WILKES NSG500 EXAM 1/NSG 500 ADVANCED
HEALTH ASSESSMENT EXAM 1 2025/2026
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW
VERSION!!!|GUARANTEED PASS
Expectations of palpating lymph nodes
freely movable, can fit fingers underneath, soft.
Lymph nodes swell and enlarge when
the immune system is fighting an infection or illness.
Bad signs when palpating lymph nodes
A hard, fixed, painless node suggests a malignant process.
the more tender a lymph node
the more likely it is an inflammatory process. Painful lymph better than nonpainful!
Lymph nodes dont
pulsate, only arteries do
Supraclavicular node of the left (Virchow node)
s a significant clue of thoracic or abdominal malignancy
Slow nodal enlargement over weeks and months suggests
a benign process
rapid enlargement without signs of inflammation suggests
malignancy.
With bacterial infection, nodes become
1|Page
,warm or tender to the touch, matted, and much less discrete.
infections of the ear usually drain to the
preauricular, retropharyngeal, and deep cervical lymph nodes.
In childhood diseases of rubella, rubeola, and varicella often present with
obvious cervical nodes, usually posterior rather than anterior. Hepatitis A and B and infectious
mononucleosis have the same pattern.
How to differentiate lymph nodes from cysts?
Transillumination. As a rule, nodes do not transilluminate. Fluid-filled cysts do!
How to palpate thyroid
Palpation of thyroid requires gentle touch. It can be palpated from the front or from the back of
the patient.
Thyroid palpation normal findings
approx 4 cm, if lobes felt should be small, smooth and free of nodules. Firm but palpable
Thyroid palpation inflammation signs
coarse or gritty tissues.
If thyroid is englarged
auscultate for vascular sounds with bell of stethoscope. May hear bruit
Thyroid during swallowing
does not move, fat that mimics goiter does
Tension Headaches
Most common, more common in women.
Symtpoms of tension headaches
slowly progressive, bilateral, tight, band-like. Triggered with stress or dehydration.
Tension headache treatment
NSAIDS, amitriptyline, tricyclic antidepressants
Migraine Headaches
more common women, usually have triggers (food, loud noises, physical exertion, lack of sleep)
2|Page
, Migraine Headache symptoms
severe, unilateral, pulsating or throbbing. N & V, photophobia, photophobia, Aura? Tinnitus,
aphasia, confusion, Hemiplegic!
Cluster Headache
RAREST, linked to alcohol and cigarettes, same time everyday, more common in men.
How is pain assessed? What is the gold standard?
OLD CARTS
Assessing pain in children
the Wong-Baker Faces Rating Scale and the Oucher Scale.
Oucher scale
explain each photo when pointed to.
Normal BMI
18.5-24.9
Underweight BMI
<18.5
Overweight BMI
25-29.9
Obese BMI
over 30
Jaundice (icterus)
yellowing of skin, increased level of bilirubin in the blood.
Physiologic jaundice (hyperbilirubinemia) of the newborn is a frequently encountered problem
in otherwise healthy newborns caused by
the lack of maturity of bilirubin uptake and conjugation by the liver.
High bilirubin levels in the newborn period can be associated with
hemolytic disease, metabolic and endocrine disorders, anatomic abnormalities of the liver, and
infections.
3|Page
HEALTH ASSESSMENT EXAM 1 2025/2026
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW
VERSION!!!|GUARANTEED PASS
Expectations of palpating lymph nodes
freely movable, can fit fingers underneath, soft.
Lymph nodes swell and enlarge when
the immune system is fighting an infection or illness.
Bad signs when palpating lymph nodes
A hard, fixed, painless node suggests a malignant process.
the more tender a lymph node
the more likely it is an inflammatory process. Painful lymph better than nonpainful!
Lymph nodes dont
pulsate, only arteries do
Supraclavicular node of the left (Virchow node)
s a significant clue of thoracic or abdominal malignancy
Slow nodal enlargement over weeks and months suggests
a benign process
rapid enlargement without signs of inflammation suggests
malignancy.
With bacterial infection, nodes become
1|Page
,warm or tender to the touch, matted, and much less discrete.
infections of the ear usually drain to the
preauricular, retropharyngeal, and deep cervical lymph nodes.
In childhood diseases of rubella, rubeola, and varicella often present with
obvious cervical nodes, usually posterior rather than anterior. Hepatitis A and B and infectious
mononucleosis have the same pattern.
How to differentiate lymph nodes from cysts?
Transillumination. As a rule, nodes do not transilluminate. Fluid-filled cysts do!
How to palpate thyroid
Palpation of thyroid requires gentle touch. It can be palpated from the front or from the back of
the patient.
Thyroid palpation normal findings
approx 4 cm, if lobes felt should be small, smooth and free of nodules. Firm but palpable
Thyroid palpation inflammation signs
coarse or gritty tissues.
If thyroid is englarged
auscultate for vascular sounds with bell of stethoscope. May hear bruit
Thyroid during swallowing
does not move, fat that mimics goiter does
Tension Headaches
Most common, more common in women.
Symtpoms of tension headaches
slowly progressive, bilateral, tight, band-like. Triggered with stress or dehydration.
Tension headache treatment
NSAIDS, amitriptyline, tricyclic antidepressants
Migraine Headaches
more common women, usually have triggers (food, loud noises, physical exertion, lack of sleep)
2|Page
, Migraine Headache symptoms
severe, unilateral, pulsating or throbbing. N & V, photophobia, photophobia, Aura? Tinnitus,
aphasia, confusion, Hemiplegic!
Cluster Headache
RAREST, linked to alcohol and cigarettes, same time everyday, more common in men.
How is pain assessed? What is the gold standard?
OLD CARTS
Assessing pain in children
the Wong-Baker Faces Rating Scale and the Oucher Scale.
Oucher scale
explain each photo when pointed to.
Normal BMI
18.5-24.9
Underweight BMI
<18.5
Overweight BMI
25-29.9
Obese BMI
over 30
Jaundice (icterus)
yellowing of skin, increased level of bilirubin in the blood.
Physiologic jaundice (hyperbilirubinemia) of the newborn is a frequently encountered problem
in otherwise healthy newborns caused by
the lack of maturity of bilirubin uptake and conjugation by the liver.
High bilirubin levels in the newborn period can be associated with
hemolytic disease, metabolic and endocrine disorders, anatomic abnormalities of the liver, and
infections.
3|Page
