NSG6020 Final #3
A 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? - ANSAfter
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? - ANSthe 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: - ANSvenous 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? - ANSthis may indicate disease of the cerebellum or
brainstem
When performing a musculoskeletal assessment, the nurse knows the correct approach for the
examination should be: - ANSproximal 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: - ANSBecause 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: - ANSNegative 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: - ANSImpetigo
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? - ANSPlantar 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? - ANSTell 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: - ANSpalpate the
unaffected breast first
1. A 16-yr-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, + high caffeine intake. In this situation, which is most appropriate
when collecting current dietary intake information? - ANSHave the patient complete a food diary
for 3 days=2 weekdays + 1 weekend day
Food diaries require the individual to write down everything consumed for a certain time period.
Because of the erratic eating patterns of this individual, assessing dietary intake over a few days
would produce more accurate information regarding eating patterns. Direct observation is best
used with young children or older adults.
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? - ANSRaises
head and arches back.
A patient has a positive Homans' sign. The nurse knows that a positive Homans' sign may
indicate: - ANSdeep vein thrombosis
The nurse is discussing breast self-examination with a postmenopausal woman. The best time
for postmenopausal women to perform breast self-examination is: - ANSthe same day every
month
A 15-year-old boy is seen in the clinic for complaints of "dull pain and pulling" in the scrotal area.
On examination the nurse palpates a soft, irregular mass posterior to and above the testis on
the left. This mass collapses when the patient is supine and refills when he is upright. This
description is consistent with: - ANSvaricocele
The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry.
This finding would be related to which factor? - ANSAn increased loss of elastin and a decrease
in subcutaneous fat in the elderly
A woman who is 22 weeks pregnant has a vaginal infection. She tells the nurse that she is
afraid that this infection will hurt the fetus. The nurse knows that which of these statements is
true? - ANSA thick mucus plug forms that protects the fetus from infection
A 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? - ANSAfter
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? - ANSthe 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: - ANSvenous 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? - ANSthis may indicate disease of the cerebellum or
brainstem
When performing a musculoskeletal assessment, the nurse knows the correct approach for the
examination should be: - ANSproximal 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: - ANSBecause 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: - ANSNegative 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: - ANSImpetigo
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? - ANSPlantar 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? - ANSTell 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: - ANSpalpate the
unaffected breast first
1. A 16-yr-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, + high caffeine intake. In this situation, which is most appropriate
when collecting current dietary intake information? - ANSHave the patient complete a food diary
for 3 days=2 weekdays + 1 weekend day
Food diaries require the individual to write down everything consumed for a certain time period.
Because of the erratic eating patterns of this individual, assessing dietary intake over a few days
would produce more accurate information regarding eating patterns. Direct observation is best
used with young children or older adults.
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? - ANSRaises
head and arches back.
A patient has a positive Homans' sign. The nurse knows that a positive Homans' sign may
indicate: - ANSdeep vein thrombosis
The nurse is discussing breast self-examination with a postmenopausal woman. The best time
for postmenopausal women to perform breast self-examination is: - ANSthe same day every
month
A 15-year-old boy is seen in the clinic for complaints of "dull pain and pulling" in the scrotal area.
On examination the nurse palpates a soft, irregular mass posterior to and above the testis on
the left. This mass collapses when the patient is supine and refills when he is upright. This
description is consistent with: - ANSvaricocele
The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry.
This finding would be related to which factor? - ANSAn increased loss of elastin and a decrease
in subcutaneous fat in the elderly
A woman who is 22 weeks pregnant has a vaginal infection. She tells the nurse that she is
afraid that this infection will hurt the fetus. The nurse knows that which of these statements is
true? - ANSA thick mucus plug forms that protects the fetus from infection
