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

2nd intercostal space right of the sternal border

5th intercostal space medial to mid-clavicular line

2nd intercostal space left of the sternal border.

4-5th intercostal space left of the sternal border.

Answer and Explanation

The Correct Answer is A

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.

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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. Increased tactile fremitus and dull percussion tones. B. Muffled voice sounds and symmetric tactile fremitus. C. Adventitious sounds and limited chest expansion. D. Absent voice sounds and hyper resonant percussion tones.

Correct Answer is B

Explanation

A. Increased tactile fremitus and dull percussion tones would suggest consolidation or pathology, which is not normal.
B. Muffled voice sounds and symmetric tactile fremitus are normal findings in healthy lung tissue.
C. Adventitious sounds and limited chest expansion would indicate pathology such as pneumonia or other lung diseases.
D. Absent voice sounds and hyper resonant percussion tones would be indicative of a pneumothorax or emphysema, not normal lung findings.

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

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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

Correct Answer is B

Explanation

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