NURS 532 : EXAM 1 QUESTIONS WITH 100% ACCURATE
SOLUTIONS
1) 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. -- Correct Answer ✔✔ d. not palpable.
- Rationale: Supraclavicular nodes, when palpated, are a concern; normally, they
are not palpable.
2) 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. -- Correct Answer ✔✔ b.
distinguish nodes from cysts.
, - Rationale: 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.
3) 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
D) Rotation of the extremity
E) Flexion of the extremity -- Correct Answer ✔✔ e. Flexion of
the extremity
- Bending joint areas will ease taut tissues and allow for better accessibility to
palpation.
4) To palpate the inguinal nodes, you should have the patient:
A) bend over a table and cough.
B) lie supine, with the knees slightly flexed.
C) lie supine, with the legs extended.
D) stand with the back extended.
E) lie prone, with the knees slightly flexed. -- Correct Answer ✔✔
b. lie supine, with the knees slightly flexed.
- Rationale: To palpate the inguinal nodes, you should have the patient lying
supine, with the knees slightly flexed.
5) It is not unusual to find postauricular and occipital nodes in:
A) children younger than 2 years of age.
B) school-age children.
C) adolescents.
D) adults.
E) older adults. -- Correct Answer ✔✔ a. children younger than 2
years of age.
, - Rationale: Children younger than 2 years of age often have enlarged
postauricular and occipital nodes.
6) A red streak that follows the course of the lymphatic collecting duct is a finding
associated with:
A) Hodgkin lymphoma.
B) lymphangitis.
C) lymphedema.
D) non-Hodgkin lymphoma.
E) roseola infantum. -- Correct Answer ✔✔ b. lymphangitis.
- Lymphangitis, inflammation of the lymphatic vessels, is evident by a red streak
that follows the course of the inflamed lymphatic duct. Hodgkin lymphoma
and non-Hodgkin lymphoma refer to malignancies manifested primarily by
nodal enlargements; lymphedema is lymph swelling that distinguishes itself
from interstitial edema because it does not pit.
- Roseola is a common early childhood viral illness that may present with
occipital and postauricular adenopathy.
7) To find the infection site associated with acute lymphangitis, the examiner should
look to the inflammation.
A) proximal
B) distal
C) contralateral
D) anterior
E) posterior -- Correct Answer ✔✔ b. distal
- Rationale: The red streak of inflammation will follow the direction (proximal)
of lymphatic flow, away from the periphery, and with the infection site distal
to the streak.
8) The most common causes of acute suppurative lymphadenitis are:
A) HIV and herpes zoster.
, B) Haemophilus influenzae and adenovirus.
C) herpes simplex type 1 and type 2.
D) streptococcal and staphylococcal organisms.
E) mumps. -- Correct Answer ✔✔ d. streptococcal and
staphylococcal organisms.
- Group A beta-hemolytic streptococci and coagulase-positive staphylococci
are the most common organisms responsible for suppurative (pus-forming)
lymphadenitis. The other choices do not result in suppurative lymphadenitis.
9) When examining the skull of a 4-month-old baby, you should normally find:
A) closure of the anterior fontanel.
B) closure of the posterior fontanel.
C) ossification of the all sutures.
D) overlap of the cranial bones.
E) closure of the sagittal and coronal sutures. -- Correct Answer
✔✔ b. closure of the posterior fontanel.
- Rationale: At 2 months of age, the posterior fontanels should be closed or
ossified with the anterior fontanels, a larger fontanel, closing at 12 to 15
months. The only time the cranial bones should overlap is during a vaginal
birth as a result of pressure within the birth canal. Ossification of the sutures
begins after completion of brain growth, at about 6 years of age, and is
finished by adulthood.
10) The thyroid gland is partially obscured by the:
A) cricoid cartilage.
B) carotid artery.
C) external jugular.
D) sternocleidomastoid.
E) hyoid bone. -- Correct Answer ✔✔ d. sternocleidomastoid.
- The thyroid sits just below the cricoid, an anatomic landmark for location of
the thyroid; the lobes curve are somewhat hidden by the sternocleidomastoid
muscle.
