The nurse has just completed a lymph node assessment on a 60-year-old healthy female patient. When palpating the nodes on this patient, how would the lymph nodes feel?
Fixed
Rubbery, discrete, and mobile
Nonpalpable
Large, firm, and fixed to the tissue
The Correct Answer is B
A. Fixed lymph nodes are typically indicative of infection or malignancy. Healthy nodes are not fixed to the surrounding tissue.
B. Healthy lymph nodes are usually discrete (distinct and separated from surrounding tissue), mobile (moveable), and have a rubbery consistency. These are normal findings in a healthy patient.
C. Nonpalpable lymph nodes are normal and often not felt during an exam, especially if they are small or deeply located.
D. Large, firm, and fixed lymph nodes could be a sign of infection or a more serious condition such as cancer and would not be typical in a healthy patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Demonstrating how to perform active range of motion relates to psychomotor learning, which involves physical skills rather than cognitive understanding.
B. Expressing satisfaction with sharing feelings is more related to the affective domain (emotions, values, or attitudes), not cognitive learning.
C. Verbalizing decreased desire to commit self-harm is related to psychosocial or emotional learning, not cognitive knowledge.
D. Describing three symptoms of diabetic ketoacidosis is a clear example of cognitive learning, where the patient demonstrates the ability to recall and explain specific information.
Correct Answer is D
Explanation
A. The parents will be able to understand CPR skills is a vague goal. Understanding is important but does not demonstrate competency or mastery of the skills needed in an emergency situation.
B. The infant will not require further hospitalization is not a realistic learning goal for parents, as it is outside their control and pertains more to the child's medical condition, not their ability to perform CPR.
C. The parents will call the hospital if the infant stops breathing is useful but does not encompass the full goal of CPR training, which is to equip parents with the skills to immediately intervene.
D. The parents will demonstrate infant CPR skills is the most appropriate goal because it is specific, measurable, and directly reflects the learning objective: to teach parents the hands-on skill of performing infant CPR.
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