P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NSG6020 Week 6 2025/2026:
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47 QUESTIONS
DOCUMENT OVERVIEW
This document contains 47 verified questions along with their correct answers and concise explanations,
focusing on essential clinical concepts. It serves as a comprehensive resource for advanced nursing topics,
ensuring students have direct access to crucial information. This material is ideal for study, review, and
certification preparation, providing learners with a reliable tool to enhance their understanding and
performance in the subject area.
CONTENTS
Lymph Node Assessment Q1–Q11
Vascular Anatomy Q12–Q27
Peripheral Vascular Assessment Q28–Q33
Pulmonary and Arterial Systems Q34–Q37
Cardiovascular Conditions Q38–Q47
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 47
lymph node assessment (normal)
CORRECT ANSWER
lymph nodes are typically not palpable or may be very small.
if palpable they're small, mobile (moveable), non tender. usually <1 cm in size.
no noticeable swelling or enlargement.
skin over the area is normal in color no redness or discoloration.
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, Q2 QUESTION 2 OF 47
lymph node assessment (abnormal)
CORRECT ANSWER
- enlarge lymph nodes: "swollen glands" described as knots, lumps or kernels.
if it is >1cm it is abnormal. ( inguinal nodes may be slightly bigger)
if the nodes are:
-hard: may indicate malignancy
-firm/ rubbery: associated with lymphoma
-fixed (non- moveable) or matted- concerning for malignancy or chronic infections ex-- TB.
- tender or painful: typically suggest infection or inflammation.
- non-tender: ore concerning for malignancy
- fluctuant: may indicate access formation.
changes over time: increase ion size or number. if persistence > 4-6 weeks then that is concerning.
associated with infection (local or systemic), autoimmune conditions, malignancy or pain or systemic symptoms.
Q3 QUESTION 3 OF 47
high risk lymph nodes locations
CORRECT ANSWER
Supraclavicular nodes (especially left Virchow's node) this is strongly associated with malignancy ( GI, lung< abdominal cancers)
posterior cervical nodes is often seen in viral infections like EBV/ mononucleosis.
axillary nodes may indicate breast patho, infection or malignancy.
epitrochlear nodes (>0.5 cm is abnormal) associated with systemic infections like hip or lymphoma.
Time Course Considerations
Acute (<2 weeks) → usually infectious
Subacute (2–6 weeks) → infection vs. early malignancy
Chronic (>6 weeks) → malignancy until proven otherwise
Associated “B Symptoms” (Concerning for Malignancy)
Fever
Night sweats
Unintentional weight loss
Q4 QUESTION 4 OF 47
assessment consideration for lymph nodes-- lymph nodes should always be assessed for and key questions to ask:
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, CORRECT ANSWER
locations
size
consistency (soft, firm, hard, rubbery)
mobility (moveable bs fixed)
tenderness
duration
associated symptoms.
questions to ask:
“Do you have any swollen glands?”
Where are they located?
How long have they been present?
Have they changed recently?
Are they soft or hard?
Do they move or are they fixed?
Are they painful or associated with infection?
Further evaluation is warranted if:
Node is >2 cm
Hard, fixed, or non-tender
Located in supraclavicular region
Persists >4–6 weeks
Associated with B symptoms
Possible Workup:
CBC
Imaging (ultrasound or CT)
Biopsy (definitive diagnosis)
Q5 QUESTION 5 OF 47
names and location of lymph nodes in the face
CORRECT ANSWER
Preauricular nodes → in front of the ear
Drain: eyes, conjunctiva, temporal region
Postauricular (mastoid) nodes → behind the ear
Drain: scalp, external ear
Occipital nodes → base of the skull
Drain: posterior scalp
Tonsillar (jugulodigastric) → angle of the jaw
Drain: tonsils, oropharynx (commonly enlarged with throat infections)
Submandibular nodes → under the mandible
Drain: mouth, lips, anterior tongue
Submental nodes → under the chin
Drain: lower lip, floor of mouth, tip of tongue
Q6 QUESTION 6 OF 47
names and location of lymph nodes in the neck
CORRECT ANSWER
Anterior cervical chain → along front of sternocleidomastoid (SCM)
Drain: throat, thyroid, anterior structures
Posterior cervical chain → along back of SCM
Drain: scalp, neck skin
Deep cervical nodes → deep under SCM
Drain: major internal structures of head/neck
Supraclavicular nodes → above the clavicle
🚨 HIGH-RISK: strongly associated with malignancy
Left (Virchow’s node) → abdominal/GI cancers
Right → lung or mediastinal cancers
Q7 QUESTION 7 OF 47
names and location of lymph nodes in the arms
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