When assessing lymph nodes on the face and neck, which of the following findings are concerning? Select all that apply.

Tender to the touch

Hard nodule

Measuring at 4 mm

Immovable

Non-palpable

Answer and Explanation

Correct Answer : B,D

A.   Tenderness in lymph nodes is not necessarily concerning. It may be due to inflammation or infection, which can cause the lymph nodes to be tender as they react to the presence of pathogens. Tenderness alone is not always indicative of a serious condition.
B.   A hard lymph node is concerning because it may suggest malignancy or a chronic infection. Hard, firm, and rubbery nodes can be associated with cancers, such as lymphoma or metastasis from other cancers. Therefore, hard lymph nodes should be evaluated further.
C.   Lymph nodes up to 1 cm (10 mm) can be considered normal, depending on the location and individual characteristics of the patient. A 4 mm lymph node is typically not concerning, especially if it is non- tender and mobile. Larger nodes, especially those over 1 cm, are more concerning.
D.   Lymph nodes that are immovable or fixed to surrounding tissues are concerning and may suggest malignancy. Cancerous nodes tend to be harder, larger, and fixed in place, which makes them less mobile. Any immovable lymph node requires further investigation.
E.   Non-palpable lymph nodes are normal and generally not a concern. Lymph nodes that are not palpable typically do not signify a problem, as they may be too small to be felt or located deep within the tissues.

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Correct Answer is D

Explanation

A. Testing visual acuity: This assesses cranial nerve II (optic), not cranial nerve III.
B. Eliciting the gag reflex: This assesses cranial nerve IX and X (glossopharyngeal and vagus), not cranial nerve III.
C. Observing for facial symmetry: This assesses cranial nerve VII (facial nerve), not cranial nerve III.
D. Checking the pupillary response to light: Cranial nerve III (oculomotor) is responsible for controlling pupil constriction in response to light, making this the correct method to assess cranial nerve III.

A. Nodule B. Papule C. Wheal D. Macule

Correct Answer is D

Explanation

A. A nodule is a solid, raised lesion that is typically larger than 1 cm in diameter and extends deeper into the skin.
B. A papule is a small, raised, solid lesion, less than 1 cm, but not typically used for documenting freckles.
C. A wheal is a raised, erythematous area, often a result of an allergic reaction, not a freckle.
D. A macule is a flat, pigmented area of skin, less than 1 cm in diameter, which accurately describes freckles.

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When assessing lymph nodes on the face and neck, which of the following findings are concerning? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

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