Head And Neck Assessment Quiz

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Quizzes Created: 9 | Total Attempts: 71,878
Questions: 25 | Attempts: 10,074

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Head And Neck Assessment Quiz - Quiz

Want to test your knowledge of these two body parts, the head and neck? Then take this assessment quiz that's been made for you. The quiz tests as well as give more knowledge about the head, neck, and their assessment. With this quiz, you will be able to learn more and make use of this knowledge. Try your best, and give as many correct answers on this quiz as you can. We wish best of luck to you with this amazing test!


Questions and Answers
  • 1. 

    You are doing your daily morning physical assessment on your patients. Out of the following, which would be the most likely to have visible facial veins/ arteries?

    • A.

      32 y/o female patient with AIDS

    • B.

      18 y/o female patient 5 months pregnant

    • C.

      45 y/o male with COPD

    • D.

      75 y/o female with pressure ulcers and a G-tube

    Correct Answer
    D. 75 y/o female with pressure ulcers and a G-tube
    Explanation
    The 75-year-old female patient with pressure ulcers and a G-tube is most likely to have visible facial veins/arteries. Pressure ulcers and the presence of a G-tube indicate poor circulation and potential vascular compromise in this patient. This can lead to dilation and visibility of facial veins and arteries.

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  • 2. 

    After measuring your adult, males client’s height and head length, which proportion would be the best indication of a normocephalic head size?

    • A.

      The head measures 6 inches shorter than the left arm span.

    • B.

      The head measures 1/7th of the adult body size.

    • C.

      The head is 1/5th the weight of the person.

    • D.

      The head measures 5-9 inches.

    Correct Answer
    B. The head measures 1/7th of the adult body size.
    Explanation
    The best indication of a normocephalic head size would be the proportion where the head measures 1/7th of the adult body size. This proportion provides a relative measurement of the head size compared to the overall body size, which is a more accurate indicator than the other options provided. The other options either provide specific measurements (such as 6 inches shorter than the left arm span or 5-9 inches) or a measurement based on weight (1/5th the weight of the person), which may not accurately represent the normocephalic head size.

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  • 3. 

    The sternocleidomastoids divide the neck into a portion called the anterior cervical triangle. Which of the following would not be found in this physiological region?

    • A.

      Anterior cervical lymph nodes

    • B.

      Cervical spine

    • C.

      Jugular veins

    • D.

      Thyroid

    Correct Answer
    B. Cervical spine
    Explanation
    The cervical spine refers to the vertebrae in the neck region, which is not a part of the anterior cervical triangle. The anterior cervical triangle is a specific anatomical region in the neck that is bounded by the sternocleidomastoid muscles. It contains structures such as the anterior cervical lymph nodes, jugular veins, and the thyroid gland. However, the cervical spine is located posteriorly to the anterior cervical triangle and is not included within this region.

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  • 4. 

    Which client is most likely to have palpable lymph nodes in the neck?

    • A.

      Female, 78, who is severely dehydrated

    • B.

      Male, 45 with CHF

    • C.

      Female, 18 with diabetes mellitus

    • D.

      Male, 65 with rheumatic fever

    Correct Answer
    D. Male, 65 with rheumatic fever
    Explanation
    Palpable lymph nodes in the neck can be a sign of infection or inflammation in the body. Rheumatic fever is an inflammatory disease that can cause swollen lymph nodes. Therefore, the male patient with rheumatic fever is the most likely to have palpable lymph nodes in the neck.

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  • 5. 

    In the larynx of a male, which anatomical structure forms Adam’s apple?

    • A.

      Arytenoid cartilage

    • B.

      Epiglottis

    • C.

      Thyroid cartilage

    • D.

      Cricoid cartilage

    Correct Answer
    C. Thyroid cartilage
    Explanation
    The Adam's apple is formed by the thyroid cartilage in the larynx of a male. This cartilage is larger and more prominent in males due to the effects of testosterone during puberty. The thyroid cartilage protrudes in the front of the neck, giving the characteristic appearance of the Adam's apple.

