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 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. It is tender. B. It is hard and fixed to the surrounding structures. C. It disappears when the patient smiles. D. It is mobile and soft.

Correct Answer is D

Explanation

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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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

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 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?

Correct Answer is D

Explanation

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 nurse suspects that a patient has hyperthyroidism, and the laboratory data indicate that the patient's T4 and T3 hormone levels are elevated. Which of these findings would the nurse most likely find on examination?

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:

A nurse in an emergency department (ED) is admitting a client. Exhibits Select 4 findings in the client's medical record that place them at risk for pneumonia.

A nurse is performing a lymphatic system assessment on a client reporting fatigue and malaise for one week. In which order should the nurse perform the head to toe assessments? Indicate the correct order from first to last. All options must be used.

The nurse has discovered decreased skin turgor in a patient and knows that this finding is expected in which condition?

During an examination of a female patient, the nurse notes lymphadenopathy and suspects an acute infection. How do acutely infected lymph nodes typically appear?

A nurse is assessing a client who has chronic respiratory insufficiency. Which of the following findings should the nurse expect to find because of the long- term inadequate tissue perfusion?