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 B

Explanation

A. Assess the forearm and hand for infection would be relevant if the swollen lymph node were in the upper extremity, but the inguinal node would be more associated with a lower extremity infection.
B. Assess the lower extremities is the correct next step since the inguinal lymph nodes drain the lower body, including the legs and genital area.
C. Assess the dorsalis pedis pulses is not the next step, though it may be important if vascular concerns are suspected.
D. None of the above is incorrect because assessing the lower extremities is the next logical step.

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 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

The nurse palpates a swollen inguinal lymph node. Which assessment should the nurse perform next?

Correct Answer is B

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?

A nurse in an emergency department (ED) is admitting a client. Exhibits Select 4 findings in the client's medical record that place them at risk for pneumonia.

During an examination of a female patient, the nurse notes lymphadenopathy and suspects an acute infection. How do acutely infected lymph nodes typically appear?

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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?

During an assessment, the nurse knows that expected assessment findings in the normal adult lung include the presence of:

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