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  • 6. 

    Which structure in the neck is responsible for deflecting fluid and food away from the larynx and toward the esophagus?

    • A.

      Arytenoid cartilage

    • B.

      Epiglottis

    • C.

      Thyroid cartilage

    • D.

      Cricoid cartilage

    Correct Answer
    B. Epiglottis
    Explanation
    The epiglottis is a flap-like structure located at the base of the tongue that prevents food and fluid from entering the larynx during swallowing. When we swallow, the epiglottis folds over the opening of the larynx, directing the food and fluid towards the esophagus instead. This helps to prevent choking and ensures that the food and fluid go down the correct pathway into the stomach. The other structures mentioned, such as the arytenoid cartilage, thyroid cartilage, and cricoid cartilage, do not have the same function of deflecting fluid and food away from the larynx.

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  • 7. 

    True or false. Your lower vocal cords are your false vocal cords?

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    The false vocal cords are located above the true vocal cords, not below them. The false vocal cords are not involved in sound production and do not vibrate during speech or singing. They mainly function in protecting the true vocal cords and helping to close the airway during swallowing or coughing. Therefore, the correct answer is false.

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  • 8. 

    Name the largest endocrine gland in the body.

    • A.

      Ovaries

    • B.

      Adrenal gland

    • C.

      Hypothalamus

    • D.

      Thyroid

    Correct Answer
    D. Thyroid
    Explanation
    The thyroid is the largest endocrine gland in the body. It is located in the neck and produces hormones that regulate metabolism, growth, and development. The thyroid gland plays a crucial role in maintaining the body's overall hormonal balance. The ovaries are not glands but reproductive organs, the adrenal gland is responsible for producing hormones such as adrenaline and cortisol, and the hypothalamus is a part of the brain that regulates the release of hormones from the pituitary gland.

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  • 9. 

    A patient comes in complaining of head and neck problems. Out of the following, which is the least likely to be one of their chief complaints?

    • A.

      Swollen lymph nodes

    • B.

      Neck pain and stiffness

    • C.

      Vertigo

    • D.

      Headache

    Correct Answer
    C. Vertigo
    Explanation
    the CC are Headache, Swollen lymph nodes, neck pain and stiffness, and dizziness

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  • 10. 

    True or false. HTN headaches occur in the morning, and tension headaches occur at night?

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    HTN headaches, also known as hypertensive headaches, are indeed known to occur in the morning. This is because they are often associated with high blood pressure, which tends to be higher in the morning after a night of rest. On the other hand, tension headaches are not specifically associated with a particular time of day and can occur at any time. Therefore, the statement that HTN headaches occur in the morning and tension headaches occur at night is true.

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  • 11. 

    The patient you’re assessing is from tension headaches. Upon questioning, which would you assume would be the most likely cause of his headaches?

    • A.

      His recent withdrawal from caffeine

    • B.

      Being on his computer for 10 hours a day

    • C.

      His heavy recent three-day alcohol binge

    • D.

      His recent arrest and file for bankruptcy

    Correct Answer
    D. His recent arrest and file for bankruptcy
    Explanation
    the cause of tension headaches is stress-related.

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  • 12. 

    What associated symptom would you expect the patient to experience along with his tension headaches?

    • A.

      Vomiting

    • B.

      Visual disturbances

    • C.

      Anxiety

    • D.

      Stiff neck and fever

    Correct Answer
    C. Anxiety
    Explanation
    Anxiety is the most likely associated symptom that a patient would experience along with tension headaches. Tension headaches are often caused by stress and anxiety, and these conditions can exacerbate the headache symptoms. Anxiety can also lead to muscle tension and tightness, which can contribute to the development of tension headaches. Additionally, anxiety can cause other physical symptoms such as restlessness, irritability, and difficulty concentrating, which may further worsen the headache experience. Therefore, it is reasonable to expect anxiety as a common associated symptom in patients with tension headaches.

