Chapter 17 - Nose, Mouth, and Throat

What is the primary purpose of the ciliated mucous membrane in the nose?
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What is the primary purpose of the ciliated mucous membrane in the nose?
a. To warm the inhaled air
b. To filter out dust and bacteria
c. To filter coarse particles from inhaled air
d. To facilitate the movement of air through the nares

ANS: C
What are the projections in the nasal cavity that increase the surface area are called?
a. Meatus
b. Septum
c. Turbinates
d. Kiesselbach plexus

ANS: C
The nurse is reviewing the development of the newborn infant. Regarding the sinuses, which statement is true in relation to a newborn infant?
a. Sphenoid sinuses are full size at birth.
b. Maxillary sinuses reach full size after puberty.
c. Frontal sinuses are fairly well developed at birth.
d. Maxillary and ethmoid sinuses are the only sinuses present at birth.

ANS: D
What is the tissue that connects the tongue to the floor of the mouth called?
a. Uvula
b. Palate
c. Papillae
d. Frenulum

ANS: D
In assessing the tonsils of a 30-year-old, the nurse notices that they are involuted, granular in appearance, and appear to have deep crypts. What is the correct response to these findings?
a. Refer the patient to a throat specialist.
b. No response is needed; this appearance is normal for the tonsils.
c. Continue with the assessment, looking for any other abnormal findings.
d. Obtain a throat culture on the patient for possible streptococcal (strep) infection.

ANS: B
The nurse is obtaining a health history on a 3-month-old infant. During the interview, the mother states, "I think she is getting her first tooth because she has started drooling a lot." What is the best response by the nurse?
a. "You're right, drooling is usually a sign of the first tooth."
b. "It would be unusual for a 3-month-old to be getting her first tooth."
c. "This could be the sign of a problem with the salivary glands."
d. "She is just starting to salivate and hasn't learned to swallow the saliva."

ANS: D
The nurse is assessing an 80-year-old patient. Which of these findings would be expected for this patient?
a. Hypertrophy of the gums
b. Increased production of saliva
c. Decreased ability to identify odors
d. Finer and less prominent nasal hair

ANS: C
The nurse is performing an oral assessment on a 40-year-old black patient and notices the presence of a 1-cm, nontender, grayish-white lesion on the left buccal mucosa. Which one of these statements is true about this lesion?
a. It is leukoedema which is common in dark-pigmented people.
b. It is indicative of cancer and should be immediately tested.
c. It is the result of hyperpigmentation and is a normal finding.
d. It is torus palatinus and would normally be found only in smokers.

ANS: A
While obtaining a health history, a patient tells the nurse that he has frequent nosebleeds and asks the best way to get them to stop. What would be the nurse's best response?
a. "While sitting up, place a cold compress over your nose."
b. "Sit up with your head tilted forward and pinch your nose."
c. "Allow the bleeding to stop on its own, but don't blow your nose."
d. "Lie on your back with your head tilted back and pinch your nose."

ANS: B
A 92-year-old patient has had a stroke. The right side of his face is drooping. The nurse might also suspect which of these assessment findings?
a. Epistaxis
b. Rhinorrhea
c. Dysphagia
d. Xerostomia

ANS: C