The nurse has just completed a lymph node assessment on a healthy 40-year-old female patient. Which of the following is an expected finding?
Fixed lymph nodes
Lymph nodes that are large, firm, and fixed to the tissue
Nonpalpable lymph nodes
Rubbery, discrete, and mobile lymph nodes
The Correct Answer is C
A. Fixed lymph nodes suggest possible malignancy or infection and are not typical for a healthy individual.
B. Lymph nodes that are large, firm, and fixed to the tissue also suggest infection or malignancy and would be abnormal in a healthy patient.
C. Nonpalpable lymph nodes are a normal finding.
D. Rubbery, discrete, and mobile lymph nodes are indicative of a pathological process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
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.
Correct Answer is B
Explanation
A. Adventitious sounds (e.g., wheezing, crackles, or stridor) are abnormal sounds that may be heard in addition to breath sounds. They do not specifically correlate with decreased breath sounds.
B. When there is obstruction in the bronchial tree (such as in conditions like asthma, chronic obstructive pulmonary disease (COPD), or a foreign body obstruction), the airflow is reduced, leading to decreased breath sounds in the affected areas.
C. Whispered pectoriloquy refers to hearing whispered sounds through the stethoscope, which would be more clearly heard with consolidation or lung tissue becoming more solid (e.g., in pneumonia), not with decreased breath sounds.
D. In consolidation (such as pneumonia), breath sounds are typically increased or bronchial, not decreased. The consolidation makes the lung tissue more solid, which can amplify breath sounds.
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