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ATI RN · Health Assessment · nclex physical and health assessment questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. The nurse suspects damage to CN _____ and starts the examination by:

A. XI; palpating the anterior and posterior triangles.

B. XI; asking the patient to shrug her shoulders against resistance.

C. XII; percussing the sternomastoid and submandibular neck muscles.

D. XII; assessing for a positive Romberg's sign.

Expert Explanatory Rationale

Correct Answer: XI; asking the patient to shrug her shoulders against resistance.

Question 2 of 5

Which of the following is a risk factor for ear infections in young children?

A. Family history

B. Air conditioning

C. Excessive cerumen

D. Second-hand cigarette smoke

Expert Explanatory Rationale

Correct Answer: Second-hand cigarette smoke

Question 3 of 5

While discussing the history of a 6-month-old infant, the mother tells the nurse that she took a great deal of aspirin while she was pregnant. What question would the nurse want to include in the history?

A. "Does your baby startle at loud noises?"

B. "Has the baby had any surgeries on her ears?"

C. "Have you noticed any drainage from her ears?"

D. "How many ear infections has your baby had since birth?"

Expert Explanatory Rationale

Correct Answer: "How many ear infections has your baby had since birth?"

Question 4 of 5

A mother brings her 2-month-old daughter in for an examination and says,"My daughter rolled over and hit her head on the wall, and now I have noticed that she has this spot that is soft on the top of her head. Is there something terribly wrong?" The nurse's response would be:

A. "Perhaps that could be a result of your dietary intake during pregnancy."

B. "Your baby may have craniosynostosis, a disease of the sutures of the brain."

C. "That "Ëœsoft spot' you are referring to may be an indication of cretinism or congenital hypothyroidism."

D. "That "Ëœsoft spot' is normal and actually allows for growth of the brain during the first year of your baby's life."

Expert Explanatory Rationale

Correct Answer: "That "Ëœsoft spot' is normal and actually allows for growth of the brain during the first year of your baby's life."

Question 5 of 5

The nurse is testing the hearing of a 78-year-old man. Which of the following age-related hearing changes should the nurse keep in mind? (Select all that apply.)

A. Age-related hearing loss begins in the mid-40s.

B. The progression of hearing loss is slow.

C. Low-frequency tone loss occurs with aging.

D. It may be harder to hear consonants than vowels.

Expert Explanatory Rationale

Correct Answer: Age-related hearing loss begins in the mid-40s.

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