Stuvia.com - The Marketplace to Buy and Sell your Study Material zz zz zz zz zz zz zz zz zz zz
NSG 6020 WEEK 10 Final Exam / NSG6020 WEEK
zz zz zz z zz z z zz zz zz zz
10 Final Exam(LATEST-2026):SOUTHzz z zz zz zz
UNIVERSITY(ANSWERSVERIFIED100%
zz z z z z z
CORRECT) z
NSG6020FINALEXAM z z z
A 65-year-old patient remarks that she just can't believe that her breasts sag so
z z z z z z z z z z z z zz
much. She states it must be from lackofexercise. What explanation should the nurse
zz zz zz zz zz zz zz zz z z zz zz zz zz zz
offer her?
zz zz
After menopause, the glandular and fat tissue atrophies, causing breast size and
z zz z z z z zz zz z z z
elasticitytodiminish, resultinginbreaststhatsag.
zz z z zz z z z z
Themotherofa10-year-oldboyasksthenursetodiscusstherecognitionof
z z z z z z z z z z z z z
puberty. The nurse should reply by saying:
zz zz zz zz zz zz zz
“Pubertyusuallybeginsaboutagefifteen.” z z zz z z
“Thefirstsignofpubertyis enlargementofthetestes.”
z z z z zz z z
“Penissizedoesnotincreaseuntilabouttheageofsixteen.”
z z z z z z z z z
"Thedevelopmentofpubichairprecedes testicularorpenis enlargement.”
z z zz z zz z z zz
Apatient has bilateral pitting edema ofthe feet. While assessing the peripheral
z zz zz zz zz zz z zz zz zz zz zz
vascularsystem,thenurse'sprimaryfocusshouldbe:
z z zz z z z z z
Thecorrectansweris:Venousfunctionofthelowerextremities
z z z z z z z z
Duringanexamination,thenursenotesseverenystagmusinbotheyesofa patient.
z z zz z z zz z zz z z z z zz
Whichofthefollowingconclusionsiscorrect?
zz z z z z z zz
1. Thisisanormaloccurrence. z z z z
2. Thismayindicatediseaseofthecerebellumorbrainstem.
z z zz z z z z
3. Thisisasignthatthepatientisnervousabouttheexamination.
z z z z z z z z z z z
, Stuvia.com - The Marketplace to Buy and Sell your Study Material zz zz zz zz zz zz zz zz zz zz
End-pointnystagmusatanextremelateralgazeoccursnormally. Assessanyother z zz z z zz z z zz z z zz z
nystagmus carefully. Severenystagmusoccurswithdisease ofthevestibularsystem,
z zz z z zz zz zz z zz zz z
cerebellum,orbrainstem.
z z z
Whenperformingamusculoskeletalassessment, thenurseknows thecorrectapproach
zz z zz zz zz zz zz zz z zz
forthe examinationshouldbe:
zz zz zz z zz
proximalto distal zz zz
A43-year-oldwomanisattheclinicforaroutineexamination. Shereports that
z z z z z z z z z z zz z zz
shehas hadabreastlump inherrightbreastforyears. Recently, ithas begunto
z z zz z z zz zz z z z z z zz zz z zz z
changeinconsistencyandisbecomingharder.Shereportsthat5 years agoher
z z z z z z z zz z z z zz zz z
physicianevaluatedthelumpanddeterminedthatit“was nothingtoworry
z z z z z z z z z zz z z
about.”Theexaminationvalidatesthepresenceofamassin the right upper outer
z z z z z z z z z z zz zz zz zz
quadrant at 1 o'clock, approximately5 cmfromthe nipple.Itisfirm,mobile,
zz zz zz zz zz z zz z z zz z z z z
nontender,withbordersthatarenotwelldefined.
z z z z z z z z
Thenurse'srecommendationtoheris:
z z z z z
“Becauseofthechangeinconsistencyofthelump, itshouldbefurtherevaluatedby a zz z z z z zz zz z z z z z zz
physician.”
