Mrs. Helms is sitting on the side of the bed, leaning forward, with her arms on the bedside table. What would this indicate to you?

Improper positioning

Fatigue or weakness

Respiratory distress

Increased comfort and relaxation

Answer and Explanation

The Correct Answer is C

A.   Improper positioning does not apply in this case; the position described is often associated with respiratory distress.
B.   Fatigue or weakness may be present, but the described position is more indicative of difficulty breathing.
C.   Respiratory distress is suggested by the patient leaning forward, which is a common position for patients with shortness of breath as it helps expand the lungs and ease breathing.
D.   Increased comfort and relaxation is unlikely; this position is more often associated with discomfort and difficulty breathing.

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Correct Answer is B

Explanation

A. Abdominal retraction is typically a sign of acute respiratory distress, not chronic respiratory insufficiency.
B. Clubbing nails occurs as a chronic response to inadequate tissue oxygenation and is often associated with conditions like chronic obstructive pulmonary disease (COPD).
C. Restlessness may occur during acute respiratory distress but is not a typical finding in chronic respiratory insufficiency.
D. Dependent edema 4+ is more related to cardiac conditions such as heart failure rather than respiratory insufficiency, which generally results in more subtle signs like clubbing or cyanosis.

A. Fixed lymph nodes B. Lymph nodes that are large, firm, and fixed to the tissue C. Nonpalpable lymph nodes D. Rubbery, discrete, and mobile lymph nodes

Correct Answer is C

Explanation

A. Fixed lymph nodes suggest possible malignancy or infection and are not typical for a healthy individual.
B. Lymph nodes that are large, firm, and fixed to the tissue also suggest infection or malignancy and would be abnormal in a healthy patient.
C. Nonpalpable lymph nodes are a normal finding.
D. Rubbery, discrete, and mobile lymph nodes are indicative of a pathological process.

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Mrs. Helms is sitting on the side of the bed, leaning forward, with her arms on the bedside table. What would this indicate to you?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

The nurse has just completed a lymph node assessment on a healthy 40-year-old female patient. Which of the following is an expected finding?

Correct Answer is C

Explanation

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

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?

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 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

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

The nurse percusses a client with COPD and expects to hear:

The RN is explaining to an elderly client why the skin folds and sags as part of the normal aging process. What is the correct mechanism for this?