NSG 6020 Final Exam Review Complete Questions and
Guide Answers, 100% Verified Graded A+
1. A 65-year-old patient remarks that she just can't believe that her breast sag so
much. She states it must be from lack of exercise. What explanation should the
nurse offer her?
Answer: After menopause, the glandular and fat tissue atrophies, causing breast size and elasticity to diminish,
resulting in breasts that sag.
2. The mother of a 10-year-old boy asks the nurse to discuss the recognition of
puberty. The nurse should reply by saying
Answer: The first sign of puberty is enlargement of the testes
3. A patient has bilateral pitting edema of the feet. While assessing the periph-
eral vascular system, the nurse's primary focus should be
Answer: Venous function of the lower extremities
4. During an examination, the nurse notes severe nystagmus in both eyes of a
patient. Which of the following conclusions is correct?
,Answer: This may indicate disease of the cerebellum or brainstem
5. When performing a musculoskeletal assessment, the nurse knows the correct
approach for the examination should be
Answer: proximal to distal
6. 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 upper outer quadrant at 1 o'clock approximately 5 cm from the
nipple. It is firm, mobile, non-tender, with borders that are not well defined.
The nurse's recommendation to her is
Answer: Because of the change in consistency of the lump, it should be further evaluated by a physician.
7. 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 thumb touch and then abducts the legs until
the infant's knees touch the table. The nurse practitioner does not note any
,"clunking" sounds and is confident to record a"
Answer: Negative Ortolani's sign
8. 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
Answer: Impetigo
9. The nurse is testing superficial reflexes on a 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?
Answer: Plantar reflex present
10. A woman is in the family planning clinic seeking birth control information. She
states that her breast "change all month long" and that she is worried that this is
unusual. What is the nurse's best response?
Answer: Tell her that, because of the changing hormones during the monthly menstrual cycle, cyclic
breast changes are common
11. 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
Answer: palpate the unattected breast first
12. A 16-year-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, and high caffeine
intake. In this situation, which is most appropriate when collecting current
dietary intake information?
Answer: Have the patient complete a food diary for 3 day= 2 weekdays + 2 weekend day.
13. To assess the head control of a 4-month-old infant, the nurse lifts the infant
up in a prone position while supporting his chest. The nurse looks for what
normal response?
Answer: Raises head and arches back
14. A patient has a positive Homans' sign. the nurse know that a positive
Homans' sign may indicate
Answer: Deep vein thrombosis
15. The nurse is discussing breast self- examination with a postmenopausal
woman to perform breast self examination is
Answer: The same day every month
Guide Answers, 100% Verified Graded A+
1. A 65-year-old patient remarks that she just can't believe that her breast sag so
much. She states it must be from lack of exercise. What explanation should the
nurse offer her?
Answer: After menopause, the glandular and fat tissue atrophies, causing breast size and elasticity to diminish,
resulting in breasts that sag.
2. The mother of a 10-year-old boy asks the nurse to discuss the recognition of
puberty. The nurse should reply by saying
Answer: The first sign of puberty is enlargement of the testes
3. A patient has bilateral pitting edema of the feet. While assessing the periph-
eral vascular system, the nurse's primary focus should be
Answer: Venous function of the lower extremities
4. During an examination, the nurse notes severe nystagmus in both eyes of a
patient. Which of the following conclusions is correct?
,Answer: This may indicate disease of the cerebellum or brainstem
5. When performing a musculoskeletal assessment, the nurse knows the correct
approach for the examination should be
Answer: proximal to distal
6. 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 upper outer quadrant at 1 o'clock approximately 5 cm from the
nipple. It is firm, mobile, non-tender, with borders that are not well defined.
The nurse's recommendation to her is
Answer: Because of the change in consistency of the lump, it should be further evaluated by a physician.
7. 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 thumb touch and then abducts the legs until
the infant's knees touch the table. The nurse practitioner does not note any
,"clunking" sounds and is confident to record a"
Answer: Negative Ortolani's sign
8. 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
Answer: Impetigo
9. The nurse is testing superficial reflexes on a 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?
Answer: Plantar reflex present
10. A woman is in the family planning clinic seeking birth control information. She
states that her breast "change all month long" and that she is worried that this is
unusual. What is the nurse's best response?
Answer: Tell her that, because of the changing hormones during the monthly menstrual cycle, cyclic
breast changes are common
11. 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
Answer: palpate the unattected breast first
12. A 16-year-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, and high caffeine
intake. In this situation, which is most appropriate when collecting current
dietary intake information?
Answer: Have the patient complete a food diary for 3 day= 2 weekdays + 2 weekend day.
13. To assess the head control of a 4-month-old infant, the nurse lifts the infant
up in a prone position while supporting his chest. The nurse looks for what
normal response?
Answer: Raises head and arches back
14. A patient has a positive Homans' sign. the nurse know that a positive
Homans' sign may indicate
Answer: Deep vein thrombosis
15. The nurse is discussing breast self- examination with a postmenopausal
woman to perform breast self examination is
Answer: The same day every month