zz
Thenursepractitionerisexamininga3-month-oldinfant.Whileholdingthe
z z z z z z z zz z z
thumbsontheinfant'sinner—mid-thighsandthefingersoutsideonthehips,
zz zz z z zz zz z z zz zz z z
touchingthegreatertrochanter,thenursepractitioneradductsthelegsuntilthe
z z z z zz z z z zz z zz zz
nursepractitioner'sthumbstouchandthenabductsthelegsuntilthe infant's
z z z z z z z z z z z zz
kneestouchthetable.Thenursepractitionerdoesnotnoteany "clunking"
z z z z zz z z z z z z zz
sounds and is confident to recorda:
zz zz zz zz zz zz z
Negative Ortolani's sign. zz z z
Apatient'smotherhasnoticedthatherson,whohasbeentoanewbabysitter,has
z zz z zz z z z zz zz zz z z z z zz
someblistersandscabsonhisfaceandbuttocks.Onexamination,the nurse
z z z z z z z z z z z z zz
noticesmoist,thin-roofedvesicleswithathinerythematousbaseand suspects:
z z zz z z z z z zz z zz
Impetigo
The nurse is testing superficial reflexes on an adult patient. When stroking up the
z zz zz z z zz z z z zz z z zz
lateral side of the sole and across the ball of the foot, the nurse notices the plantar
z z z z z z z z z z z z zz z z zz zz
flexionofthetoes.Howwouldthenursedocumentthisfinding?
z z z z z z z z z z z
1. Positive Babinski sign zz zz
, Stuvia.com - The Marketplace to Buy and Sell your Study Material zz zz zz zz zz zz zz zz zz zz
2. Plantarreflexabnormal z z
3. Plantarreflexpresent z z
4. Plantarreflex“2+”onascalefrom“0to4+” z z zz z z z z zz zz
With the same instrument, draw a light stroke up the lateral side of the sole ofthe foot
zz zz zz zz zz zz zz zz zz zz zz zz zz zz zz z
andacrossthe ball ofthe foot, like anupside-down“J.” The normal responseisplantar
zz zz zz zz zz zz z z zz zz zz zz zz zz z z
flexionofthetoes andsometimesofthewholefoot.
z z z zz z zz zz zz
Awomanisinthe family planning clinic seeking birth controlinformation. She
z z z z z z z z z z z zz
states that her breasts “change all month long” and that she is worried that this
z z z z z z z z z z z z z zz z
isunusual. Whatisthenurse'sbestresponse?
z z zz z z z z z
Tell her that, because ofthe changing hormones during the monthly menstrual
zz zz zz zz zz zz zz zz zz zz
cycle,cyclicbreastchangesarecommon.
z zz z z z z
Apatientstatesduringtheinterviewthatshenoticedanewbreastlumpinthe
z z z z z z z z z z z z z z
showerafewdays ago. Itwas on her leftbreast near heraxilla. The RN should
zz zz zz z zz zz zz zz zz zz z zz zz z zz zz zz
plan to:
zz zz
palpate the unaffectedbreast first zz zz z zz
A16-yr-oldgirlisbeingseenatclinicforgastrointestinalcomplaints+weight loss.
z z z z z z z z z z zz
Nursedeterminesthatmanyofhercomplaintsmayberelatedtoerratic eating
z z z z z z z z z z z z zz
patterns,eatingpredominantlyfastfoods,+highcaffeineintake.Inthissituation,
z z z z z z z z z z z zz
whichismostappropriatewhencollectingcurrentdietaryintake information?
z z z z z z z z z zz
• 1. Schedule atime fordirectobservationoftheadolescentduringmeals.
z z z zz z zz z z z zz z z
• 2. Askthepatientfora24-hourdietrecallandassumethisisreflectiveofa
z z z z z z z z zz zz z zz zz zz z
typicaldayforher.
z z z z
3. Havethepatientcompleteafooddiaryfor3days=2weekdays+1weekenddayFood
z z z zz z z z z z z zz zz zz z z z z
diariesrequiretheindividual towritedowneverythingconsumedforacertaintime
z zz zz zz zz zz zz z zz z z z
period. Becauseoftheerraticeatingpatternsofthisindividual,assessingdietary
z zz z z z z z z z
intakeoverafewdayswouldproducemoreaccurateinformationregardingeating
z z z z z z z z z z zz
patterns. Directobservationis bestusedwithyoungchildrenorolderadults.
