Facial drooping can be associated with which two disorders? (Select All that Apply.)

Acromegaly

Bells Palsy

CVA

Parkinson’s

Answer and Explanation

Correct Answer : B,C

A) Acromegaly: Acromegaly is a condition caused by excess growth hormone, leading to enlargement of bones and tissues, particularly in the hands, feet, and face. While facial features can appear more pronounced due to bone growth, acromegaly itself does not cause facial drooping as a prominent symptom. The condition does not typically present with the sudden onset of facial weakness or asymmetry associated with drooping.

B) Bell’s Palsy: Bell’s Palsy is a disorder that affects the facial nerve, leading to sudden, unilateral facial drooping or paralysis. It is often caused by inflammation of the facial nerve, and facial drooping is one of its hallmark symptoms. It usually occurs on one side of the face, causing weakness or loss of muscle tone, leading to the drooping appearance.

C) CVA (Cerebrovascular Accident): A CVA, or stroke, can result in facial drooping, typically on one side of the face, if the stroke affects areas of the brain controlling facial muscles. A common sign of a stroke is the sudden development of facial asymmetry, including drooping of the mouth or eyelid. It is an important symptom to monitor in assessing neurological function following a stroke.

D) Parkinson’s Disease: Parkinson’s disease can cause facial changes, such as reduced blinking and a "masked" appearance, but it does not typically cause facial drooping in the same way that Bell's Palsy or a CVA would. Parkinson’s-related facial changes stem from reduced movement rather than sudden weakness or paralysis of the facial muscles. While facial expression can be diminished, true drooping is less common.

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Correct Answer is A

Explanation

A) At the base of the skull: The occipital lymph nodes are located at the base of the skull, just above the nape of the neck. The nurse should use a gentle circular motion to palpate the area where these lymph nodes are found. This is the correct location to assess for tenderness, swelling, or abnormalities in the occipital lymph nodes.

B) In front of the ears: The lymph nodes located in front of the ears are known as the preauricular lymph nodes. These are not the occipital lymph nodes. The preauricular nodes are assessed by palpating just in front of the ear, not at the base of the skull.

C) Under the mandible: The submandibular lymph nodes are located under the mandible (lower jaw). These nodes are not the occipital lymph nodes. The nurse would need to palpate under the jawline to assess the submandibular area.

D) Above the clavicles: The supraclavicular lymph nodes are located above the clavicles (collarbones), and they are not the occipital lymph nodes. This area is assessed separately to check for lymph node enlargement or abnormal findings.

A. glossitis B. tonsillitis C. herpes simplex D. leukoplakia

Correct Answer is D

Explanation

A) Glossitis: Glossitis refers to inflammation of the tongue, which can lead to redness, swelling, and sometimes a smooth appearance. It does not typically cause whitish thickening or growths in the mouth that cannot be scraped off. Glossitis is more related to the tongue's surface rather than abnormal growths or lesions.

B) Tonsillitis: Tonsillitis is an infection or inflammation of the tonsils, typically caused by viral or bacterial infections. It results in sore throat, swelling of the tonsils, and sometimes white patches. However, tonsillitis does not cause whitish thickening or growths on the oral mucosa that cannot be scraped off, making it an unlikely diagnosis here.

C) Herpes simplex: Herpes simplex virus (HSV) infections can cause oral lesions, such as cold sores or blisters. These lesions are usually painful, fluid-filled, and can be scraped off. They do not cause thick, white, non-scrapable growths like leukoplakia does.

D) Leukoplakia: Leukoplakia refers to the development of thick, white patches on the mucous membranes of the mouth, which cannot be scraped off. It is often associated with conditions like HIV, smoking, and chronic irritation. The presence of leukoplakia in an HIV-positive patient is concerning because it can be precancerous. This is the correct term for the finding described in the question.

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Facial drooping can be associated with which two disorders? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preforming a focus physical assessment of the head and neck of a 20 year old male client. In assessing the lymph nodes what part of the head and neck should the nurse perform gentle circular motion to assess the occipital lymph nodes?

Correct Answer is A

Explanation

A nurse is caring for a patient suffering from human immunodeficiency syndrome (HIV) and during the inspection of mouth notes whitish thickening (growths), unable to be scraped off. What is the term for this unexpected finding?

Correct Answer is D

Explanation

A nurse is assessing a patient's mouth and identifies the tonsiis as smooth pink and occupying more than 50% but less than 75% of the lateral dimension of the oropharynx. What grade for the tonsils should the nurse document?

A patient is complaining of a black large spot in the center of their vision. The nurse determines this manifestation as central vision loss. Which eye disorder below is consistent with this symptom?

Facial drooping can be associated with which two disorders? (Select All that Apply.)

A nurse is performing an eye assessment on a client and while inspecting the eyes the pupils are noted to be fixed and 7 mm in size. How should the nurse document this finding?

While assessing the mouth of a patient the nurse inspects and documents small, round, white painful lesions on the oral mucosa. Which finding is consistent with this manifestation?

A nurse needs to assess the peripheral vision of a client. What test is appropriate?

A nurse is assessing the mouth f a patient and during the inspection notes a black and hairy tongue. What type of infection does the patient have?

A nurse is assessing the eyes of a patient and notes the pupils are unequal in size. Which term is appropriate to document?