NSG6020: FINAL EXAM REVIEW QUESTIONS WITH ACCURATE
SOLUTIONS
1) During an annual physical examination, a 43 year old patient states that she
doesn't perform monthly BSE. She tells the nurse that she believes that
mammograms "do a much better jb than I ever could to find a lump." the nurse
should explain to her that: -- Answer ✔✔ BSEs may detect lumps that appear
between mammograms. Mammography may not detect all palpable lumps.
2) A patient's annual physical examination reveals a lateral curvature of the thoracic
and lumbar segments of his spine; however, this curvature disappears with
forward bending. The nurse knows that this abnormality of the spine is called:
A) structural scoliosis.
B) functional scoliosis.
C) herniated nucleus pulposus.
D) dislocated hip. -- Answer ✔✔ Functional scoliosis
3) During an assessment, the nurse notes that a patient's left arm is swollen from
the should down to the fingers, with non-pitting edema. The right arm is normal.
The patient had a mastectomy 1 year ago. The nurse suspects which problem? --
Answer ✔✔ Lymphedema
, 4) When performing the bimanual examination. the nurse notices that the cervix
feels smooth and firm, is round, and is fixed in place (does not move). When
cervical palpation is performed, the patient complains of some pain. The nurse's
interpretation of these results should be which of these? -- Answer ✔✔ The
cervix should move when palpated; an immobile cervix may indicate malignancy
5) You are examining a 6-month-old baby. You place the baby's feet flat on the table
and flex his knees up. You note that the right knee is significantly lower than the
left. Which of the following is true of this finding? -- Answer ✔✔ This is a
positive Allis sign and suggests hip dislocation
6) A 75-year-old woman who has a history of diabetes and peripheral vascular
disease has been trying to remove a corn from the bottom of her foot with a pair
of scissors. The nurse will encourage her to stop trying to remove the corn with
scissors because: -- Answer ✔✔ The woman could be at increased risk for
infection and lesions because of her chronic disease
7) You are examining Mr. O, and when you ask him to bend forward from the waist,
you notice lateral tilting; when you raise his leg straight up, he complains of a pain
going down his buttocks into his leg. You suspect: -- Answer ✔✔ Herniated
nucleus pulposus
8) The assessment of an 80-year-old patient, the nurse notes that his hands show
tremors when he reaches for something and that his head is always nodding.
There is no associated rigidity with movement. Which of the following statements
is most accurate? -- Answer ✔✔ These findings are normal
9) Which of the following statements is true regarding the arterial system? --
Answer ✔✔ The arterial system is a high-pressure system
10) A patient who is visiting the clinic complains of having "stomach pains for 2
weeks" and describes his stools as being "soft and black" for about the last 10
days. He denies taking any medications. The NP is aware that these symptoms are
SOLUTIONS
1) During an annual physical examination, a 43 year old patient states that she
doesn't perform monthly BSE. She tells the nurse that she believes that
mammograms "do a much better jb than I ever could to find a lump." the nurse
should explain to her that: -- Answer ✔✔ BSEs may detect lumps that appear
between mammograms. Mammography may not detect all palpable lumps.
2) A patient's annual physical examination reveals a lateral curvature of the thoracic
and lumbar segments of his spine; however, this curvature disappears with
forward bending. The nurse knows that this abnormality of the spine is called:
A) structural scoliosis.
B) functional scoliosis.
C) herniated nucleus pulposus.
D) dislocated hip. -- Answer ✔✔ Functional scoliosis
3) During an assessment, the nurse notes that a patient's left arm is swollen from
the should down to the fingers, with non-pitting edema. The right arm is normal.
The patient had a mastectomy 1 year ago. The nurse suspects which problem? --
Answer ✔✔ Lymphedema
, 4) When performing the bimanual examination. the nurse notices that the cervix
feels smooth and firm, is round, and is fixed in place (does not move). When
cervical palpation is performed, the patient complains of some pain. The nurse's
interpretation of these results should be which of these? -- Answer ✔✔ The
cervix should move when palpated; an immobile cervix may indicate malignancy
5) You are examining a 6-month-old baby. You place the baby's feet flat on the table
and flex his knees up. You note that the right knee is significantly lower than the
left. Which of the following is true of this finding? -- Answer ✔✔ This is a
positive Allis sign and suggests hip dislocation
6) A 75-year-old woman who has a history of diabetes and peripheral vascular
disease has been trying to remove a corn from the bottom of her foot with a pair
of scissors. The nurse will encourage her to stop trying to remove the corn with
scissors because: -- Answer ✔✔ The woman could be at increased risk for
infection and lesions because of her chronic disease
7) You are examining Mr. O, and when you ask him to bend forward from the waist,
you notice lateral tilting; when you raise his leg straight up, he complains of a pain
going down his buttocks into his leg. You suspect: -- Answer ✔✔ Herniated
nucleus pulposus
8) The assessment of an 80-year-old patient, the nurse notes that his hands show
tremors when he reaches for something and that his head is always nodding.
There is no associated rigidity with movement. Which of the following statements
is most accurate? -- Answer ✔✔ These findings are normal
9) Which of the following statements is true regarding the arterial system? --
Answer ✔✔ The arterial system is a high-pressure system
10) A patient who is visiting the clinic complains of having "stomach pains for 2
weeks" and describes his stools as being "soft and black" for about the last 10
days. He denies taking any medications. The NP is aware that these symptoms are
