NURS 6512 FINAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) A GRADE
A 9-year-old girl is in the clinic for a sports physical. After
some initial shyness she finally asks, "Am I normal? -
CORRECT ANSWER: "I understand that it is hard to
feel different from your friends. Breasts usually develop
between 8 and 10 years of age."
Adolescent breast development usually begins between 8
and 10 years of age
A 14-year-old girl is anxious about not having reached
menarche. The age: - CORRECT ANSWER: she
began to develop breasts
Full development from stage 2 to stage 5 takes an average
of 3 years, although the range is 1.5 to 6 years.
A 35-year-old recent immigrant is being seen in the clinic
for complaints of a cough that is associated with rust-
colored sputum, low-grade afternoon fevers, and night
,sweats for the past 2 months. The nurse's preliminary
analysis, based on this history, is that this patient may be
suffering from: - CORRECT ANSWER: tuberculosis.
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, nontender, with
borders that are not well defined. The nurse's
recommendation to her is: - CORRECT ANSWER:
"Because of the change in consistency of the lump, it
should be further evaluated by a physician."
A 54-year-old man comes to the clinic with a "horrible
problem." He tells the nurse that he has just discovered a
lump on his breast and is fearful of cancer. The nurse
knows that which statement about breast cancer in males
is true? - One percent of all breast cancer occurs in men.
, A 55-year-old postmenopausal woman is being seen in
the clinic for a yearly examination. She is concerned about
changes in her breasts that she has noticed over the past
5 years. She states that her breasts have decreased in size
and that the elasticity has changed so that her breasts
seem "flat and flabby." The nurse's best reply would be: -
CORRECT ANSWER: "Decreases in hormones after
menopause causes atrophy of the glandular tissue in the
breast. This is a normal process of aging."
A 65-year-old patient remarks that she just can't believe
that her breasts sag so much. - CORRECT
ANSWER: After menopause, the glandular and fat
tissue atrophies, causing breast size and elasticity to
diminish, resulting in breasts that sag.
A 65-year-old patient with a history of heart failure comes
to the clinic with complaints of "being awakened from
sleep with shortness of breath." Which action by the
nurse is most appropriate? - CORRECT ANSWER:
Assess for other signs and symptoms of paroxysmal
nocturnal dyspnea.
AND CORRECT ANSWERS (VERIFIED
ANSWERS) A GRADE
A 9-year-old girl is in the clinic for a sports physical. After
some initial shyness she finally asks, "Am I normal? -
CORRECT ANSWER: "I understand that it is hard to
feel different from your friends. Breasts usually develop
between 8 and 10 years of age."
Adolescent breast development usually begins between 8
and 10 years of age
A 14-year-old girl is anxious about not having reached
menarche. The age: - CORRECT ANSWER: she
began to develop breasts
Full development from stage 2 to stage 5 takes an average
of 3 years, although the range is 1.5 to 6 years.
A 35-year-old recent immigrant is being seen in the clinic
for complaints of a cough that is associated with rust-
colored sputum, low-grade afternoon fevers, and night
,sweats for the past 2 months. The nurse's preliminary
analysis, based on this history, is that this patient may be
suffering from: - CORRECT ANSWER: tuberculosis.
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, nontender, with
borders that are not well defined. The nurse's
recommendation to her is: - CORRECT ANSWER:
"Because of the change in consistency of the lump, it
should be further evaluated by a physician."
A 54-year-old man comes to the clinic with a "horrible
problem." He tells the nurse that he has just discovered a
lump on his breast and is fearful of cancer. The nurse
knows that which statement about breast cancer in males
is true? - One percent of all breast cancer occurs in men.
, A 55-year-old postmenopausal woman is being seen in
the clinic for a yearly examination. She is concerned about
changes in her breasts that she has noticed over the past
5 years. She states that her breasts have decreased in size
and that the elasticity has changed so that her breasts
seem "flat and flabby." The nurse's best reply would be: -
CORRECT ANSWER: "Decreases in hormones after
menopause causes atrophy of the glandular tissue in the
breast. This is a normal process of aging."
A 65-year-old patient remarks that she just can't believe
that her breasts sag so much. - CORRECT
ANSWER: After menopause, the glandular and fat
tissue atrophies, causing breast size and elasticity to
diminish, resulting in breasts that sag.
A 65-year-old patient with a history of heart failure comes
to the clinic with complaints of "being awakened from
sleep with shortness of breath." Which action by the
nurse is most appropriate? - CORRECT ANSWER:
Assess for other signs and symptoms of paroxysmal
nocturnal dyspnea.
