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

Severe obesity

Severe dehydration

Connective tissue disorders such as scleroderma

Childhood growth spurts

Answer and Explanation

The Correct Answer is B

A.   Severe obesity may not affect skin turgor but may cause other skin-related issues like stretching.
B.   Severe dehydration is the most likely cause of decreased skin turgor, as dehydration reduces the amount of interstitial fluid, causing the skin to lose elasticity.
C.   Connective tissue disorders such as scleroderma may affect skin appearance, but they typically cause hardening rather than decreased turgor.
D.   Childhood growth spurts generally do not affect skin turgor unless other conditions are present, such as dehydration or malnutrition.

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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. Exophthalmos B. Coarse facial features C. Bowed long bones D. Acorn-shaped cranium

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.

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

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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

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

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?

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Which of the following is the most important muscle in the normal respiratory process of an adult?

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