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

Lumped

Unilateral

Soft and nontender

Firm but freely movable

Answer and Explanation

The Correct Answer is B

A.   Lymph nodes are usually described as enlarged or swollen, not "lumped." This term is not typically used in the description of lymphadenopathy.
B.   In cases of acute infection, lymphadenopathy is most often unilateral and localized to the area of infection. For example, if there is a throat infection, the lymph nodes on the same side of the neck are more likely to be enlarged.
C.   Lymph nodes that are soft and nontender are more indicative of chronic conditions such as lymphoma or metastasis. In acute infections, lymph nodes tend to be firm and tender.
D.   Firm but freely movable nodes may be indicative of chronic conditions or noninfectious causes. Acute infection typically leads to tender, swollen lymph nodes that may feel rubbery or hard but are usually movable.

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Correct Answer is B

Explanation

A. This is a vibration felt on the chest wall when a patient speaks, often used to assess lung sounds. It is not associated with the crackling sensation described here.
B. The coarse, crackling sensation felt on the skin surface when palpating is crepitus, which occurs when air escapes into the subcutaneous tissue, often due to trauma, infection, or the presence of a pneumothorax.
C. These are abnormal lung sounds, such as crackles, wheezes, or rhonchi, heard with a stethoscope during auscultation, not felt on the chest wall during palpation.
D. A friction rub is a grating or scraping sound heard with a stethoscope, typically due to inflammation of the pleural surfaces. It is not a sensation felt on the chest wall.

A. Normally auscultated over the trachea. B. Vesicular breath sounds and normal in that location. C. Bronchial breath sounds and normal in that location. D. Bronchovesicular breath sounds and normal in that location.

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.

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

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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