Practice Questions with
Verified Answers. GRADED A+.
Latest 2026/2027 Update
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
The nurse is discussing breast self- examination with a postmenopausal woman
to perform breast self examination is: - Answer✔✔-The same day every month