Nursing Assessment Final Exam 2026
With Correct Detailed And Verified
Solutions (Get it 100% Accurate
Answers) Exam Graded A+
During a breast health interview, a patient states that she has noticed pain in her left
breast. The nurse's most appropriate response to this would be: - ANSWERS-To seek
more specific information about the pain, such as: When did you first notice it? Is the
pain localized or all over? Is it painful to touch? Is the pain in relation to your menstrual
cycle? Is the pain associated with activity or exercise?
During a physical examination, a 45-year-old woman states that she has had a crusty,
itchy rash on her breast for approximately 2 weeks. In trying to find the cause of the
rash, which questions would be important for the nurse to ask? - ANSWERS-Where did
the rash first appear- on the nipple, areola, or the surrounding skin? When did you first
notice this?
During an annual physical examination, a 43-year-old patient states that she does not
perform monthly breast self-examinations (BSEs). She tells the nurse that she believes
that mammograms "do a much better job than I ever could to find a lump." The nurse
should explain to her that: - ANSWERS-Breast self-exams may detect lumps that
appear between mammograms
List risk factors for breast cancer - ANSWERS-History of breast cancer - family
history—first-degree relative
Medications such as estrogen and progestin combined
Certain tumor suppressor genes called BRCA1 and BRCA2 (inherited mutation)
Age
,During an examination of a woman, the nurse notices that her left breast is slightly
larger than her right breast. Which of these statements is true about this finding? -
ANSWERS-Asymmetry isnot unusual, but the nurse should verify that this change is not
new
During the physical examination, the nurse notices that a female patient has an inverted
left nipple. Which statement regarding this is most accurate? - ANSWERS-Whether the
inversion is a recent change should be determined.
The nurse is taking a family history. Important diseases or problems about which the
patient should be specifically asked include: - ANSWERS-Mental illness.
The review of systems provides the nurse with... - ANSWERS-Information regarding
health promotion practices, the information helps to evaluate the past and present
health state of each body system, to obtain any data that may have been omitted in the
section about present illness, and to evaluate health promotion and teaching
opportunities.
Which of these statements represents subjective data the nurse obtained from the
patient regarding the patient's skin? - ANSWERS-Patient denies any color change.
The nurse is obtaining a history from a 30-year old male patient and is concerned about
health promotion activities. Which of these questions would be appropriate to use to
assess health promotion activities for this patient? - ANSWERS-"Do you perform
testicular self-examinations?"
Functional Assessment-- What information would you ask if the patient's leg was in a
cast? - ANSWERS-A functional assessment includes the activities of daily living and the
person's ability to take care of their needs. This area will help to formulate a nursing
diagnosis. This could be present to the patient in a standardized form and will include
data on the lifestyle and type of living environment. (Page 57) self-esteem,
activity/exercise, sleep/rest, nutrition/elimination, interpersonal relationships/resources,
spiritual resources, coping and stress management, personal habits, environmental
hazards, violence questions, and occupational health questions. If a patient had a cast
on their leg, appropriate questions would include how they transfer to bed, another
chair, bathing technique, coping with the situation, support during the situation.
,Regarding the use of alcohol, a patient asks the nurse why the nurse needs to know.
What is the reason why? - ANSWERS-Alcohol can interact with all medications and
make some diseases worse.
Describe a genogram. - ANSWERS-Graphic family tree that uses symbols to depict the
gender, relationship, and age of immediate family. Usually 3 generations- parents,
grandparents, siblings. Also highlight the health of close family members and more
details such as communicable disease, environmental hazards (smoke), tobacco use,
and alcohol use. Any additional information includes the family history.
The nurse is preparing to conduct a health history. Explain this to the patient. -
ANSWERS-Answer- The purpose of a health history is to provide a database of
subjective information about the patient's past and current health history. You might say
to the patient, "I will be asking you questions about your past and present health." This
information will help the provider along with the physical exam (objective data) to
develop a diagnosis or health status.
The nurse is evaluating the reliability of a patient's responses, which of these
statements would be correct? The patient: - ANSWERS-Provided consistent information
and therefore is reliable
A patient tells the nurse that she has had abdominal pain for the past week. What would
be the nurse's best response? - ANSWERS-"Can you point to where it hurts?"
A 29-year-old woman tells the nurse that she has "excruciating pain" in her back. Which
would be the nurse's appropriate response to the woman's statement? - ANSWERS-
"How would you say the pain affects your ability to do your daily activities?"
A patient tells the nurse that he is allergic to penicillin. What would be the nurse's best
response to this information? - ANSWERS-"Describe what happens (or the reaction) to
you when you take Penicillin."
The nurse is obtaining health history on an 87-year-old woman. Which of the following
areas of questioning would be most useful at this time? - ANSWERS-Current health
promotion activities.
, A 90-year-old patient tells the nurse that he cannot remember the names of the
medication he is taking or why he is taking them. An appropriate response from the
nurse would be.. - ANSWERS-Would you have a family member bring in your
medications please?
The nurse is performing a functional assessment on an 82-year-old patient who recently
had a stroke. Which of these questions would be most important to ask? - ANSWERS-
"Are you able to dress yourself?"
A patient is describing his symptoms to the nurse. Which of these statements reflects a
description of the setting of his symptoms? - ANSWERS-"This pain happens every time
I sit down to use the computer."
In performing a breast examination, the nurse knows that examining the upper outer
quadrant of the breast is especially important. The reason why is... - ANSWERS-This is
the location for most breast tumors.
In performing an assessment of a woman's elixir lymph system, the nurse should
assess which of these nodes? - ANSWERS-Central, lateral, pectoral, and subscapular.
The breast has extensive lymphatic drainage, 75% of the drainage drains into the
axillary nodes. There are groups of axillary nodes central, pectoral and subscapular.
A 65-year-old patient remarks that she just cannot believe that her breasts "sag so
much". She states it must be from a lack of exercise. What explanation should the nurse
offer her? After menopause: - ANSWERS-The glandular and fat tissue atrophies,
causing breast size and elasticity to diminish, resulting in sagging (flat and gabby)
breasts.
In examining a 70-year-old male patient, the nurse notices that he has bilateral
gynecomastia. Which of the following describes the nurse's best course of action? -
ANSWERS-Explain that this is the result of hormonal changes (testosterone) and
recommend a visit to their provider.