During an admission assessment, the nurse notices that a male patient has an enlarged and rather thick skull. The nurse suspects acromegaly. What additional finding would the nurse assess for to confirm this suspicion?

Exophthalmos

Coarse facial features

Bowed long bones

Acorn-shaped cranium

Answer and Explanation

The Correct Answer is B

A.   Exophthalmos, or bulging eyes, is associated with hyperthyroidism (such as in Graves' disease), not acromegaly.
B.   This is a hallmark sign of acromegaly. People with acromegaly often develop coarse, enlarged facial features (e.g., thickened lips, enlarged nose, protruding jaw, and enlarged tongue), which occur due to excess growth hormone.
C.   While acromegaly can cause abnormal bone growth, especially in the hands and feet, it does not typically result in bowed long bones. This would be more suggestive of conditions like rickets or osteomalacia.
D.   While acromegaly can lead to changes in the skull, it does not typically result in a distinctly acorn- shaped cranium. This is not a primary diagnostic feature of acromegaly.

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Correct Answer is ["A","B","C"]

Explanation

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.

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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During an admission assessment, the nurse notices that a male patient has an enlarged and rather thick skull. The nurse suspects acromegaly. What additional finding would the nurse assess for to confirm this suspicion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is ["A","B","C"]

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

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