NSG6020- Final Exam Review.pdf file:///C:/Users/HP/Desktop/SSSSSSS/NSG6020-%20Final%20Exa
NSG6020- Final Exam Review
1. A 65-year-old patient remarks that she just can't believe that her breast sagso much.
She states it must be from lack of exercise.What explanation shouldthe nurse offer her?
Answer 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 recognitionof puberty.
The nurse should reply by saying
Answer The first sign of puberty is en- largement of the testes
3. A patient has bilateral pitting edema of the feet.While assessing the periph-eral vascular
system, the nurse's primary focus should be
Answer Venous function ofthe lower extremities
4. During an examination, the nurse notes severe nystagmus in both eyes ofa patient.
Which of the following conclusions is correct?
Answer This may indicate disease of the cerebellum or brainstem
5. When performing a musculoskeletal assessment, the nurse knows the cor-rect
approach for the examination should be
Answer proximal to distal
6. A 43-year-old woman is at the clinic for a routine examination. She reportsthat 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
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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 ofthe 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 legsuntil 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
8. A patient's mother has noticed that her son, who has been to a new babysit-ter has some
blisters and scabs on his face and buttocks. On examination, thenurse notices moist, thin-
roofed vesicles with a thin erythematous base and suspects
Answer Impetigo
9. The nurse is testing superficial reflexes on a adult patient. When strokingup 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 thisfinding?
Answer Plantar reflex present
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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 thatthis is unusual.What is
the nurse's best response?
Answer Tell her that, because of thechanging hormones during the monthly menstrual cycle,
cyclic breast changes arecommon
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 RNshould plan to
Answer palpate the unaffected breast first
12. A 16-year-old girl is being seen at clinic for gastrointestinal complaints andweight loss.
Nurse determines that many of her complaints may be related to erratic eating patterns,
eating predominantly fast foods, and high caffeineintake. 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.
13. To assess the head control of a 4-month-old infant, the nurse lifts the infantup in a
prone position while supporting his chest. The nurse looks for what normal response?
Answer Raises head and arches back
14. A patient has a positive Homans' sign. the nurse know that a positiveHomans'
sign may indicate
Answer Deep vein thrombosis
15. The nurse is discussing breast self- examination with a postmenopausalwoman to
perform breast self examination is
Answer The same day every month
16. A 15-year-old boy is seen in the clinic for complaints of "dull pain and pulling" in the
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