Head and Neck Assessment: Comprehensive Quizzes for Advanced Nursing Practice

Question 1

During a funduscopic examination, within which structure would you visualize the Fovea Centralis?

Accepted Answer

Macula

Answer

Peripheral retina

Answer

Optic nerve

Answer

Choroid

Question 2

Which of the following is not a normal anatomical structure of the external ear?

Accepted Answer

Tonsil

Answer

Helix

Answer

Antihelix

Answer

Tragus

Question 3

A patient presents with a red, swollen, and painful eye. What is the most likely diagnosis?

Accepted Answer

Conjunctivitis

Answer

Blepharitis

Answer

Keratitis

Answer

Iritis

Question 4

Which of the following is a typical symptom of otitis media?

Accepted Answer

Ear pain

Answer

Tinnitus

Answer

Vertigo

Answer

Nasal congestion

Question 5

Which of the following is a normal finding when assessing the nasal cavity using a nasal speculum?

Accepted Answer

Clear nasal secretions

Answer

Pale and boggy mucosa

Answer

Swollen turbinates

Answer

Deviation of the nasal septum

Question 6

Transillumination is a technique used to detect opacification of the sinuses.

Accepted Answer

True

Answer

False

Question 7

Pupillary constriction is controlled by which cranial nerve?

Accepted Answer

CN III

Answer

CN II

Answer

CN IV

Answer

CN VI

Question 8

Exposure to cigarette smoke is a risk factor for developing otitis media.

Accepted Answer

True

Answer

False

Question 9

Otorrhea may be indicative of a perforated eardrum during the examination of the external ear.

Accepted Answer

True

Answer

False

Question 10

The Snellen chart is used to measure visual acuity.

Accepted Answer

True

Answer

False

Question 11

Which finding is a hallmark of glaucomatous optic nerve damage?

Accepted Answer

Increased cup-to-disc ratio

Answer

Reduced visual acuity

Answer

Positive Seidel test

Answer

Lack of pupillary constriction in response to light

Question 12

What is the typical appearance of the optic disc in patients with papilledema?

Accepted Answer

Pale and markedly elevated

Answer

Red and flat

Answer

Normal in appearance

Answer

Hyperemic and slightly swollen

Question 13

Which cranial nerve is responsible for motor innervation of the tongue?

Accepted Answer

Hypoglossal nerve

Answer

Facial nerve

Answer

Glossopharyngeal nerve

Answer

Trigeminal nerve

Question 14

What is the most common cause of epistaxis in children?

Accepted Answer

Trauma

Answer

Infection

Answer

Bleeding disorder

Answer

Nasal polyps

Question 15

What is the recommended first-line treatment for acute otitis media in children over 2 years old?

Accepted Answer

Antibiotics

Answer

Analgesics

Answer

Antihistamines

Answer

Observation

Question 16

What is the characteristic finding on otoscopy in patients with otitis externa?

Accepted Answer

Erythema and edema of the external auditory canal

Answer

Discharge from the ear

Answer

Bulging tympanic membrane

Answer

Normal appearance

Question 17

Which of the following is the main purpose of the Eustachian tube?

Accepted Answer

To equalize pressure between the middle ear and the external environment

Answer

To drain secretions from the middle ear into the throat

Answer

To amplify sound waves entering the ear

Answer

To protect the eardrum from damage

Question 18

Which instrument is specifically designed for visualizing the nasal cavity?

Accepted Answer

Nasal speculum

Answer

Otoscope

Answer

Opthalmoscope

Answer

Laryngoscope

Question 19

Which cranial nerve innervates the muscles responsible for facial expressions?

Accepted Answer

Facial nerve

Answer

Trigeminal nerve

Answer

Glossopharyngeal nerve

Answer

Vagus nerve

Question 20

What is the characteristic appearance of an inflamed conjunctiva?

Accepted Answer

Red, swollen, and tearing

Answer

Pale and dry

Answer

Yellow and crusty

Answer

Transparent and glassy

Question 21

Which otoscopic finding indicates a perforated tympanic membrane?

Accepted Answer

Visible hole or tear in the membrane

Answer

Clear and intact membrane

Answer

Bulging and erythematous membrane

Answer

Retracted and opaque membrane

Question 22

What is the most common cause of acute otitis media in children?

Accepted Answer

Bacterial infection

Answer

Viral infection

Answer

Fungal infection

Answer

Allergic reaction

Question 23

What is the appropriate nursing intervention for a patient with a deviated septum?

Accepted Answer

Nasal irrigation

Answer

Nasal decongestant spray

Answer

Antibiotic therapy

Answer

Surgery

Question 24

Which visual field defect results in the loss of side vision?

