NSG 6020 FINAL EXAM #3 / NSG6020 FINAL
EXAM (LATEST, 2024): |100% CORRECT
ANSWERS
A 65-year-old patient remarks that she just can't believe that her breasts sag so much. She states it
must be from 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 breast that sag
The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The nurse
should reply by saying?
the first sign of puberty is enlargement of the testes
A patient has bilateral pitting edema of the feet. While assessing the peripheral vascular system, the
nurse's primary focus should be:
venous function of the lower extremitites
During an examination, the nurse notes severe nystagmus in both eyes of a patient. Which of the
following conclusions is correct?
this may indicate disease of the cerebellum or brainstem
When performing a musculoskeletal assessment, the nurse knows the correct approach for the
examination should be:
proximal to distal
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 appear upper
outer quadrant at 1 o'clock, approximately 5 cm form the nipple. It is frim, mobile, nontender, with
borders that are not well defined. The nurse's recommendation to her is:
Because of the change in consistency of the lump, it should be further evaluated by a physician
The nurse practitioner is examining a 3-month-old infant. While holding the thumbs on the infant's
inner-mid-thighs and the fingers outside on the hips, touching the greater trochanter, the nurse
practitioner adducts the legs until the nurse practitioner's thumbs 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:
Negative Ortolani's sign
.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:
Impetigo
The nurse is testing superficial reflexes on an 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?
, Plantar reflex present
.A woman is in the family planning clinic seeking birth control information. She states that her breasts
"change all month long" and that she is worried that this is unusual. What is the nurse's best
response?
Tell her that, because of the changing hormones during the monthly menstrual cycle, cyclic breast
changes are common.
.A patient states during the interview that she noticed a new breast lump in the shower a few days
ago. It was on her left breast near her axilla. The RN should plan to:
palpate the unaffected breast first
1. A 16-yr-old girl is being seen at clinic for gastrointestinal complaints and weight loss. Nurse
determines that many of her complaints may be related to erratic eating patterns, eating
predominantly fast foods, + high caffeine intake. In this situation, which is most appropriate when
collecting current dietary intake information?
Have the patient complete a food diary for 3 days=2 weekdays + 1 weekend day
Food diaries require the individual to write down everything consumed for a certain time period.
Because of the erratic eating patterns of this individual, assessing dietary intake over a few days
would produce more accurate information regarding eating patterns. Direct observation is best used
with young children or older adults.
To assess the head control of a 4-month-old infant, the nurse lifts the infant up in a prone position
while supporting his chest. The nurse looks for what normal response?
Raises head and arches back.
A patient has a positive Homans' sign. The nurse knows that a positive Homans' sign may indicate:
deep vein thrombosis
The nurse is discussing breast self-examination with a postmenopausal woman. The best time for
postmenopausal women to perform breast self-examination is:
the same day every month
A 15-year-old boy is seen in the clinic for complaints of "dull pain and pulling" in the scrotal area. On
examination the nurse palpates a soft, irregular mass posterior to and above the testis on the left.
This mass collapses when the patient is supine and refills when he is upright. This description is
consistent with:
varicocele
.The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This
finding would be related to which factor?
An increased loss of elastin and a decrease in subcutaneous fat in the elderly
A woman who is 22 weeks pregnant has a vaginal infection. She tells the nurse that she is afraid that
this infection will hurt the fetus. The nurse knows that which of these statements is true?
A thick mucus plug forms that protects the fetus from infection
EXAM (LATEST, 2024): |100% CORRECT
ANSWERS
A 65-year-old patient remarks that she just can't believe that her breasts sag so much. She states it
must be from 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 breast that sag
The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The nurse
should reply by saying?
the first sign of puberty is enlargement of the testes
A patient has bilateral pitting edema of the feet. While assessing the peripheral vascular system, the
nurse's primary focus should be:
venous function of the lower extremitites
During an examination, the nurse notes severe nystagmus in both eyes of a patient. Which of the
following conclusions is correct?
this may indicate disease of the cerebellum or brainstem
When performing a musculoskeletal assessment, the nurse knows the correct approach for the
examination should be:
proximal to distal
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 appear upper
outer quadrant at 1 o'clock, approximately 5 cm form the nipple. It is frim, mobile, nontender, with
borders that are not well defined. The nurse's recommendation to her is:
Because of the change in consistency of the lump, it should be further evaluated by a physician
The nurse practitioner is examining a 3-month-old infant. While holding the thumbs on the infant's
inner-mid-thighs and the fingers outside on the hips, touching the greater trochanter, the nurse
practitioner adducts the legs until the nurse practitioner's thumbs 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:
Negative Ortolani's sign
.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:
Impetigo
The nurse is testing superficial reflexes on an 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?
, Plantar reflex present
.A woman is in the family planning clinic seeking birth control information. She states that her breasts
"change all month long" and that she is worried that this is unusual. What is the nurse's best
response?
Tell her that, because of the changing hormones during the monthly menstrual cycle, cyclic breast
changes are common.
.A patient states during the interview that she noticed a new breast lump in the shower a few days
ago. It was on her left breast near her axilla. The RN should plan to:
palpate the unaffected breast first
1. A 16-yr-old girl is being seen at clinic for gastrointestinal complaints and weight loss. Nurse
determines that many of her complaints may be related to erratic eating patterns, eating
predominantly fast foods, + high caffeine intake. In this situation, which is most appropriate when
collecting current dietary intake information?
Have the patient complete a food diary for 3 days=2 weekdays + 1 weekend day
Food diaries require the individual to write down everything consumed for a certain time period.
Because of the erratic eating patterns of this individual, assessing dietary intake over a few days
would produce more accurate information regarding eating patterns. Direct observation is best used
with young children or older adults.
To assess the head control of a 4-month-old infant, the nurse lifts the infant up in a prone position
while supporting his chest. The nurse looks for what normal response?
Raises head and arches back.
A patient has a positive Homans' sign. The nurse knows that a positive Homans' sign may indicate:
deep vein thrombosis
The nurse is discussing breast self-examination with a postmenopausal woman. The best time for
postmenopausal women to perform breast self-examination is:
the same day every month
A 15-year-old boy is seen in the clinic for complaints of "dull pain and pulling" in the scrotal area. On
examination the nurse palpates a soft, irregular mass posterior to and above the testis on the left.
This mass collapses when the patient is supine and refills when he is upright. This description is
consistent with:
varicocele
.The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This
finding would be related to which factor?
An increased loss of elastin and a decrease in subcutaneous fat in the elderly
A woman who is 22 weeks pregnant has a vaginal infection. She tells the nurse that she is afraid that
this infection will hurt the fetus. The nurse knows that which of these statements is true?
A thick mucus plug forms that protects the fetus from infection
