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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Severe obesity may not affect skin turgor but may cause other skin-related issues like stretching.
B. Severe dehydration is the most likely cause of decreased skin turgor, as dehydration reduces the amount of interstitial fluid, causing the skin to lose elasticity.
C. Connective tissue disorders such as scleroderma may affect skin appearance, but they typically cause hardening rather than decreased turgor.
D. Childhood growth spurts generally do not affect skin turgor unless other conditions are present, such as dehydration or malnutrition.

A. Xerostomia B. Rhinorrhea C. Dysphagia D. Epistaxis

Correct Answer is C

Explanation

A. Xerostomia (dry mouth) is common in some conditions but not typically associated with a stroke.
B. Rhinorrhea (runny nose) is not a typical finding related to stroke.
C. Dysphagia (difficulty swallowing) is a common issue for patients after a stroke, especially if the stroke affects the areas of the brain responsible for swallowing.
D. Epistaxis (nosebleed) is not a direct consequence of a stroke. The nurse should be more concerned with symptoms related to swallowing, speech, and motor function, such as dysphagia.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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?

Correct Answer is C

Explanation

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