A patient says that she has recently noticed a lump in the front of her neck below her "Adam's apple" that seems to be getting bigger. During the assessment, what finding would lead the nurse to suspect that this may not be a cancerous thyroid nodule?

It is tender.

It is hard and fixed to the surrounding structures.

It disappears when the patient smiles.

It is mobile and soft.

Answer and Explanation

The Correct Answer is D

A.   A tender thyroid nodule is more likely to be benign and associated with inflammation or thyroiditis, not cancer.
B.   This is more concerning for a malignant nodule, as cancerous nodules are often firm and immobile.
C.   A thyroid nodule typically does not change or disappear with facial movements, which is more characteristic of a different type of mass, such as a lymph node.
D.   These characteristics are more consistent with a benign nodule, which is often movable and less likely to be cancerous.

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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. 2nd intercostal space right of the sternal border B. 5th intercostal space medial to mid-clavicular line C. 2nd intercostal space left of the sternal border. D. 4-5th intercostal space left of the sternal border.

Correct Answer is A

Explanation

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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A patient says that she has recently noticed a lump in the front of her neck below her "Adam's apple" that seems to be getting bigger. During the assessment, what finding would lead the nurse to suspect that this may not be a cancerous thyroid nodule?

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

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

Correct Answer is A

Explanation

The nurse percusses a client with COPD and expects to hear:

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

Mrs. Helms is sitting on the side of the bed, leaning forward, with her arms on the bedside table. What would this indicate to you?

The nurse is observing the auscultation technique of a student nurse. What is the correct method to use when progressing from one auscultatory site on the thorax to another?

During palpation of the anterior chest wall, the nurse notices a coarse, crackling sensation over the skin surface. On the basis of these findings, the nurse suspects:

The RN is explaining to an elderly client why the skin folds and sags as part of the normal aging process. What is the correct mechanism for this?

When auscultating the lungs of an adult patient, the nurse notes that low-pitched, soft breath sounds are heard over the posterior lower lobes, with inspiration being longer than expiration. The nurse interprets that these sounds are:

A patient's thyroid gland is enlarged, and the nurse is preparing to auscultate the gland for the presence of a bruit. What technique should the nurse use to assess for a bruit?