NURS 5220: EXAM #1 MODULE 2: CH 9, 10,
11, 12, 14, 15, 16 QUESTIONS WITH
COMPLETE SOLUTIONS
A "rubbing" that can be felt and heard is most
closely associated with:
A. pleurisy.
B. pneumonia.
C. emphysema.
D. asthma. - correct answer - A: CorrectPleurisy is
an inflammatory process involving the visceral and
parietal pleura characterized by patients reporting
subjective rubbing of the pleural surfaces.
A 2-month-old infant is brought to the clinic for
immunizations. The examiner palpates enlarged
inguinal nodes. What additional finding might
explain the enlarged nodes?
A. The mother reports that the infant suffers from
colic.
,B. The infant's length and weight are above the
85th percentile.
C. The infant has a severe diaper rash.
D. A port wine stain is present on the infant's left
thigh. - correct answer - C; CorrectEnlargement of
the inguinal nodes suggests infection or metastatic
carcinoma in the associated anatomic area.
A 6-month-old infant is brought to the clinic for
immunizations. While examining the baby, the
examiner notes that the anterior fontanel has not
closed. What is the significance of this finding?
A. This indicates a slight developmental delay.
B. This suggests a nutritional deficiency.
C. This is consistent with hydrocephaly.
D. This is a normal finding. - correct answer - D:
CorrectThe posterior fontanel usually closes by 2
months of age and the anterior fontanel by 12 to
15 months of age.
,A 6-year-old girl has freckles over her nose and
cheeks. The examiner will recall that freckles are a
type of:
A. macule.
B. papule.
C. nodule.
D. patch. - correct answer - A:correctA macule is
a flat, circumscribed area that is a change in the
color of the skin usually less than 1 cm in diameter.
Freckles, flat moles, petechiae, and measles are
examples of macules.
A 19-year-old man has a severe infection involving
the fifth digit of the right hand. Where should the
examiner expect to palpate enlarged and tender
lymph nodes?
A. Radial aspect of the wrist
B. Palmar aspect of the hand
C. Medial epicondyle of the humerus
D. Left lower neck - correct answer - C:
CorrectThe epitrochlear lymph nodes drain the
, hand and lower arm. These nodes are located at
the elbow in the groove between the biceps and
triceps muscles proximal and slightly anterior to
the medial epicondyle of the humerus.
A 22-year-old college student presents for a routine
physical examination. Which finding would you
expect on examination of the student's thyroid
gland?
A. The gland decreases when the student swallows.
B. The right lobe is about a quarter larger than the
left.
C. A soft rushing sound is heard on auscultation of
the gland.
D. The glandular tissue feels gritty but free of
nodules. - correct answer - B; CorrectThe thyroid
at its broadest dimension is approximately 4 cm,
and the right lobe is often 25% larger than the left.
A 45-year-old man tells you that he often has
headaches in the evening that feel like a band is
being tightened around his head. These
11, 12, 14, 15, 16 QUESTIONS WITH
COMPLETE SOLUTIONS
A "rubbing" that can be felt and heard is most
closely associated with:
A. pleurisy.
B. pneumonia.
C. emphysema.
D. asthma. - correct answer - A: CorrectPleurisy is
an inflammatory process involving the visceral and
parietal pleura characterized by patients reporting
subjective rubbing of the pleural surfaces.
A 2-month-old infant is brought to the clinic for
immunizations. The examiner palpates enlarged
inguinal nodes. What additional finding might
explain the enlarged nodes?
A. The mother reports that the infant suffers from
colic.
,B. The infant's length and weight are above the
85th percentile.
C. The infant has a severe diaper rash.
D. A port wine stain is present on the infant's left
thigh. - correct answer - C; CorrectEnlargement of
the inguinal nodes suggests infection or metastatic
carcinoma in the associated anatomic area.
A 6-month-old infant is brought to the clinic for
immunizations. While examining the baby, the
examiner notes that the anterior fontanel has not
closed. What is the significance of this finding?
A. This indicates a slight developmental delay.
B. This suggests a nutritional deficiency.
C. This is consistent with hydrocephaly.
D. This is a normal finding. - correct answer - D:
CorrectThe posterior fontanel usually closes by 2
months of age and the anterior fontanel by 12 to
15 months of age.
,A 6-year-old girl has freckles over her nose and
cheeks. The examiner will recall that freckles are a
type of:
A. macule.
B. papule.
C. nodule.
D. patch. - correct answer - A:correctA macule is
a flat, circumscribed area that is a change in the
color of the skin usually less than 1 cm in diameter.
Freckles, flat moles, petechiae, and measles are
examples of macules.
A 19-year-old man has a severe infection involving
the fifth digit of the right hand. Where should the
examiner expect to palpate enlarged and tender
lymph nodes?
A. Radial aspect of the wrist
B. Palmar aspect of the hand
C. Medial epicondyle of the humerus
D. Left lower neck - correct answer - C:
CorrectThe epitrochlear lymph nodes drain the
, hand and lower arm. These nodes are located at
the elbow in the groove between the biceps and
triceps muscles proximal and slightly anterior to
the medial epicondyle of the humerus.
A 22-year-old college student presents for a routine
physical examination. Which finding would you
expect on examination of the student's thyroid
gland?
A. The gland decreases when the student swallows.
B. The right lobe is about a quarter larger than the
left.
C. A soft rushing sound is heard on auscultation of
the gland.
D. The glandular tissue feels gritty but free of
nodules. - correct answer - B; CorrectThe thyroid
at its broadest dimension is approximately 4 cm,
and the right lobe is often 25% larger than the left.
A 45-year-old man tells you that he often has
headaches in the evening that feel like a band is
being tightened around his head. These
