NSG6020 / NSG 6020 FINAL EXAM 3 2024/2025 | QUESTIONS WITH 100% VERIFIED ANSWERS AND COMPREHENSIVE RATIONALES | GRADED A+
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Course
NSG 6020
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NSG 6020
NSG6020 / NSG 6020 FINAL EXAM 3 2024/2025 | QUESTIONS WITH 100% VERIFIED ANSWERS AND COMPREHENSIVE RATIONALES | GRADED A+
1. In assessment of 1-month-old, nurse notes a lack of response to noise orstimulation.
mother reports that in the last week he has been sleeping all thetime + when awake al...
NSG 6020 FINAL EXAM 3
1. In assessment of 1-month-old, nurse notes a lack of response to noise orstimulation.
mother reports that in the last week he has been sleeping all thetime + when awake all he does
is cry. nurse hears that infant's cries are veryhigh pitched and shrill. What would be nurse's
appropriate response?: Referthe infant for further testing
2. A female patient is 8 months pregnant. She comments that she has noticeda change in
posture and is having lower back pain. The nurse tells her that during pregnancy women have a
posture shift to compensate for the enlargingfetus. This shift in posture is:: lordosis
3. A 14-year-old girl is anxious about not having reached menarche. Whentaking the history,
the nurse should ascertain which of the following? The age:: she began to develop breasts
4. A 9-year-old girl is in the clinic for a sports physical. After some initial shyness she
finally asks, "Am I normal? I don't seem to need a bra yet, butI have some friends who do.
What if I never get breasts?" The nurse's best
response would be:: "I understand that it is hard to feel different from your friends.Breasts
usually develop between 8 and 10 years of age."
5. During an examination, the nurse notes a supernumerary nipple just underthe patient's left
breast. The patient tells the nurse that she always thought
it was a mole. Which statement about this finding is correct?: It is a normalvariation and not a
significant finding
6. The major artery that supplies blood to arm: brachial artery
7. The nurse is testing the function of cranial nerve XI. Which of these bestdescribes the
response the nurse should expect if the nerve is intact? The patient: moves head and shoulder
against resistance with equal strength
8. In a person with an upper motor neuron lesion such as a cerebrovascular accident, which of
the following physical assessment findings would the nurseexpect to see?: Hyperreflexia
9. A few days after a summer hiking trip, a 25-year-old man comes to the clinicwith a rash. On
examination, the nurse notes that the rash is red, macular, with a bull's eye pattern across his
midriff and behind his knees. The nurse suspects:: lyme disease
10. To assess the dorsalis pedis artery, the nurse would palpate: lateral to theextensor tendon
of the great toe. The dorsalis pedis artery is located on the dorsumof the foot. Palpate just lateral
to and parallel with the extensor tendon of the big toe.
11. The nurse is performing a neurologic assessment on a 41-year-old womanwith a history of
diabetes. When testing her ability to feel the vibrations of
a tuning fork, the nurse notes the following: unable to feel vibrations on the
great toe or ankle bilaterally; is able to feel vibrations on both patellae. Giventhis information,
, what would the nurse suspect?: Peripheral neuropathy
12. The nurse is reviewing an assessment of a patient's peripheral pulses andnotices that the
documentation states that the radial pulses are "2+." The nurse recognizes that this reading
indicates what type of pulse?: normal
13. During an examination, you note that a male patient has a red, round, su-perficial ulcer
with a yellowish-serous discharge on his penis. Upon palpation,you note a nontender base that
feels like a small button between your thumband fingers. At this point you suspect that this
patient has:: syphilitic chancre
14. A 65-year-old patient remarks that she just can't believe that her breasts sagso much. She
states it must be from lack of exercise. What explanation shouldthe nurse offer her?: After
menopause, the glandular and fat tissue atrophies, causing breast size and elasticity to
diminish, resulting in breast that sag
15. 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 enlarge-ment of the testes
16. A patient has bilateral pitting edema of the feet. While assessing the periph- eral vascular
system, the nurse's primary focus should be:: venous function ofthe lower extremitites
17. During an examination, the nurse notes severe nystagmus in both eyes of a patient.
Which of the following conclusions is correct?: this may indicatedisease of the cerebellum or
brainstem
18. When performing a musculoskeletal assessment, the nurse knows the cor-rect approach
for the examination should be:: proximal to distal
19. 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 inthe 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:: Because of the change
in consistency ofthe lump, it should be further evaluated by a physician
20. 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 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:: Negative Ortolani's sign
21. 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:: Impetigo
22. The nurse is testing superficial reflexes on an 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 this finding?: Plantar reflex present
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