SOLUTIONS
1) 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. -- Correct Answer ✔✔ d. not palpable.
- Rationale: Supraclavicular nodes, when palpated, are a concern; normally, they
are not palpable.
2) 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. -- Correct Answer ✔✔ b.
distinguish nodes from cysts.
, - Rationale: 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.
3) 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
D) Rotation of the extremity
E) Flexion of the extremity -- Correct Answer ✔✔ e. Flexion of
the extremity
- Bending joint areas will ease taut tissues and allow for better accessibility to
palpation.
4) To palpate the inguinal nodes, you should have the patient:
A) bend over a table and cough.
B) lie supine, with the knees slightly flexed.
C) lie supine, with the legs extended.
D) stand with the back extended.
E) lie prone, with the knees slightly flexed. -- Correct Answer ✔✔
b. lie supine, with the knees slightly flexed.
- Rationale: To palpate the inguinal nodes, you should have the patient lying
supine, with the knees slightly flexed.
5) It is not unusual to find postauricular and occipital nodes in:
A) children younger than 2 years of age.
B) school-age children.
C) adolescents.
D) adults.
E) older adults. -- Correct Answer ✔✔ a. children younger than 2
years of age.
, - Rationale: Children younger than 2 years of age often have enlarged
postauricular and occipital nodes.
6) A red streak that follows the course of the lymphatic collecting duct is a finding
associated with:
A) Hodgkin lymphoma.
B) lymphangitis.
C) lymphedema.
D) non-Hodgkin lymphoma.
E) roseola infantum. -- Correct Answer ✔✔ b. lymphangitis.
- Lymphangitis, inflammation of the lymphatic vessels, is evident by a red streak
that follows the course of the inflamed lymphatic duct. Hodgkin lymphoma
and non-Hodgkin lymphoma refer to malignancies manifested primarily by
nodal enlargements; lymphedema is lymph swelling that distinguishes itself
from interstitial edema because it does not pit.
- Roseola is a common early childhood viral illness that may present with
occipital and postauricular adenopathy.
7) To find the infection site associated with acute lymphangitis, the examiner should
look to the inflammation.
A) proximal
B) distal
C) contralateral
D) anterior
E) posterior -- Correct Answer ✔✔ b. distal
- Rationale: The red streak of inflammation will follow the direction (proximal)
of lymphatic flow, away from the periphery, and with the infection site distal
to the streak.
8) The most common causes of acute suppurative lymphadenitis are:
A) HIV and herpes zoster.
, B) Haemophilus influenzae and adenovirus.
C) herpes simplex type 1 and type 2.
D) streptococcal and staphylococcal organisms.
E) mumps. -- Correct Answer ✔✔ d. streptococcal and
staphylococcal organisms.
- Group A beta-hemolytic streptococci and coagulase-positive staphylococci
are the most common organisms responsible for suppurative (pus-forming)
lymphadenitis. The other choices do not result in suppurative lymphadenitis.
9) When examining the skull of a 4-month-old baby, you should normally find:
A) closure of the anterior fontanel.
B) closure of the posterior fontanel.
C) ossification of the all sutures.
D) overlap of the cranial bones.
E) closure of the sagittal and coronal sutures. -- Correct Answer
✔✔ b. closure of the posterior fontanel.
- Rationale: At 2 months of age, the posterior fontanels should be closed or
ossified with the anterior fontanels, a larger fontanel, closing at 12 to 15
months. The only time the cranial bones should overlap is during a vaginal
birth as a result of pressure within the birth canal. Ossification of the sutures
begins after completion of brain growth, at about 6 years of age, and is
finished by adulthood.
10) The thyroid gland is partially obscured by the:
A) cricoid cartilage.
B) carotid artery.
C) external jugular.
D) sternocleidomastoid.
E) hyoid bone. -- Correct Answer ✔✔ d. sternocleidomastoid.
- The thyroid sits just below the cricoid, an anatomic landmark for location of
the thyroid; the lobes curve are somewhat hidden by the sternocleidomastoid
muscle.