zz z z zz z zz zz z zz z z z
Toassesstheheadcontrolofa4-month-oldinfant,thenurseliftstheinfantupina
z zz z z z z z z zz z z z z z zz z
pronepositionwhilesupportinghischest.Thenurselooksforwhat normal
z z z z z z zz z z z z zz
response?
zz
1. Raises headandarches back. zz z z z z
NSG 6020 WEEK 10 Final Exam / NSG6020 WEEK
zz zz zz z zz z z zz zz zz zz
10 Final Exam(LATEST-2026):SOUTHzz z zz zz zz
UNIVERSITY(ANSWERSVERIFIED100%
zz z z z z z
CORRECT) z
NSG6020FINALEXAM z z z
A 65-year-old patient remarks that she just can't believe that her breasts sag so
z z z z z z z z z z z z zz
much. She states it must be from lackofexercise. What explanation should the nurse
zz zz zz zz zz zz zz zz z z zz zz zz zz zz
offer her?
zz zz
After menopause, the glandular and fat tissue atrophies, causing breast size and
z zz z z z z zz zz z z z
elasticitytodiminish, resultinginbreaststhatsag.
zz z z zz z z z z
Themotherofa10-year-oldboyasksthenursetodiscusstherecognitionof
z z z z z z z z z z z z z
puberty. The nurse should reply by saying:
zz zz zz zz zz zz zz
“Pubertyusuallybeginsaboutagefifteen.” z z zz z z
“Thefirstsignofpubertyis enlargementofthetestes.”
z z z z zz z z
“Penissizedoesnotincreaseuntilabouttheageofsixteen.”
z z z z z z z z z
"Thedevelopmentofpubichairprecedes testicularorpenis enlargement.”
z z zz z zz z z zz
Apatient has bilateral pitting edema ofthe feet. While assessing the peripheral
z zz zz zz zz zz z zz zz zz zz zz
vascularsystem,thenurse'sprimaryfocusshouldbe:
z z zz z z z z z
Thecorrectansweris:Venousfunctionofthelowerextremities
z z z z z z z z
Duringanexamination,thenursenotesseverenystagmusinbotheyesofa patient.
z z zz z z zz z zz z z z z zz
Whichofthefollowingconclusionsiscorrect?
zz z z z z z zz
1. Thisisanormaloccurrence. z z z z
2. Thismayindicatediseaseofthecerebellumorbrainstem.
z z zz z z z z
3. Thisisasignthatthepatientisnervousabouttheexamination.
z z z z z z z z z z z
, Stuvia.com - The Marketplace to Buy and Sell your Study Material zz zz zz zz zz zz zz zz zz zz
End-pointnystagmusatanextremelateralgazeoccursnormally. Assessanyother z zz z z zz z z zz z z zz z
nystagmus carefully. Severenystagmusoccurswithdisease ofthevestibularsystem,
z zz z z zz zz zz z zz zz z
cerebellum,orbrainstem.
z z z
Whenperformingamusculoskeletalassessment, thenurseknows thecorrectapproach
zz z zz zz zz zz zz zz z zz
forthe examinationshouldbe:
zz zz zz z zz
proximalto distal zz zz
A43-year-oldwomanisattheclinicforaroutineexamination. Shereports that
z z z z z z z z z z zz z zz
shehas hadabreastlump inherrightbreastforyears. Recently, ithas begunto
z z zz z z zz zz z z z z z zz zz z zz z
changeinconsistencyandisbecomingharder.Shereportsthat5 years agoher
z z z z z z z zz z z z zz zz z
physicianevaluatedthelumpanddeterminedthatit“was nothingtoworry
z z z z z z z z z zz z z
about.”Theexaminationvalidatesthepresenceofamassin the right upper outer
z z z z z z z z z z zz zz zz zz
quadrant at 1 o'clock, approximately5 cmfromthe nipple.Itisfirm,mobile,
zz zz zz zz zz z zz z z zz z z z z
nontender,withbordersthatarenotwelldefined.
