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

Increased tactile fremitus and dull percussion tones.

Muffled voice sounds and symmetric tactile fremitus.

Adventitious sounds and limited chest expansion.

Absent voice sounds and hyper resonant percussion tones.

Answer and Explanation

The Correct Answer is B

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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Correct Answer is C

Explanation

A. Cyst refers to a fluid-filled sac, which does not present as a linear arrangement.
B. Nodule refers to a solid, raised lesion, not linear or along a nerve route.
C. Zosteriform refers to a rash or lesion arranged along a unilateral nerve distribution, often seen with shingles (herpes zoster).
D. Ulcer refers to a loss of skin or mucous membrane, not a linear pattern along a nerve route.

A. Assess the forearm and hand for infection B. Assess the lower extremities C. Assess the dorsalis pedis pulses D. None of the above

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.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is examining a patient and finds a lesion that is a linear arrangement along a unilateral nerve route. The nurse would document this finding as

Correct Answer is C

Explanation

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

Correct Answer is B

Explanation

In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?

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