NSG6020- Final Exam Review
1. 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?: After menopause, the glandular and fat tissue
atrophies, causing breast size and elasticity to diminish, resulting in breasts that
sag.
2. 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
3. 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 extremities
4. 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
5. When performing a musculoskeletal assessment, the nurse knows the
correct approach for the examination should be:: proximal to distal
6. 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:: Because of the change
in consistency of the lump, it should be further evaluated by a physician.
7. 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
, NSG6020- Final Exam Review
note any "clunking" sounds and is confident to record a": Negative
Ortolani's sign
8. 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
9. 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?: Plantar reflex present
10. 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?: Tell her that,
because of the changing hormones during the monthly menstrual cycle, cyclic
breast changes are common
11. 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
12. 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?: Have the patient complete a
food diary for 3 day= 2 weekdays + 2 weekend day.
13. 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
14. A patient has a positive Homans' sign. the nurse know that a positive
Homans' sign may indicate:: Deep vein thrombosis
1. 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?: After menopause, the glandular and fat tissue
atrophies, causing breast size and elasticity to diminish, resulting in breasts that
sag.
2. 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
3. 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 extremities
4. 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
5. When performing a musculoskeletal assessment, the nurse knows the
correct approach for the examination should be:: proximal to distal
6. 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:: Because of the change
in consistency of the lump, it should be further evaluated by a physician.
7. 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
, NSG6020- Final Exam Review
note any "clunking" sounds and is confident to record a": Negative
Ortolani's sign
8. 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
9. 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?: Plantar reflex present
10. 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?: Tell her that,
because of the changing hormones during the monthly menstrual cycle, cyclic
breast changes are common
11. 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
12. 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?: Have the patient complete a
food diary for 3 day= 2 weekdays + 2 weekend day.
13. 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
14. A patient has a positive Homans' sign. the nurse know that a positive
Homans' sign may indicate:: Deep vein thrombosis
