Maryville AHA NURS 612 Exam 2 Workbook questions and answers

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During an examination, which of the following questions would be most appropriate for the examiner to ask a patient to elicit information about the lymph system? - ANSWER Are you aware of any lumps ... While palpating lymph nodes on an adult, the examiner should remember that - ANSWER Easily palpable nodes are not generally found in healthy adults In comparison with those of a young adult, the lymph nodes of an older adult will be - ANSWER small and fatty A 19 year old man has a severe infection involving the fifth digit of his right hand. Where should the examiner expect to palpate enlarged and tender lymph nodes? - ANSWER medial aspect of right elbow Which of the following examination findings is cause for concern in an adult - ANSWER A palpable hard lymph node fixed in its setting The most common cause of acute suppurative lymph-adenitis are which organisms? - ANSWER Streptococcus and Staphylococcus spp. The examiner typically assesses the lymph system using which of the following methods? - ANSWER Assess the lymph system region by region as each body system is assessed A 2 month old infant is brought to the clinic for immunizations. The examiner palpates enlarged inguinal nodes. What additional findings might explain the enlarged lymph nodes? - ANSWER The infant has a severe diaper rash As an examiner palpates an enlarged lymph node, the patient complains of pain. This is suggestive of - ANSWER an inflammatory process Which examination method is used to differentiate an enlarged lymph node from a cyst - ANSWER Transillumination Which of the following methods best describes how to assess supraclavicular lymph nodes - ANSWER Hook fingers over the clavicles with the patient in a sitting position, with head flexed. The examiner notes enlarged tonsils in a young child. The examiner should recognize that this - ANSWER may be a normal finding In addition to the head, neck, axillae, and inguinal area, the examiner may also assess lymph nodes in - ANSWER the popliteal region Which of the following is an assessment technique that can differentiate mumps from cervical adenitis - ANSWER Palpating for the angle of the jaw On examining a patient, you find matted occipital lymph nodes. What do you do to facilitate subsequent assessment for change in the matted nodes? - ANSWER Mark 12, 3, 6, and 9 o'clock positiong on the periphery of the mass with a skin pencil Mrs. Alberts presents to the office with a complaint of a lump in her neck. What would you expect to feel if the problem involved a cancer that had spread through the lymph system - ANSWER A single, firm node affixed to underlying tissue Normal cervical lymph nodes are - ANSWER smaller than 1 cm On examination of a patient, you palpate enlarged preauricaular and submandibular lymph nodes. Which term can be used to describe this finding? - ANSWER Lymphadenopathy Which of the following is the most concerning - ANSWER 0.8 cm supraclavicular lymph node in a 5 year old As the chest of a newborn is examine, bowel sounds are auscultated in the chest. Which of the following best describes the significance of this finding - ANSWER Abnormal and possibly indicating a diaphragmatic hernia Which of the following patients demonstrates the highest risk factor for respiratory disability - ANSWER A patient with paraplegia A healthcare professional is examining the chest of a 22 year old woman who is 8 months pregnant. The patient has a wide thoracic cage. Which of the following best explains this finding - ANSWER This is considered to be a normal finding with advanced pregnancy Which of the following conditions should the examiner expect the costal angle to be greater than 90 degrees - ANSWER Chronic Obstructive Pulmonary Disease Which of the following findings indicates respiratory distress in an infant or toddler? - ANSWER Observation of sternal retractions with breathing During percussion, the patient is asked to "Fold your arms in front of you" in order to - ANSWER expose maximum lung area Which of the following examination techniques is NOT typically done when examining the chest and lungs of a newborn - ANSWER Percussion The patient tells the examiner, "I have been coughing up a lot of yellow-greenish phlegm." The examiner should suspect - ANSWER bacterial pneumonia To best visualize subtle retractions on a patient, the examiner should - ANSWER ensure that the light source angles towards the patient Which of the following findings may indicate a pulmonary infection - ANSWER Malodorous breath Which of the findings is considered unusual for a newborn - ANSWER coughing In an older adult, which findings can occur in the absence of disease as a result of age-related changes - ANSWER Barrel chest A newborn infant has a small chest-to-head size ratio. This finding is usually associated with - ANSWER Intrauterine growth retardation Hamman sign can best be heard when the patient is - ANSWER lying of the left side In addition to severe respiratory distress, which of the following findings may be indicative of a pnumothroax with mediastinal shift - ANSWER Tracheal deviation away from the midline position The mother tells an examiner that her 2 year old child has a cough that "sounds just like a bark." Given the history, what other findings should the examiner anticipate during respiratory examination - ANSWER Labored breathing and inspiratory stridor The examiner should expect the ratio of respiration rate in the adult to be approximately - ANSWER 1:4 Which examination finding is consistent with emphysema - ANSWER Decreased tactile fremitus The most important clinical signs for pleural effusion include - ANSWER Dullness to percussion, tactile fremitus Sounds associated with mediastinal emphysema synchronous with - ANSWER heartbeat Milia is an expected finding in which age group - ANSWER Newborns An older adult ask an examiner "is this spot on my chin cancer?" Which of the following would indicate further investigation - ANSWER Bleeds easily when touched A six-year-old girl has freckles on her nose and cheeks. Freckles are an example of - ANSWER Macula What grade should be assigned to a pressure over the cocyx that is open and shallow, showing a red-pink wound bed - ANSWER Stage 2 Why do some infants develop a yellowish skin tone on the third or fourth day of life? - ANSWER Red blood cells that hemolyze after birth may cause yellowish skin hue Chlomasa is an expected finding in which of the following - ANSWER Pregnant [Show More]

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