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  • 13. 

    Your 32-year-old male patient is diagnosed with hydrocephalus (enlargement of the head without enlargement of the facial structures). You suspect ________ caused this.

    • A.

      His recent chemotherapy drugs

    • B.

      An excessive accumulation of CSF in the skull

    • C.

      A viral infection

    • D.

      His chronic struggle with meningitis and pneumonia

    Correct Answer
    B. An excessive accumulation of CSF in the skull
    Explanation
    Hydrocephalus is a condition characterized by the accumulation of cerebrospinal fluid (CSF) in the skull, leading to the enlargement of the head. This excess accumulation of CSF can result from various factors such as obstruction in the flow of CSF, overproduction of CSF, or impaired absorption of CSF. In this case, the correct answer suggests that an excessive accumulation of CSF in the skull is the likely cause of hydrocephalus in the 32-year-old male patient.

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  • 14. 

    Which of the following is least likely to cause craniotabes (softening of the skull)?

    • A.

      Rickets

    • B.

      Syphilis

    • C.

      Exophthalmos

    • D.

      Hypervitaminosis A

    Correct Answer
    C. Exophthalmos
    Explanation
    Causes: hydrocephalus, demineralization of the bone due to rickets, hypervitaminosis A, or syphilis

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  • 15. 

    When assessing your patient's scalp, you come across a lipoma. Which is the most reasonable answer to explain how this lipoma was formed?

    • A.

      Months of an accumulation of dandruff

    • B.

      The patient is recovering from cancer

    • C.

      Retention of sebaceous gland secretions

    • D.

      The patients’ scalp was exposed to extreme heat

    Correct Answer
    C. Retention of sebaceous gland secretions
    Explanation
    A lipoma is a benign tumor that forms from fat cells. The most reasonable explanation for the formation of a lipoma on the patient's scalp is the retention of sebaceous gland secretions. Sebaceous glands are responsible for producing sebum, an oily substance that lubricates the skin and hair. If the sebaceous glands become blocked or overactive, it can lead to the accumulation of sebum and the formation of a lipoma. This is a common occurrence and can happen on any part of the body, including the scalp.

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  • 16. 

    Bell’s palsy is best defined as asymmetry affecting _________.

    • A.

      The mouth

    • B.

      The eyelids

    • C.

      The lower face

    • D.

      The entire side of the face

    Correct Answer
    D. The entire side of the face
    Explanation
    Bell's palsy is a condition characterized by sudden weakness or paralysis of the facial muscles on one side of the face. This results in the inability to control facial movements, such as closing the eye, smiling, or raising the eyebrow, on the affected side. Therefore, the correct answer is "the entire side of the face" as Bell's palsy affects all the facial muscles on one side.

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  • 17. 

    Which of the following is an abnormal finding during the examination of the ROM of the neck?

    • A.

      Lateral bending – 80

    • B.

      Flexion – 45 degrees

    • C.

      Extension – 55

    • D.

      Rotation – 70 degrees

    Correct Answer
    A. Lateral bending – 80
    Explanation
    Normal ROM: Flexion – 45 degrees, Extension – 55 degrees, Lateral bending – 40 degrees, Rotation – 70 degrees

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  • 18. 

    You are assessing the neck movement of a 45 y/o male client. You notice that he has pain with flexion or rotation. Which of the following could be possible causes?

    • A.

      Meningitis

    • B.

      Degenerative changes of the spine

    • C.

      Torticollis

    • D.

      Muscle spasms

    Correct Answer(s)
    A. Meningitis
    D. Muscle spasms
    Explanation
    Causes: meningeal irritation (meningitis), trauma, muscle inflammation or spasm

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  • 19. 

    During the neck examination of a 30 y/o client, you palpate a mass. Which are the most likely causes of the mass?

    • A.

      Enlarged lymph node

    • B.

      Infection

    • C.

      Spasm

    • D.

