NURS 532 Practice Questions - Exam 1 (History taking,
Respiratory, HEENT, Lymph, Breast/Axillae, Skin Hair and
Nails. Seidel's Guide to Physical Examination 9th Edition
Test Bank Complete) Questions With Complete Solutions
Lymph ducts merge into the venous system at the:
a. portal vein.
b. pulmonic vein.
c. subclavian veins.
d. vena cava.
e. jugular veins.
ANS: C
Lymph flows faster in response to:
a. massage.
b. decreased blood volume.
c. decreased metabolic rate.
d. decreased permeability of the capillary walls.
e. decreased capillary pressure.
a. massage.
ANS: A Lymph flow increases with mounting capillary
pressure, greater permeability of the capillary walls, increased
metabolic rate, and massage.
When enlarged, which lymph nodes are most likely to be a sign
of malignancy?
a. Occipital
,b. Anterior cervical
c. Posterior cervical
d. Femoral
e. Supraclavicular
e. Supraclavicular
Supraclavicular nodal enlargement is of special concern because
it suggests a malignancy even in children; it may be the sentinel
node of Hodgkin lymphoma.
As adults age, their ability to resist infection decreases because
of lymphatic nodes becoming more:
a. hematopoietic.
b. mucoid.
c. porous.
d. profuse.
e. fibrotic.
e. fibrotic.
Older adults' lymph nodes diminish in both number and size
andare replaced with more fibrotic and fatty tissues.
Which nodes are most often associated with inflammation?
a. Shotty
b. Movable
c. Fixed
d. Tender
e. Matted
,d. Tender
Tenderness is almost always indicative of inflammation.
Which nodes are also called Virchow nodes?
a. Internal mammary
b. Anterior axillary
c. Deep cervical
d. Supraclavicular
e. Preauricular
d. Supraclavicular
ANS: D
The supraclavicular nodes are also referred to as Virchow nodes.
The harder and more discrete a node, the more likely a(n):
a. innocent cause.
b. infection.
c. malignancy.
d. metabolic disease.
e. drug reaction.
c. malignancy.
ANS: C
Tender nodes almost always indicate the presence of an
infection, but a hard, discrete, and nontender node is more likely
to represent a malignancy.
Normal supraclavicular lymph nodes are:
a. clustered in a capsule.
, b. firm and discrete.
c. less than 3 cm in diameter.
d. not palpable.
e. matted.
d. not palpable.
ANS: D Supraclavicular nodes, when palpated, are a concern;
normally, they are not palpable.
Transillumination is done during an examination of the
lymphatic system to:
a. detect lymphatic pulsation.
b. distinguish nodes from cysts.
c. evaluate nodal contours.
d. observe erythematous lesions.
e. distinguish blood vessels from nodes.
b. distinguish nodes from cysts.
ANS: B Larger nodal masses should be transilluminated to
determine whether the mass is a cyst, rather than a node. A cyst
will transilluminate; a node will not.
When examining lymph nodes near a joint in the arm or leg,
which of the following
maneuvers is likely to facilitate the examination?
a. Extension of the extremity
b. Circumduction of the extremity
c. Abduction of the extremity
Respiratory, HEENT, Lymph, Breast/Axillae, Skin Hair and
Nails. Seidel's Guide to Physical Examination 9th Edition
Test Bank Complete) Questions With Complete Solutions
Lymph ducts merge into the venous system at the:
a. portal vein.
b. pulmonic vein.
c. subclavian veins.
d. vena cava.
e. jugular veins.
ANS: C
Lymph flows faster in response to:
a. massage.
b. decreased blood volume.
c. decreased metabolic rate.
d. decreased permeability of the capillary walls.
e. decreased capillary pressure.
a. massage.
ANS: A Lymph flow increases with mounting capillary
pressure, greater permeability of the capillary walls, increased
metabolic rate, and massage.
When enlarged, which lymph nodes are most likely to be a sign
of malignancy?
a. Occipital
,b. Anterior cervical
c. Posterior cervical
d. Femoral
e. Supraclavicular
e. Supraclavicular
Supraclavicular nodal enlargement is of special concern because
it suggests a malignancy even in children; it may be the sentinel
node of Hodgkin lymphoma.
As adults age, their ability to resist infection decreases because
of lymphatic nodes becoming more:
a. hematopoietic.
b. mucoid.
c. porous.
d. profuse.
e. fibrotic.
e. fibrotic.
Older adults' lymph nodes diminish in both number and size
andare replaced with more fibrotic and fatty tissues.
Which nodes are most often associated with inflammation?
a. Shotty
b. Movable
c. Fixed
d. Tender
e. Matted
,d. Tender
Tenderness is almost always indicative of inflammation.
Which nodes are also called Virchow nodes?
a. Internal mammary
b. Anterior axillary
c. Deep cervical
d. Supraclavicular
e. Preauricular
d. Supraclavicular
ANS: D
The supraclavicular nodes are also referred to as Virchow nodes.
The harder and more discrete a node, the more likely a(n):
a. innocent cause.
b. infection.
c. malignancy.
d. metabolic disease.
e. drug reaction.
c. malignancy.
ANS: C
Tender nodes almost always indicate the presence of an
infection, but a hard, discrete, and nontender node is more likely
to represent a malignancy.
Normal supraclavicular lymph nodes are:
a. clustered in a capsule.
, b. firm and discrete.
c. less than 3 cm in diameter.
d. not palpable.
e. matted.
d. not palpable.
ANS: D Supraclavicular nodes, when palpated, are a concern;
normally, they are not palpable.
Transillumination is done during an examination of the
lymphatic system to:
a. detect lymphatic pulsation.
b. distinguish nodes from cysts.
c. evaluate nodal contours.
d. observe erythematous lesions.
e. distinguish blood vessels from nodes.
b. distinguish nodes from cysts.
ANS: B Larger nodal masses should be transilluminated to
determine whether the mass is a cyst, rather than a node. A cyst
will transilluminate; a node will not.
When examining lymph nodes near a joint in the arm or leg,
which of the following
maneuvers is likely to facilitate the examination?
a. Extension of the extremity
b. Circumduction of the extremity
c. Abduction of the extremity
