Which is a normal characteristic of lymph nodes in a healthy adult patient?
Large and fixed to the tissue
Large and non-mobile
Granular texture
Not palpable
The Correct Answer is D
Choice A reason: Large, fixed lymph nodes suggest pathology, such as malignancy or chronic infection, as they indicate adherence to surrounding tissues. In healthy adults, lymph nodes are typically small and not fixed, making this an abnormal and incorrect characteristic.
Choice B reason: Large, non-mobile lymph nodes may indicate infection or malignancy, as healthy nodes are usually small and mobile. Non-mobility suggests tissue infiltration, which is pathological, making this an incorrect description of normal lymph node characteristics.
Choice C reason: Granular texture is not a standard term for describing lymph nodes. Healthy nodes, when palpable, feel smooth and soft. Granular suggests abnormality, possibly infection or malignancy, making this an inaccurate characteristic for healthy lymph nodes.
Choice D reason: In healthy adults, lymph nodes are typically not palpable, as they are small, soft, and non-tender, blending into surrounding tissues. Palpable nodes often indicate inflammation or pathology, making this the correct description of a normal finding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: A 15-year-old soccer player with a broken leg likely sustained the injury during sports, a common occurrence. Bruises on a 4-month-old’s arms are more concerning, as infants are non-mobile and less likely to bruise accidentally, suggesting possible abuse.
Choice B reason: Bruises on a 4-month-old’s arms are highly concerning, as infants this age are not mobile and cannot self-injure. Such bruising may indicate non-accidental trauma or abuse, requiring immediate investigation, making this the most concerning patient for possible abuse.
Choice C reason: An 8-year-old gymnast with a broken arm may have been injured during gymnastics, a plausible accident. A 4-month-old with arm bruises is more alarming, as infants are less likely to bruise without external force, so this is less concerning.
Choice D reason: A 2-year-old with knee bruises is typical from active play or falls while learning to walk. Bruises on a non-mobile 4-month-old’s arms are more suspicious for abuse, making this less concerning than the infant’s situation.
Correct Answer is C
Explanation
Choice A reason: Bronchophony is a voice sound test, not an adventitious breath sound, and is unrelated to narrowed bronchioles in asthma. Wheezes are caused by air through constricted airways, making this incorrect for the described sound.
Choice B reason: Rhonchi are low-pitched sounds from mucus in larger airways, not typical in acute asthma’s narrowed bronchioles. Wheezes, high-pitched sounds from constriction, are characteristic, so this is not the correct adventitious sound.
Choice C reason: Wheezes are high-pitched, musical sounds produced by air passing through narrowed bronchioles, common in severe asthma due to bronchoconstriction. This matches the patient’s condition, making it the correct adventitious sound to expect.
Choice D reason: Crackles are fine or coarse sounds from fluid in alveoli, typical in conditions like pneumonia, not asthma’s airway narrowing. Wheezes are asthma-specific, so this is incorrect for the expected breath sound.
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