Accepted Answer

Tunnel vision

Answer

Scotoma

Answer

Diplopia

Answer

Macular degeneration

Question 25

During a physical examination, what is a normal palpation finding for the frontal bone?

Accepted Answer

Smooth and slightly convex

Answer

Bony ridges or irregularities

Answer

Tenderness or pain on palpation

Question 26

Which of the following is the most common infectious cause of acute otitis externa, often referred to as "swimmer's ear"?

Accepted Answer

Pseudomonas aeruginosa

Answer

Staphylococcus aureus

Answer

Streptococcus pneumoniae

Answer

Escherichia coli

Question 27

Which of the following is the typical triad of symptoms associated with acute sinusitis?

Accepted Answer

Facial pain and pressure, nasal congestion, and purulent nasal discharge

Answer

Eye pain, redness, and swelling

Answer

Hoarseness, sore throat, and cough

Answer

Headache, fever, and fatigue

Question 28

Which of the following is a distinctive feature of pterygium, a non-cancerous growth on the conjunctiva?

Accepted Answer

Elevated, triangular-shaped tissue growth on the conjunctiva that may extend over the cornea

Answer

Yellowish, raised lesion on the conjunctiva that may bleed easily

Answer

Red, swollen, and painful eyelid with purulent discharge

Question 29

What is the most frequent cause of sudden sensorineural hearing loss (SSNHL), a condition that can lead to a sudden loss of hearing?

Accepted Answer

Idiopathic (unknown)

Answer

Acoustic trauma

Answer

Meniere's disease

Answer

Otosclerosis

Question 30

Which of the following is a hallmark symptom of Ménière's disease, a disorder of the inner ear?

Accepted Answer

Episodes of sudden hearing loss, tinnitus, and vertigo

Answer

Chronic ear pain and drainage

Answer

Progressively worsening hearing loss

Question 31

Which of the following is the most common type of salivary gland tumor, accounting for approximately half of all cases?

Accepted Answer

Pleomorphic adenoma

Answer

Mucoepidermoid carcinoma

Answer

Warthin's tumor

Answer

Acinic cell carcinoma

Question 32

During a HEENT exam, which of the following findings suggests possible papilledema?

Accepted Answer

Bilateral optic disk swelling obscuring the disk margins

Answer

Unilateral optic disk elevation without obscuring margins

Answer

Mild hyperemia of the optic disk

Question 33

A patient presents with a non-tender, painless mass in the parotid gland. Which additional assessment finding would raise the greatest concern?

Accepted Answer

Facial nerve palsy

Answer

Enlarged cervical lymph nodes

Answer

Hoarseness

Answer

Difficulty swallowing

Question 34

During a HEENT exam, what is the main purpose of the Weber test?

Accepted Answer

To lateralize hearing loss

Answer

To assess for conductive hearing loss

Answer

To evaluate the function of the cochlear nerve

Answer

To determine the presence of tinnitus

Question 35

Which of the following structures is NOT part of the external ear?

Accepted Answer

Stapes

Answer

Pinna

Answer

Tympanic membrane

Answer

Ear canal

Question 36

Which reflex, when tested, evaluates the integrity of the afferent pupillary pathway during an eye examination?

Accepted Answer

Pupillary light reflex

Answer

Vestibulo-ocular reflex

Answer

Corneal reflex

Answer

Accommodation reflex

Question 37

During a nasal examination, which maneuver is used to gain visualization of the posterior nasal cavity?

Accepted Answer

Posterior rhinoscopy

Answer

Anterior rhinoscopy

Answer

Otoscopy

Answer

Endoscopy

Question 38

Which of the following is a characteristic clinical finding in chronic pharyngitis?

Accepted Answer

Cobblestone appearance

Answer

Hyperemia

Answer

Exudate

Question 39

Which ophthalmoscopic finding may indicate elevated intracranial pressure?

Accepted Answer

Papilledema

Answer

Glaucoma

Answer

Macular degeneration

Answer

Cataracts

Question 40

Which of the following is a recognized risk factor for developing otitis media?

Accepted Answer

Exposure to secondhand smoke

Answer

Good oral hygiene

Answer

Adequate nutrition

Answer

Frequent use of antibiotics

Question 41

During an otoscopic examination, what is the typical appearance of the tympanic membrane in acute otitis media?

Accepted Answer

Bulging

Answer

Flat

Answer

Retracted

Answer

Perforated

Question 42

Which of the following symptoms is NOT typically associated with Meniere's disease?

Accepted Answer

Photophobia

Answer

Hearing loss

Answer

Vertigo

Answer

Tinnitus

Question 43

Which of the following is a common cause of hoarseness?

Accepted Answer

Laryngitis

Answer

Otitis media

Answer

Epiglottitis

Answer

Sinusitis