult client’s skull, the nurse observe that the client’s skull and facial bones
are larger and thicker than usual. The nurse should assess the client for
B. acromegaly
10. While assessing an adult client’s skull, the nurse observes that the client’s skulls bones are acorn
shaped and enlarged . The nurse should refer the client to physician for possible
C. Paget disease
11. While assessing an adult client’s head and neck, the nurse observes asymmetry in front of the
client’s earlobes. The nurse refers the client to the physician because the nurse suspects the
client is most likely experiencing a/an
D. parotid gland enlargement
12. The nurse is preparing to assess the neck of an adult client. To inspect movement of the client ‘s
thyroid gland , the nurse should ask the client to
B. swallow a small sips of water
13. While assessing an older adult client’s neck, the nurse observes that the client’s trachea is pulled
to the left side. The nurse should
C. refer the client to a physician for further evaluation
14. The nurse is planning to assess an adult client’s thyroid gland. The nurse should plan to
B. approach the client posteriorly
15. The nurse is preparing to assess the lymph nodes of an adult client. The nurse should instruct
the client to
D. sit in an upright position
16. A female client visits the clinic and tells the nurse that she wants to stay healthy”. The nurse
observes that the client has diffuse neck enlargement is perspiring, and is quite fidgety. The
client tells the nurse that she is hungry all the time but I have lost weight. A priority nursing
diagnosis for the client is
C. health seeking behaviors related to to verbalization of wanting to stay healthy
The most common lymph nodes in the head and neck are referred to as:-
i. Reauricular
ii. Postauricular
iii. Tonsillar
iv. Occipital
v. Submandibular
vi. Submental
vii. Superficial cervical
viii. Posterior cervical
ix. Deep cervical
x. Supra clavicular
The cranium houses and protects the brain the brain and major organs. It consist of
eight bones:-
F (FAT)----------------------------- Frontal
P (PEOPLE)----------------------- Parietal
T Temporal
O Occipital
E Ethmoid
S Sphenoid
M-Maxilla
Z- Zygomatic
I Inferior conchae
N-Nasal
L- Lacrimal
P palentine
V-Vomer
M-Mandible
a. What is the function a neck?
Ans: The structure of neck is composed of muscles ligaments and the cervical vertebrae.
b. What is the number of the cranial nerve that is responsible for muscle movement that permits
shrugging of the shoulders by the trapezius muscles and turning the head?
Ans: 11
c. All the cranial bones are immobile except for which bone?
Ans: the mandible
d. Where is the temporal artery located?
Ans: Between the eye and the top of the ear
e. The largest endocrine gland in the body?
Ans: Thyroid Gland
f. What is the first tracheal ring called
Ans: the cricoid process
g. A corn shape enlarged skull bones seen as are known as?
Ans: Paget disease
h. An involuntary nodding movement may be seen as
Ans: Aortic insufficiency
i. Lesion or lumps on the head may cause what indicate
Ans: recent trauma or cancer
