NUR2092 Health Assessment
Final Exam
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?
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?
"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? "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...
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?
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:
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?
Explain that this is the result of hormonal changes
(testosterone) and recommend a visit to their provider.
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: 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?
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:
Breast self-exams may detect lumps that appear between
mammograms
List risk factors for breast cancer
1) History of breast cancer - family history—first-degree relative
2) Medications such as estrogen and progestin combined
3) Certain tumor suppressor genes called BRCA1 and
BRCA2 (inherited mutation)
4) 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?
Asymmetry is not 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?
Whether the inversion is a recent change should be determined.
The nurse is performing a breast examination. Which of these
statements best describes the correct procedure to use when
screening for nipple and skin retraction during a breast
examination? Have the woman:
Slowly lift her arms above her head, and note any retraction
or lag in movement.
Final Exam
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?
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?
"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? "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...
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?
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:
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?
Explain that this is the result of hormonal changes
(testosterone) and recommend a visit to their provider.
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: 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?
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:
Breast self-exams may detect lumps that appear between
mammograms
List risk factors for breast cancer
1) History of breast cancer - family history—first-degree relative
2) Medications such as estrogen and progestin combined
3) Certain tumor suppressor genes called BRCA1 and
BRCA2 (inherited mutation)
4) 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?
Asymmetry is not 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?
Whether the inversion is a recent change should be determined.
The nurse is performing a breast examination. Which of these
statements best describes the correct procedure to use when
screening for nipple and skin retraction during a breast
examination? Have the woman:
Slowly lift her arms above her head, and note any retraction
or lag in movement.
