NSG 6020 WEEK 10 Final Exam / NSG6020 WEEK
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10 Final Exam(LATEST-2026):SOUTH nq nq nq nq nq
UNIVERSITY(ANSWERSVERIFIED100%
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NSG6020FINALEXAM nq nq nq
A 65-year-old patient remarks that she just can't believe that her breasts sag so
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much. She states it must be from lack of exercise. What explanation should the
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nurse offer her?
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After menopause, the glandular and fat tissue atrophies, causing breast size and
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elasticitytodiminish, resultinginbreaststhatsag.
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Themotherofa10-year-oldboyasksthenursetodiscusstherecognitionof
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puberty. The nurse should reply by saying:
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“Pubertyusuallybegins aboutagefifteen.” nq nq nq nq nq
“Thefirstsignofpubertyis enlargementofthetestes.”
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“Penissizedoesnotincreaseuntilabouttheageofsixteen.” nq nq nq nq nq nq nq nq nq
"Thedevelopmentofpubic hairprecedes testicularorpenis enlargement.”
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Apatient has bilateral pitting edema ofthe feet. While assessing the peripheral
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vascularsystem,thenurse'sprimaryfocusshouldbe:
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Thecorrectansweris:Venousfunctionofthelowerextremities
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Duringanexamination, thenursenotesseverenystagmusinbotheyesofa nq nq nq nq nq nq nq nq nq nq nq nq
patient. Whichofthefollowingconclusionsis correct?
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1. Thisisanormaloccurrence. nq nq nq nq
2. Thismayindicatediseaseofthecerebellumorbrainstem.
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3. Thisisasignthatthepatientisnervousabouttheexamination.
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End-pointnystagmusatanextremelateralgazeoccursnormally. Assess anyother nq nq nq nq nq nq nq nq n q nq nq
nystagmus carefully. Severenystagmus occurs withdisease ofthevestibularsystem,
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cerebellum,orbrainstem.
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Whenperformingamusculoskeletalassessment, the nurseknows thecorrectapproach
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forthe examinationshould be:
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proximalto distal nq nq
A43-year-oldwomanisattheclinicforaroutineexamination. Shereports that
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she has hadabreastlump inher rightbreastforyears. Recently, ithas begunto
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changeinconsistencyandisbecomingharder. Shereportsthat5 years ago her
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physicianevaluatedthelumpanddeterminedthatit“was nothingtoworry
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about.”Theexaminationvalidatesthepresenceofamassin the right upper outer
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quadrant at 1 o'clock, approximately5 cmfromthe nipple.Itisfirm,mobile,
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nontender,withbordersthatarenotwelldefined.
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Thenurse'srecommendationtoheris:
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“Becauseofthechangeinconsistencyofthelump, itshouldbefurtherevaluatedby a
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physician.”
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Thenursepractitionerisexamininga3-month-oldinfant. Whileholdingthe
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thumbsontheinfant'sinner—mid-thighsandthefingersoutsideonthehips,
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touchingthegreatertrochanter, thenursepractitioneradducts thelegs until the
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nursepractitioner'sthumbstouchandthenabductsthelegsuntilthe infant's
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kneestouchthetable. Thenursepractitionerdoesnotnoteany "clunking"
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sounds and is confident to recorda:
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Negative Ortolani's sign. nq n q
Apatient's motherhas noticedthatherson, who has beentoanewbabysitter, has
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someblistersandscabsonhisfaceandbuttocks. Onexamination,the nurse
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noticesmoist,thin-roofedvesicleswithathinerythematous baseand suspects:
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Impetigo
The nurse is testing superficial reflexes on an adult patient. When stroking up the
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lateral side of the sole and across the ball of the foot, the nurse notices the plantar
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flexionofthetoes.Howwouldthenursedocumentthisfinding?
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1. Positive Babinski sign nq n q
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2. Plantarreflexabnormal q
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3. Plantarreflexpresent q
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4. Plantarreflex“2+”onascalefrom“0 to 4+” q
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With the same instrument, draw a light stroke up the lateral side of the sole ofthefoot
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and across the ball ofthe foot, like an upside-down “J.” The normal response is
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plantarflexionofthetoes andsometimes ofthewholefoot.
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Awomanisin the familyplanning clinic seeking birth controlinformation. She
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states that her breasts “change all month long” and that she isworried that this
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isunusual. Whatisthenurse'sbestresponse?
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Tell her that, because ofthe changing hormones during the monthly menstrual
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cycle,cyclicbreastchangesarecommon.
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Apatientstatesduringtheinterviewthatshenoticedanewbreastlumpinthe
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shower a fewdays ago. Itwas on her leftbreast near heraxilla. The RN should
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plan to:
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palpate the unaffectedbreast first n q nq nq n q
A16-yr-oldgirlisbeingseenatclinicforgastrointestinalcomplaints+weight loss.
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Nursedeterminesthatmanyofhercomplaintsmayberelatedtoerratic eating
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patterns,eatingpredominantlyfastfoods,+highcaffeineintake.Inthis situation,
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whichismostappropriatewhencollectingcurrentdietaryintake information?
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• 1. Schedule atime fordirectobservationoftheadolescentduringmeals.
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• 2. Askthepatientfora24-hourdietrecallandassumethisisreflectiveofa
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typicaldayforher.
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3. Havethepatientcompleteafooddiaryfor3days=2weekdays+1weekenddayFood
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diariesrequirethe individual to writedowneverythingconsumedforacertaintime
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period. Becauseoftheerraticeatingpatternsofthisindividual,assessingdietary
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intakeoverafewdayswouldproducemoreaccurateinformationregarding eating
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patterns. Directobservationis bestusedwithyoung childrenorolderadults.
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Toassesstheheadcontrolofa4-month-oldinfant, thenurseliftstheinfantup ina
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pronepositionwhilesupportinghischest. Thenurselooksforwhat normal
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response?
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1. Raises headandarches back. n q nq nq n q