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. 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.

A. Lumped B. Unilateral C. Soft and nontender D. Firm but freely movable

Correct Answer is B

Explanation

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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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

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?

Correct Answer is B

Explanation

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

Correct Answer is B

Explanation

A client presents with an infection of the forearm and hand. The nurse should expect what lymph nodes to be swollen on assessment:

A patient's laboratory data reveal an elevated thyroxine (T4) level. What gland should the nurse assess?

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?

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?

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?

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

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

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: