Ch3 The Nose, Mouth, And Throat Verified Test Bank

CHAPTER 3: ADVANCED HEALTH ASSESSMENT OF THE NOSE, MOUTH, AND THROAT

1. A patient presents with a heavy epistasis. The clinician suspects that the patient may have which anatomical structure associated with nose bleeds?

a. Nasal veins joining the sagittal suture

b. Woodruff’s plexus

c. Spheno-ethmoid recess

d. Sphenopalatine artery

2. The clinician is assessing a patient complaining of difficulty breathing through the nose. The clinician should: (Select all that apply.)

a. Question the patient about alcohol intake

b. Assess for a deviated septum

c. Occlude each nare independently to assess air flow

d. Use a nasal speculum to inspect the turbinates

e. Gently press the tip of the nose

3. The clinician is assessing a patient who was a passenger in a car involved in a collision. The clinician notes clear fluid discharging from both of the patient’s nares. Which of the following would be the priority action for the clinician to take?

a. Evaluate the patient for a skull fracture.

b. Question the patient about use of intranasal medications.

c. Occlude each nare independently to evaluate for septal deviation.

d. Ask the patient about the ability to smell.

4. The clinician is assessing the oropharynx of a small child. To facilitate this, the clinician: (Select all that apply.)

a. Examines the child while he sits on his mother’s lap

b. Allows the child to play with the penlight

c. Has the child suck on the clinician’s gloved finger

d. Asks the caregiver to leave the room during the assessment

e. Assesses the oropharynx before proceeding to other body systems

5. Upon assessment of a patient’s oral cavity, the clinician discovers a bony protuberance along the midline of the inner lower jaw. The clinician determines that it is a torus palatinus. The clinician:

a. Explains to the patient that this is a type of cancer

b. Consults with the healthcare team concerning this abnormality

c. Asks the patient about use of medications

d. Documents the finding in the patient’s record

6. The clinician is examining a patient who experienced facial trauma. The clinician notes a hematoma forming on the nasal septum. The clinician’s next action is to:

a. Document the finding in the patient’s medical record

b. Explain to the patient that this is a normal finding

c. Compress each nare independently to evaluate air flow

d. Initiate the healthcare team into action to treat the hematoma

7. A patient is presenting with difficulty breathing. The clinician determines that the pharyngeal tonsils are enlarged. Which of the following is correct concerning the adenoid tissue and this condition? (Select all that apply.)

a. Adenoid tissue begins to decrease in size after age 5.

b. Tonsils are a significant source of oropharyngeal cancer.

c. Hypertrophic adenoid tissue can block the Eustachian tubes.

d. Grade 4 tonsils occlude more than 75% of the oropharynx.

e. Adenoid tissue is also located in the posterior nasal cavity.

8. The clinician is assessing a patient with edema of the lips, tongue, palate, and floor of the mouth. The clinician diagnoses the patient with:

a. Gingival hyperplasia

b. Pharyngitis

c. Peutz–Jeghers syndrome

d. Angioedema

9. The clinician is assessing the oral cavity of a patient. During the oral exam, the clinician should: (Select all that apply.)

a. Use a penlight to visually inspect

b. Gently percuss the teeth

c. Pull the tongue forward and laterally with gauze

d. Palpate the oral cavity for masses

e. Percuss under the zygomatic processes

10. A patient is having difficulty with anosmia, the inability to smell odors. Critical safety education for this condition should include: (Select all that apply.)

a. Train the patient to eat only cooked food

b. Advise the patient to only use unscented body lotion

c. Educate the patient to store food properly

d. Urge the patient to maintain working smoke detectors

e. Teach the patient to use food by the expiration date

11. The clinician is evaluating a patient’s cranial nerves during the physical assessment. To evaluate functioning of the cranial nerve XII, the hypoglossal nerve, the clinician should:

a. Instruct the patient to sense taste

b. Test the patient’s ability to chew

c. Test the patient’s ability to distinguish odors

d. Ask the patient to hold out his tongue

12. A patient reports pain with drinking of fluids and chewing for the last few weeks. The patient is now experiencing severe constant pain and throbbing. The patient’s entire right lower face and jaw is enlarged. The clinician’s priority action is to:

a. Ask the patient about daily dental hygiene

b. Complete paperwork for a dental referral

c. Evaluate the patient for an abscessed tooth

d. Fully assess the patient’s cranial nerves

13. Briefly describe the basic physiologic functions of the nose.

14. The clinician has diagnosed dysphagia in a patient. What would the priority health concern be for this patient?

15. Discuss the specific manifestations associated with a peritonsillar abscess.

16. A patient presents with complaints of a sore throat. Upon assessment, the clinician observes tonsillar ulcers with a clean base. The patient denies cough and fever. What would the differential diagnosis be for this patient?

17. What are the four manifestations that are considered variations of normal in the oral cavity?

18. The clinician is performing a full assessment of the nose and mouth. In addition to inspection, what are the three or more pertinent questions the clinician should ask the patient concerning this system?

Do you have difficulty breathing through your nose or mouth?

Are you having or have you had any pain?

Have you had any change in smell or taste?

Have you had any nasal or oral discharge or bleeding? If so, please describe it.

Do you or have you ever smoked, vaped, or used other tobacco products? If so, how many per day?

Do you have or have you ever had cancer of the nose or mouth or other body system?

Have you ever had surgery or trauma of the nose or mouth? If so, for what condition and when?

Is there a family history of any significant health problems?

19. The clinician is evaluating a newborn infant. Name four or more specific assessments of the nose and mouth that should be performed during this exam.

Work of breathing

Ability to breathe through each nare

Evaluation of lip and palate

Assessment of strength of sucking

Presence of gag and swallow reflexes

Symmetry of nose and face

Ability of tongue protrusion

Structural anomalies of nose or mouth

20. The clinician needs to perform a nasal and oral exam on a pediatric patient. Discuss some measures that the clinician can perform to help reduce anxiety in the patient and improve the patient’s cooperation with the procedure.