Maryville AHA NURS 612 Exam 2 Workbook questions and solutions

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? - Are you aware of any lumps While palpating lymph nodes on an adult, the examiner should remember that - 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 - 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? - medial aspect of right elbow Which of the following examination findings is cause for concern in an adult - A palpable hard lymph node fixed in its setting The most common cause of acute suppurative lymph-adenitis are which organisms? - Streptococcus and Staphylococcus spp. The examiner typically assesses the lymph system using which of the following methods? - 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? - The infant has a severe diaper rash As an examiner palpates an enlarged lymph node, the patient complains of pain. This is suggestive of - an inflammatory process Which examination method is used to differentiate an enlarged lymph node from a cyst - Transillumination Which of the following methods best describes how to assess supraclavicular lymph nodes - 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 - may be a normal finding In addition to the head, neck, axillae, and inguinal area, the examiner may also assess lymph nodes in - the popliteal region Which of the following is an assessment technique that can differentiate mumps from cervical adenitis - 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? - 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 - A single, firm node affixed to underlying tissue Normal cervical lymph nodes are - 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? - Lymphadenopathy Which of the following is the most concerning - 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 - Abnormal and possibly indicating a diaphragmatic hernia Which of the following patients demonstrates the highest risk factor for respiratory disability - 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 - 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 - Chronic Obstructive Pulmonary Disease