HA FINAL EXAM QUESTIONS AND ANSWERS
A 5 year old child is in the clinic for a checkup. The nurse would expect him to:
A. Need to be held on his mothers lab
B. Be able to sit on the exam table
C. Be able to stand on the floor for the exam
D. Be able to remain alone in the exam room - CORRECT ANSWER✅✅B
Which statement is true regarding the recording of data from the history and physical exam?
A. use long, descriptive sentences to document
B. record the data as soon as possible after the interview and physical exam
C. if the info is not documented, then it can be assumed that it was done as a standard of care
D. rapport with the patient - CORRECT ANSWER✅✅B
when assessing the neonate, the nurse should test for hip stability with which method?
A. eliciting the moro reflex
B. performing the romberg test
C. Checking for the ortolani sign
D. assessing the stepping reflex - CORRECT ANSWER✅✅C
A female patient tells the nurse that she has 4 children and has had 3 pregnancies. How should the
nurse document this?
A. Gravida 3, para 4
B. Gravida 4, para 3
C. This information cannot be documented using the terms gravida and para
D. The patient seems to be confused about how many times she has been pregnant - CORRECT
ANSWER✅✅A
,The nurse is documenting the assessment of an infant. During the abdominal assessment, the nurse
noticed a very loud splash auscultated over the upper abdomen when the nurse rocked her from side to
side. This finding would indicate:
A. Epigastric hernia
B. Pyloric obstruction
C. Hypoactive bowel sounds
D. hyperactive bowel sounds - CORRECT ANSWER✅✅D
Which of these actions is most appropriate to perform on a 9-month old infant at a well-child checkup?
A. Testing for ortolani sign
B. Assessment for sterognosis
C. Blood pressure measurement
D. Assessment for the presence of the startle reflex - CORRECT ANSWER✅✅A
Which of the following statements is true regarding the internal structures of the breast? The breast is
made up of:
A. Primarily muscle with very little fibrous tissue
B. Fibrous, glandular, and adipose tissues
C. Primarily milk ducts, known as lactiferous ducts
D. Glandular tissue, which supports the breast by attaching to the chest wall - CORRECT ANSWER✅✅b
In performing a breast exam, the nurse knows that examining the upper outer quadrant of the breast is
expecially important. The reason for this is that the upper outer quadrant is:
A. The largest quadrant of the breast
B. The location of most tumors
C. Where most of the suspensory ligaments attach
D. More prone to injury and calcifications that other locations in the breast - CORRECT ANSWER✅✅B
In performing an assessment of a woman's axillary lymph system, the nurse should assess which of
these nodes?
,A Central, axillary, lateral, and sternal
B. Pectoral, lateral, anterior, and sternal
C. Central, lateral, pectoral, and subscapular
D. Lateral, Pectoral, axillary, suprascapular - CORRECT ANSWER✅✅c
If a patient reports a recent breast infection, the the nurse should expect to find ____ node
enlargement.
A.Nonspecific
B. Ipsilateral Axillary
C. Contralateral axillary
D. Inguinal and cervical - CORRECT ANSWER✅✅B
5. A 9-year-old girl is in the clinic for a sport physical examination. After some initial shyness she finally
asks, Am I normal? I dont seem to need a bra yet, but I have some friends who do. What if I never get
breasts? The nurses best response would be:
a. Dont worry, you still have plenty of time to develop.
b. I know just how you feel, I was a late bloomer myself. Just be patient, and they will grow.
c. You will probably get your periods before you notice any significant growth in your breasts.
d. I understand that it is hard to feel different from your friends. Breasts usually develop between 8 and
10 years of age. - CORRECT ANSWER✅✅D
6. A patient contacts the office and tells the nurse that she is worried about her 10-year-old daughter
having breast cancer. She describes a unilateral enlargement of the right breast with associated
tenderness. She is worried because the left breast is not enlarged. What would be the nurses best
response? Tell the mother that:
a. Breast development is usually fairly symmetric and that the daughter should be examined right away.
b. She should bring in her daughter right away because breast cancer is fairly common in preadolescent
girls.
, c. Although an examination of her daughter would rule out a problem, her breast development is most
likely normal.
d. It is unusual for breasts that are first developing to feel tender because they havent developed much
fibrous tissue. - CORRECT ANSWER✅✅c
7. A 14-year-old girl is anxious about not having reached menarche. When taking the health history, the
nurse should ascertain which of the following? The age that:
a. The girl began to develop breasts.
b. Her mother developed breasts.
c. She began to develop pubic hair.
d. She began to develop axillary hair. - CORRECT ANSWER✅✅A
8. 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 nurses best response?
The nurse should tell her that:
a. Continual changes in her breasts are unusual. The breasts of nonpregnant women usually stay pretty
much the same all month long.
b. Breast changes in response to stress are very common and that she should assess her life for stressful
events.
c. Because of the changing hormones during the monthly menstrual cycle, cyclic breast changes are
common.
d. Breast changes normally occur only during pregnancy and that a pregnancy test is needed at this
time. - CORRECT ANSWER✅✅C
A 5 year old child is in the clinic for a checkup. The nurse would expect him to:
A. Need to be held on his mothers lab
B. Be able to sit on the exam table
C. Be able to stand on the floor for the exam
D. Be able to remain alone in the exam room - CORRECT ANSWER✅✅B
Which statement is true regarding the recording of data from the history and physical exam?
