Which statements are true about the lymph nodes of the head, face, & neck? Select all that apply.

They are always palpable

They produce saliva

They are tender with acute infection

They filter pathogens

They return fluid to circulation

Answer and Explanation

Correct Answer : C,D,E

Cervicofacial lymph nodes are integral components of the lymphatic system responsible for immune surveillance, filtration of lymphatic fluid, and maintenance of interstitial fluid balance through drainage into venous circulation via the thoracic duct and right lymphatic duct pathways.

Rationale:

A. Always palpable is incorrect because normal lymph nodes are typically non-palpable or barely palpable in healthy individuals. Palpability occurs only when nodes are enlarged due to infection, inflammation, or malignancy. Therefore, constant palpation is not a normal physiological finding.

B. Saliva production is a function of salivary glands such as parotid, submandibular, and sublingual glands, not lymph nodes. Lymph nodes do not have secretory exocrine functions. Their role is immunologic rather than digestive, making this statement anatomically incorrect.

C. Tenderness occurs in lymph nodes during acute infection due to inflammatory cytokine release, increased vascular permeability, and immune cell proliferation. This leads to capsular stretching and pain on palpation, commonly seen in bacterial or viral infections affecting head and neck regions.

D. Pathogen filtration is a primary lymph node function where lymphocytes and macrophages trap and destroy infectious organisms and abnormal cells. This immune surveillance mechanism prevents systemic spread of pathogens through lymphatic circulation, forming a key component of host defense.

E. Fluid return occurs as lymph nodes facilitate drainage of interstitial fluid back into venous circulation via lymphatic vessels. This maintains fluid balance, prevents edema, and ensures proper plasma volume regulation through continuous lymphatic transport system function.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["A","D","E"]

Explanation

Hyperthyroidism is endocrine disorder characterized by excessive thyroid hormone secretion (T3, T4) from Graves disease, toxic multinodular goiter or thyroiditis causing hypermetabolic state with weight loss, tachycardia, heat intolerance, diarrhea.

Rationale:

A. Diarrhea reflects increased gastrointestinal motility in thyrotoxicosis state often present. Excess thyroid hormones accelerate intestinal transit via sympathetic stimulation effects. Common in Graves disease and toxic nodular goiter patients seen. Leads to fluid loss, dehydration, and electrolyte imbalance clinically observed.

B. Constipation indicates reduced gastrointestinal motility typical of hypothyroidism state presentation. Decreased thyroid hormones slow intestinal peristalsis causing stool retention clinically. Opposite of hyperthyroidism which increases bowel frequency and motility signs. Not consistent with thyrotoxicosis therefore incorrect diagnostic indicator finding present.

C. Bradycardia reflects slowed heart rate seen in hypothyroidism cases commonly. Hyperthyroidism typically causes tachycardia due to increased metabolic demand state. Excess thyroid hormones enhance beta adrenergic receptor sensitivity clinically observed. Therefore bradycardia contradicts expected sympathetic overactivity findings in hyperthyroidism state present here.

D. Unintentional weight loss results from increased basal metabolic rate state. Thyroid hormones increase lipolysis and protein catabolism significantly clinically evident. Seen in Graves disease and toxic nodular hyperthyroidism conditions present. Patients often exhibit weight loss despite increased appetite intake state.

E. Heat intolerance occurs due to hypermetabolic state and thermogenesis increase. Excess thyroid hormones increase oxygen consumption and heat production levels. Patients experience sweating, warm skin, and heat sensitivity frequently seen. Classic finding in hyperthyroidism distinguishing from hypothyroid cold intolerance state.

A. Mr. Grey: T 37.3 °C P 96 R 18 BP 138/90 02 Sat 97% B. Mr. Silver: T 37.4 °C P 108 R 14 BP 102/74 02 Sat 95% C. Mr. Green: T 36.8 °C P 96 R 28 BP 118/68 02 Sat 92% D. Mr. Brown: T 38 °C P 100 R 16 BP 120/78 02 Sat 99%

Correct Answer is C

Explanation

COVID-19 triage prioritization relies on identification of respiratory compromise, hypoxemia, and increased work of breathing caused by viral pneumonia leading to impaired alveolar gas exchange, ventilation-perfusion mismatch, and acute hypoxic respiratory failure requiring immediate escalation of care.

Rationale:

A. Stable oxygen saturation of 97% indicates adequate gas exchange with no hypoxemia present. Respiratory rate is within normal limits suggesting no increased work of breathing. Hemodynamic parameters are stable without evidence of shock or deterioration. This patient does not require immediate priority assessment.

B. Tachycardia at 108 beats per minute may indicate early physiological stress or mild dehydration. Oxygen saturation remains acceptable at 95% without significant hypoxemia. Respiratory rate is normal, suggesting no acute respiratory compromise. This patient is not the highest priority.

C. Tachypnea at 28 breaths per minute indicates increased work of breathing and respiratory distress. Oxygen saturation of 92% reflects hypoxemia consistent with impaired alveolar oxygen exchange. This combination suggests potential acute respiratory deterioration requiring immediate assessment and intervention as highest priority.

D. Fever of 38 °C indicates infectious or inflammatory response consistent with viral illness. Oxygen saturation is 99%, showing adequate oxygenation at present. Respiratory rate and hemodynamics are stable without distress. This patient is clinically stable compared to others and not urgent.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which statements are true about the lymph nodes of the head, face, & neck? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient suspected of having hyperthyroidism. Which of the following symptoms would support this diagnosis? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

The registered nurse working in a COVID-19 triage unit reads vital signs taken by the patient care technician (PCT). Which patient should the nurse assess first?

Correct Answer is C

Explanation

A nurse is teaching the parents of a 12-year-old patient who was diagnosed with a concussion after a fall. Which of the following signs and symptoms should the parents report immediately if observed?

A nurse is performing a head assessment on a newborn. Which finding should the nurse report to the provider immediately?

The nurse administers a pain medication via IM injection to the patient. When should the nurse re-assess the patient's pain level?

The nurse is treating a patient diagnosed with the beginning stages of open-angle glaucoma. Which assessment data support this diagnosis?

A client diagnosed with myxedema reports having experienced a lack of energy, cold intolerance, and puffiness around the eyes and face. Based on the patient's presentation, which of the following hormones is the patient most likely deficient in? Select all that apply.

A nurse is assessing a client's neurological function and performs the Romberg test. The client exhibits a negative Romberg test. This finding indicates:

When assessing the maxillary sinuses for tenderness, which action should the nurse take?

When examining the eye, where will the nurse most likely find signs of liver disease?