      DVT

    Correct Answer(s)
    A. Enlarged lymph node
    C. Spasm
    Explanation
    The most likely causes of the mass during a neck examination in a 30-year-old client are an enlarged lymph node and spasm. Enlarged lymph nodes can occur due to infections or other inflammatory processes in the body. Spasms can also cause a mass-like feeling in the neck. DVT (deep vein thrombosis) is less likely to be the cause of the mass in this scenario.

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  • 20. 

    When a node is palpable, check the area ______ to the location of the abnormal node.  

    • A.

      Proximal, upstream

    • B.

      Distal, downstream

    • C.

      Around the node

    • D.

      Palpate deeper

    Correct Answer
    A. Proximal, upstream
    Explanation
    When a node is palpable, it is important to check the area proximal, upstream to the location of the abnormal node. This means examining the area closer to the point of origin or closer to the body's center. By doing so, healthcare professionals can assess the lymphatic drainage pathway and potentially identify any other abnormalities or enlarged nodes that may be causing the palpable node. Checking the area distal, downstream would mean examining the area further away from the point of origin, which may not provide relevant information in this context. Palpating deeper or around the node may not provide a comprehensive assessment of the lymphatic drainage pathway.

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  • 21. 

    Lymph nodes should not be ________ in the healthy adult patient.

    • A.

      Tender

    • B.

      Too close together

    • C.

      Palpable

    • D.

      Under muscle masses

    Correct Answer
    C. Palpable
    Explanation
    In a healthy adult patient, lymph nodes should not be palpable. This means that they should not be able to be felt or detected through touch. Palpable lymph nodes can indicate an underlying health issue, such as an infection or inflammation. Therefore, if lymph nodes are palpable, it may be necessary to further investigate the cause and address any potential health concerns.

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  • 22. 

    A severely ill client comes into your clinic complaining of enlarged lymph nodes. Which of the following is the least likely cause of his pathogenesis?

    • A.

      His chronic struggle with PAD

    • B.

      His recent battle with AIDs

    • C.

      The recurrent infection of tuberculosis

    • D.

      His recent knee replacement surgery

    Correct Answer
    A. His chronic struggle with PAD
    Explanation
    Causes: bacterial infections, viral infections, malignancies, AIDS, tuberculosis, blood dyscrasias, surgical procedures.

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  • 23. 

    A frantic patient rushes into the ER with a deviated trachea. Upon assessment, he tells you his co-morbidities and a detail of what happened before the deviation. Which of the following is the least likely cause?

    • A.

      His tracheal tumor

    • B.

      The unilateral enlargement of his thyroid

    • C.

      His chronic dysphagia

    • D.

      He has just been diagnosed with an aortic aneurysm

    Correct Answer
    C. His chronic dysphagia
    Explanation
    Pushed to unaffected side: Aortic aneurysm, Tumor, Unilateral thyroid enlargement, Pneumothorax

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  • 24. 

    You are watching a nursing student assess the thyroid gland of a patient. Which of the following steps needs to be corrected?

    • A.

      Note consistency, nodularity, or tenderness as the gland moves upward.

    • B.

      Have the patient sit comfortably and stand in front of the patient.

    • C.

      Move the finger pads over the tracheal rings.

    • D.

      Have the patient lower the chin slightly in order to relax the neck muscles.

    Correct Answer
    B. Have the patient sit comfortably and stand in front of the patient.
    Explanation
    you want to stand behind the patient

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  • 25. 

    The thyroid gland becomes more ________ with age.

    • A.

      Tender

    • B.

      Fibrotic

    • C.

      Enlarged

    • D.

      Inflamed

    Correct Answer
    B. Fibrotic
    Explanation
    As a person ages, the thyroid gland may undergo changes that cause it to become more fibrotic. Fibrosis refers to the formation of excess fibrous connective tissue in an organ or tissue, leading to its thickening and hardening. This can occur in the thyroid gland, causing it to become less elastic and more rigid. This fibrotic change in the thyroid gland is a common age-related alteration.

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