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. Normally auscultated over the trachea refers to bronchial breath sounds, which are louder and higher-pitched and heard over the trachea, not the lower lungs.
B. Vesicular breath sounds and normal in that location are low-pitched and soft, heard over the peripheral lung fields, and normal for the lower lobes.
C. Bronchial breath sounds and normal in that location would be expected near the trachea and bronchi, not over the peripheral lung fields.
D. Bronchovesicular breath sounds and normal in that location are typically heard over the major bronchi, not the posterior lower lobes.

A. Asthma exacerbation B. Pulmonary embolism C. Pneumothorax D. Pulmonary edema

Correct Answer is C

Explanation

A. Asthma exacerbation typically causes wheezing or bronchospasm and would not usually cause decreased breath sounds in one lung.
B. Pulmonary embolism may cause breathlessness or decreased oxygen levels, but it wouldn't typically cause unilateral decreased breath sounds.
C. Pneumothorax is the most likely cause, as air in the pleural space can collapse the lung, leading to decreased or absent breath sounds on the affected side.
D. Pulmonary edema typically causes bilateral crackles and would not cause unilateral decreased breath sounds.

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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

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:

Correct Answer is B

Explanation

A client is brought to the emergency department by ambulance after being involved in a motor vehicle accident. The nurse finds that he has decreased breath sounds over the left lung fields. What might the nurse suspect is the cause?

Correct Answer is C

Explanation

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