NSG 6020 3P Exam | Most Recent Exam 2026 Actual
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A 43-year-old woman is at the clinic for a routine
examination. She reports that she has had a breast lump
in her right breast for years. Recently, it has begun to
change in consistency and is becoming harder. She
reports that 5 years ago her physician evaluated the lump
and determined that it "was nothing to worry about." The
examination validates the presence of a mass in the right
appear upper outer quadrant at 1 o'clock, approximately 5
cm form the nipple. It is frim, mobile, nontender, with
borders that are not well defined. The nurse's
recommendation to her is: - Answers-Because of the
change in consistency of the lump, it should be further
evaluated by a physician
The nurse practitioner is examining a 3-month-old infant.
While holding the thumbs on the infant's inner-mid-thighs
and the fingers outside on the hips, touching the greater
trochanter, the nurse practitioner adducts the legs until the
nurse practitioner's thumbs touch and then abducts the
legs until the infant's knees touch the table. The nurse
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practitioner does not note any "clunking" sounds and is
confident to record a: - Answers-Negative Ortolani's sign
A patient's mother has noticed that her son, who has been
to a new babysitter, has some blisters and scabs on his
face and buttocks. On examination, the nurse notices
moist, thin-roofed vesicles with a thin erythematous base
and suspects: - Answers-Impetigo
The nurse is testing superficial reflexes on an adult
patient. When stroking up the lateral side of the sole and
across the ball of the foot, the nurse notices the plantar
flexion of the toes. How would the nurse document this
finding? - Answers-Plantar reflex present
A woman is in the family planning clinic seeking birth
control information. She states that her breasts "change all
month long" and that she is worried that this is unusual.
What is the nurse's best response? - Answers-Tell her
that, because of the changing hormones during the
monthly menstrual cycle, cyclic breast changes are
common.
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A patient states during the interview that she noticed a
new breast lump in the shower a few days ago. It was on
her left breast near her axilla. The RN should plan to: -
Answers-palpate the unaffected breast first
1. A 16-yr-old girl is being seen at clinic for gastrointestinal
complaints and weight loss. Nurse determines that many
of her complaints may be related to erratic eating patterns,
eating predominantly fast foods, + high caffeine intake. In
this situation, which is most appropriate when collecting
current dietary intake information? - Answers-Have the
patient complete a food diary for 3 days=2 weekdays + 1
weekend day
Food diaries require the individual to write down
everything consumed for a certain time period. Because of
the erratic eating patterns of this individual, assessing
dietary intake over a few days would produce more
accurate information regarding eating patterns. Direct
observation is best used with young children or older
adults.
A 65-year-old patient remarks that she just can't believe
that her breasts sag so much. She states it must be from
lack of exercise. What explanation should the nurse offer
her? - Answers-After menopause, the glandular and fat