A patient visits the clinic because he has recently noticed that the left side of his mouth is ...

A patient visits the clinic because he has recently noticed that the left side of his mouth is paralyzed. He states that he cannot raise his eyebrow or whistle. The nurse suspects that he has:
 
  a. Cushing syndrome.
  b. Parkinson disease.
  c. Bell palsy.
  d. Experienced a cerebrovascular accident (CVA) or stroke.

Question 2

When examining children affected with Down syndrome (trisomy 21), the nurse looks for the possible presence of:
 
  a. Ear dysplasia.
  b. Long, thin neck.
  c. Protruding thin tongue.
  d. Narrow and raised nasal bridge.

Question 3

During an admission assessment, the nurse notices that a male patient has an enlarged and rather thick skull. The nurse suspects acromegaly and would further assess for:
 
  a. Exophthalmos.
  b. Bowed long bones.
  c. Coarse facial features.
  d. Acorn-shaped cranium.

Question 4

A mother brings in her newborn infant for an assessment and tells the nurse that she has noticed that whenever her newborn's head is turned to the right side, she straightens out the arm and leg on the same side and flexes the opposite arm and leg.
 
  After observing this on examination, the nurse tells her that this reflex is:
  a.
  Abnormal and is called the atonic neck reflex.
  b.
  Normal and should disappear by the first year of life.
  c.
  Normal and is called the tonic neck reflex, which should disappear between 3 and 4 months of age.
  d.
  Abnormal. The baby should be flexing the arm and leg on the right side of his body when the head is turned to the right.

Question 5

The nurse notices that an infant has a large, soft lump on the side of his head and that his mother is very concerned. She tells the nurse that she noticed the lump approximately 8 hours after her baby's birth and that it seems to be getting bigger.
 
  One possible explanation for this is:
  a.
  Hydrocephalus.
  b.
  Craniosynostosis.
  c.
  Cephalhematoma.
  d.
  Caput succedaneum.

Question 6

A patient's thyroid gland is enlarged, and the nurse is preparing to auscultate the thyroid gland for the presence of a bruit. A bruit is a __________ sound that is heard best with the __________ of the stethoscope.
 
  a. Low gurgling; diaphragm
  b. Loud, whooshing, blowing; bell
  c. Soft, whooshing, pulsatile; bell
  d. High-pitched tinkling; diaphragm