NSG6020- Final Exam Review
A 65-year-old patient remarks that she just can't believe that her breast sag so much. She states it must
be from lack of exercise. What explanation should the nurse offer her? - Answer-After menopause, the
glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breasts 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: - Answer-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: - Answer-Venous function of the lower extremities
During an examination, the nurse notes severe nystagmus in both eyes of a patient. Which of the
following conclusions is correct? - Answer-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: - Answer-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 upper outer
quadrant at 1 o'clock approximately 5 cm from the nipple. It is firm, mobile, non-tender, with borders
that are not well defined. The nurse's recommendation to her is: - Answer-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 thumb 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" - Answer-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: - Answer-Impetigo
The nurse is testing superficial reflexes on a 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? - Answer-Plantar reflex present
A woman is in the family planning clinic seeking birth control information. She states that her breast
"change all month long" and that she is worried that this is unusual. What is the nurse's best response? -
Answer-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: - Answer-palpate the unaffected breast
first
A 16-year-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, and high caffeine intake. In this situation, which is most appropriate when collecting current
dietary intake information? - Answer-Have the patient complete a food diary for 3 day= 2 weekdays + 2
weekend day.
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? - Answer-Raises head and arches back
A patient has a positive Homans' sign. the nurse know that a positive Homans' sign may indicate: -
Answer-Deep vein thrombosis
A 65-year-old patient remarks that she just can't believe that her breast sag so much. She states it must
be from lack of exercise. What explanation should the nurse offer her? - Answer-After menopause, the
glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breasts 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: - Answer-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: - Answer-Venous function of the lower extremities
During an examination, the nurse notes severe nystagmus in both eyes of a patient. Which of the
following conclusions is correct? - Answer-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: - Answer-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 upper outer
quadrant at 1 o'clock approximately 5 cm from the nipple. It is firm, mobile, non-tender, with borders
that are not well defined. The nurse's recommendation to her is: - Answer-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 thumb 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" - Answer-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: - Answer-Impetigo
The nurse is testing superficial reflexes on a 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? - Answer-Plantar reflex present
A woman is in the family planning clinic seeking birth control information. She states that her breast
"change all month long" and that she is worried that this is unusual. What is the nurse's best response? -
Answer-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: - Answer-palpate the unaffected breast
first
A 16-year-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, and high caffeine intake. In this situation, which is most appropriate when collecting current
dietary intake information? - Answer-Have the patient complete a food diary for 3 day= 2 weekdays + 2
weekend day.
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? - Answer-Raises head and arches back
A patient has a positive Homans' sign. the nurse know that a positive Homans' sign may indicate: -
Answer-Deep vein thrombosis
