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?

It is tender.

It is hard and fixed to the surrounding structures.

It disappears when the patient smiles.

It is mobile and soft.

Answer and Explanation

The Correct Answer is D

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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Correct Answer is A

Explanation

A. 2nd intercostal space right of the sternal border is the correct location for auscultating the aortic valve.
B. 5th intercostal space medial to the mid-clavicular line is the location for the mitral valve.
C. 2nd intercostal space left of the sternal border is the location for auscultating the pulmonic valve.
D. 4-5th intercostal space left of the sternal border is where the tricuspid valve is auscultated.

A. Lesions that run together. B. Annular lesions that have grown together. C. Lesions arranged in a line along a nerve route. D. Lesions that are grouped or clustered together.

Correct Answer is A

Explanation

A. Confluent lesions merge into each other, forming a larger area of affected skin.
B. Annular lesions are ring-shaped, not confluent, so this option does not match the description.
C. This describes a linear arrangement, such as with shingles, not confluent lesions.
D. Grouped or clustered lesions are not confluent but are typically close together, such as in herpes simplex infections.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is auscultating the aortic area and knows it is in which of the following areas:

Correct Answer is A

Explanation

The nurse just noted from the medical record that the patient has a lesion that is confluent in nature. On examination, the nurse expects to find:

Correct Answer is A

Explanation

The nurse has discovered decreased skin turgor in a patient and knows that this finding is expected in which condition?

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