Exam (elaborations)
NSG6020 FINAL #3 QUESTIONS AND ANSWERS
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NSG6020 FINAL #3 QUESTIONS AND ANSWERS
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NSG6020 FINAL #3 QUESTIONS AND ANSWERSA 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? - ANS-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? - ANS-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: - ANS-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? - ANS-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: - ANS-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: - ANS-
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: - ANS-
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: - ANS-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? - ANS-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? - ANS-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: - ANS-
palpate the unaffected breast first
A patient's annual physical examination reveals a lateral curvature of the thoracic and
lumbar segments of his spine; however, this curvature disappears with forward bending.
This abnormality of the spine would be called: - ANS-Functional scoliosis
Assessment of a 60-yr-old patient has taken longer than anticipated. in testing pain
perception nurse decides to complete the test as quickly as possible. When nurse
applies sharp point of pin on his arm several times, he is only able to identify these as
one 'very sharp prick.' most accurate explanation? - ANS-most likely the result of the
summation effect.
. Assessing a 7-month-old infant you make a loud noise and note the following
response: Abduction and flexion of arms and legs; fanning of fingers and curling of
index finger and thumb in C-position; followed by infant bringing in arms and legs to
body. What do you know about this? - ANS-This reflex should disappear between 1 and
4 months of age
The nurse is assessing a 75-year-old man. As the nurse beings the mental status
portion of the assessment, the nurse expects that this patient: - ANS-may take a little
longer to respond, but his general knowledge and abilities should not have declined
During an external genitalia examination of a woman, the nurse notices several lesions
around the vulva. The lesions are pink, moist, soft, and pointed papules. The patient
states that she is not aware of any problems in that area. The nurse recognizes that
these lesions may be: - ANS-HPV or genital WARTs
. A 40-year-old woman reports a change in mole size, accompanied by color changes,
itching, burning, and bleeding over the past month. She has a dark complexion and has
no family history of skin cancer, but she has had many blistering sunburns in the past.
The nurse would: - ANS-Refer the patient because of the suspicion of melanoma on the
basis of her symptoms.
Which of the following veins are responsible for most of the venous return in the arm? -
ANS-Superficial veins
A man who has had gout for several years comes to the clinic with a "problem with my
toe." On examination, the nurse practitioner notes the presence of hard, painless
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