A nurse in a provider's office is preparing to auscultate and percuss a client’s thorax as part of a comprehensive physical examination. Which of the following are considered normal findings? Select all that apply

Resonance

Tactile fremitus

Bronchovesicular sounds.

Rhonchi

Crackles

Answer and Explanation

Correct Answer : A,B,C

A.   Resonance is a normal percussion sound heard over healthy lung tissue.
B.   Tactile fremitus refers to the palpable vibration felt when a patient speaks and is normal in areas of healthy lung tissue.
C.   Bronchovesicular sounds are normal breath sounds heard over the mainstem bronchi and are considered normal.
D.   Rhonchi are adventitious sounds (abnormal) heard in conditions like bronchitis and would not be considered normal.
E.   Crackles are also abnormal breath sounds often heard in conditions such as pneumonia or heart failure.

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Correct Answer is C

Explanation

A. Asthma exacerbation typically causes wheezing or bronchospasm and would not usually cause decreased breath sounds in one lung.
B. Pulmonary embolism may cause breathlessness or decreased oxygen levels, but it wouldn't typically cause unilateral decreased breath sounds.
C. Pneumothorax is the most likely cause, as air in the pleural space can collapse the lung, leading to decreased or absent breath sounds on the affected side.
D. Pulmonary edema typically causes bilateral crackles and would not cause unilateral decreased breath sounds.

A. It is tender. B. It is hard and fixed to the surrounding structures. C. It disappears when the patient smiles. D. It is mobile and soft.

Correct Answer is D

Explanation

A. A tender thyroid nodule is more likely to be benign and associated with inflammation or thyroiditis, not cancer.
B. This is more concerning for a malignant nodule, as cancerous nodules are often firm and immobile.
C. A thyroid nodule typically does not change or disappear with facial movements, which is more characteristic of a different type of mass, such as a lymph node.
D. These characteristics are more consistent with a benign nodule, which is often movable and less likely to be cancerous.

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A nurse in a provider's office is preparing to auscultate and percuss a client’s thorax as part of a comprehensive physical examination. Which of the following are considered normal findings? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is brought to the emergency department by ambulance after being involved in a motor vehicle accident. The nurse finds that he has decreased breath sounds over the left lung fields. What might the nurse suspect is the cause?

Correct Answer is C

Explanation

A patient says that she has recently noticed a lump in the front of her neck below her "Adam's apple" that seems to be getting bigger. During the assessment, what finding would lead the nurse to suspect that this may not be a cancerous thyroid nodule?

Correct Answer is D

Explanation

The nurse percusses a client with COPD and expects to hear:

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