A. use long, descriptive sentences to document
B. record the data as soon as possible after the interview and physical exam
C. if the info is not documented, then it can be assumed that it was done as a standard of care
D. rapport with the patient - CORRECT ANSWER✅✅B
when assessing the neonate, the nurse should test for hip stability with which method?
A. eliciting the moro reflex
B. performing the romberg test
C. Checking for the ortolani sign
D. assessing the stepping reflex - CORRECT ANSWER✅✅C
A female patient tells the nurse that she has 4 children and has had 3 pregnancies. How should the
nurse document this?
A. Gravida 3, para 4
B. Gravida 4, para 3
C. This information cannot be documented using the terms gravida and para
D. The patient seems to be confused about how many times she has been pregnant - CORRECT
ANSWER✅✅A
,The nurse is documenting the assessment of an infant. During the abdominal assessment, the nurse
noticed a very loud splash auscultated over the upper abdomen when the nurse rocked her from side to
side. This finding would indicate:
A. Epigastric hernia
B. Pyloric obstruction
C. Hypoactive bowel sounds
D. hyperactive bowel sounds - CORRECT ANSWER✅✅D
Which of these actions is most appropriate to perform on a 9-month old infant at a well-child checkup?
A. Testing for ortolani sign
B. Assessment for sterognosis
C. Blood pressure measurement
D. Assessment for the presence of the startle reflex - CORRECT ANSWER✅✅A
Which of the following statements is true regarding the internal structures of the breast? The breast is
made up of:
A. Primarily muscle with very little fibrous tissue
B. Fibrous, glandular, and adipose tissues
C. Primarily milk ducts, known as lactiferous ducts
D. Glandular tissue, which supports the breast by attaching to the chest wall - CORRECT ANSWER✅✅b
In performing a breast exam, the nurse knows that examining the upper outer quadrant of the breast is
expecially important. The reason for this is that the upper outer quadrant is:
A. The largest quadrant of the breast
B. The location of most tumors
C. Where most of the suspensory ligaments attach
D. More prone to injury and calcifications that other locations in the breast - CORRECT ANSWER✅✅B
In performing an assessment of a woman's axillary lymph system, the nurse should assess which of
these nodes?
,A Central, axillary, lateral, and sternal
B. Pectoral, lateral, anterior, and sternal
C. Central, lateral, pectoral, and subscapular
D. Lateral, Pectoral, axillary, suprascapular - CORRECT ANSWER✅✅c
If a patient reports a recent breast infection, the the nurse should expect to find ____ node
enlargement.
A.Nonspecific
B. Ipsilateral Axillary
C. Contralateral axillary
D. Inguinal and cervical - CORRECT ANSWER✅✅B
5. A 9-year-old girl is in the clinic for a sport physical examination. After some initial shyness she finally
asks, Am I normal? I dont seem to need a bra yet, but I have some friends who do. What if I never get
breasts? The nurses best response would be:
a. Dont worry, you still have plenty of time to develop.
b. I know just how you feel, I was a late bloomer myself. Just be patient, and they will grow.
c. You will probably get your periods before you notice any significant growth in your breasts.
d. I understand that it is hard to feel different from your friends. Breasts usually develop between 8 and
10 years of age. - CORRECT ANSWER✅✅D
6. A patient contacts the office and tells the nurse that she is worried about her 10-year-old daughter
having breast cancer. She describes a unilateral enlargement of the right breast with associated
tenderness. She is worried because the left breast is not enlarged. What would be the nurses best
response? Tell the mother that:
a. Breast development is usually fairly symmetric and that the daughter should be examined right away.
b. She should bring in her daughter right away because breast cancer is fairly common in preadolescent
girls.
, c. Although an examination of her daughter would rule out a problem, her breast development is most
likely normal.
d. It is unusual for breasts that are first developing to feel tender because they havent developed much
fibrous tissue. - CORRECT ANSWER✅✅c
7. A 14-year-old girl is anxious about not having reached menarche. When taking the health history, the
nurse should ascertain which of the following? The age that:
a. The girl began to develop breasts.
b. Her mother developed breasts.
c. She began to develop pubic hair.
d. She began to develop axillary hair. - CORRECT ANSWER✅✅A
8. 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 nurses best response?
The nurse should tell her that:
a. Continual changes in her breasts are unusual. The breasts of nonpregnant women usually stay pretty
much the same all month long.
b. Breast changes in response to stress are very common and that she should assess her life for stressful
events.
c. Because of the changing hormones during the monthly menstrual cycle, cyclic breast changes are
common.
d. Breast changes normally occur only during pregnancy and that a pregnancy test is needed at this
time. - CORRECT ANSWER✅✅C
