CORRECT ANSWERS
1. A 65-year-old patient remarks that she
After menopause, the glandular
just can't believe that her breast sag so
and fat tissue atrophies, causing
much. She states it must be from lack
breast size and elasticity to
of exercise. What explanation should
the nurse offer her? diminish, result- ing in breasts
that sag.
2. The mother of a 10-year-old boy
asks the nurse to discuss the The first sign of puberty is
recognition of puberty. The nurse enlarge- ment of the testes
should reply by saying:
3. A patient has bilateral pitting edema Venous function of the lower
of the feet. While assessing the extrem- ities
peripheral vascular system, the nurse's
primary focus should be:
4. During an examination, the nurse notes severe This may indicate disease
of the cere-
nystagmus in both eyes of a patient. Which of bellum or brainstem
the following conclusions is correct?
5. When performing a musculoskeletalproximal to distal
assess- ment, the nurse knows the
correct approach for the examination
should be:
Because of the change in consistency
6. A 43-year-old woman is at the clinic for
a rou-
tine examination. She reports that she has had of the lump, it should be
further eval-
a breast lump in her right breast for the lump and
years. Recently, it has begun to change determined that it
in consisten- cy and is becoming harder. "was nothing to
She reports that worry about." the
5 years ago her physician evaluated examination
,NSG6020- Final Exam Review QUESTIONS &
CORRECT ANSWERS
validates the presence of a mass in the uated by a physician.
right upper outer quadrant at 1 o'clock
approximately 5 cm from the nipple. It is
firm, mobile, non-tender, with borders
that are
,NSG6020- Final Exam Review QUESTIONS &
CORRECT ANSWERS
not well defined. The nurse's
recommendation to her is:
7. The nurse practitioner is examining a Negative Ortolani's sign
3-month-old infant. While holding the
thumbs on the infant's inner -mid
thighs and the fin- gers 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"
Impetigo
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: Plantar reflex present
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?
10. A woman is in the family planning clinic seeking Tell her that, because of
the changing
birth control information. She states that her breast "change
, NSG6020- Final Exam Review QUESTIONS &
CORRECT ANSWERS
all month long" and that she is hormones during the monthly men-
strual cycle, cyclic breast changes
are
worried that this is unusual. What is the nurse's common
best response?