z z z z z z z z
Thenurse'srecommendationtoheris:
z z z z z
“Becauseofthechangeinconsistencyofthelump, itshouldbefurtherevaluatedby a zz z z z z zz zz z z z z z zz
physician.”
zz
Thenursepractitionerisexamininga3-month-oldinfant.Whileholdingthe
z z z z z z z zz z z
thumbsontheinfant'sinner—mid-thighsandthefingersoutsideonthehips,
zz zz z z zz zz z z zz zz z z
touchingthegreatertrochanter,thenursepractitioneradductsthelegsuntilthe
z z z z zz z z z zz z zz zz
nursepractitioner'sthumbstouchandthenabductsthelegsuntilthe infant's
z z z z z z z z z z z zz
kneestouchthetable.Thenursepractitionerdoesnotnoteany "clunking"
z z z z zz z z z z z z zz
sounds and is confident to recorda:
zz zz zz zz zz zz z
Negative Ortolani's sign. zz z z
Apatient'smotherhasnoticedthatherson,whohasbeentoanewbabysitter,has
z zz z zz z z z zz zz zz z z z z zz
someblistersandscabsonhisfaceandbuttocks.Onexamination,the nurse
z z z z z z z z z z z z zz
noticesmoist,thin-roofedvesicleswithathinerythematousbaseand suspects:
z z zz z z z z z zz z zz
Impetigo
The nurse is testing superficial reflexes on an adult patient. When stroking up the
z zz zz z z zz z z z zz z z zz
lateral side of the sole and across the ball of the foot, the nurse notices the plantar
z z z z z z z z z z z z zz z z zz zz
flexionofthetoes.Howwouldthenursedocumentthisfinding?
z z z z z z z z z z z
1. Positive Babinski sign zz zz
, Stuvia.com - The Marketplace to Buy and Sell your Study Material zz zz zz zz zz zz zz zz zz zz
2. Plantarreflexabnormal z z
3. Plantarreflexpresent z z
4. Plantarreflex“2+”onascalefrom“0to4+” z z zz z z z z zz zz
With the same instrument, draw a light stroke up the lateral side of the sole ofthe foot
zz zz zz zz zz zz zz zz zz zz zz zz zz zz zz z
andacrossthe ball ofthe foot, like anupside-down“J.” The normal responseisplantar
zz zz zz zz zz zz z z zz zz zz zz zz zz z z
flexionofthetoes andsometimesofthewholefoot.
z z z zz z zz zz zz
Awomanisinthe family planning clinic seeking birth controlinformation. She
z z z z z z z z z z z zz
states that her breasts “change all month long” and that she is worried that this
z z z z z z z z z z z z z zz z
isunusual. Whatisthenurse'sbestresponse?
z z zz z z z z z
Tell her that, because ofthe changing hormones during the monthly menstrual
zz zz zz zz zz zz zz zz zz zz
cycle,cyclicbreastchangesarecommon.
z zz z z z z
Apatientstatesduringtheinterviewthatshenoticedanewbreastlumpinthe
z z z z z z z z z z z z z z
showerafewdays ago. Itwas on her leftbreast near heraxilla. The RN should
zz zz zz z zz zz zz zz zz zz z zz zz z zz zz zz
plan to:
zz zz
palpate the unaffectedbreast first zz zz z zz
A16-yr-oldgirlisbeingseenatclinicforgastrointestinalcomplaints+weight loss.
z z z z z z z z z z zz
Nursedeterminesthatmanyofhercomplaintsmayberelatedtoerratic eating
z z z z z z z z z z z z zz
patterns,eatingpredominantlyfastfoods,+highcaffeineintake.Inthissituation,
z z z z z z z z z z z zz
whichismostappropriatewhencollectingcurrentdietaryintake information?
z z z z z z z z z zz
• 1. Schedule atime fordirectobservationoftheadolescentduringmeals.
z z z zz z zz z z z zz z z
• 2. Askthepatientfora24-hourdietrecallandassumethisisreflectiveofa
z z z z z z z z zz zz z zz zz zz z
typicaldayforher.
z z z z
3. Havethepatientcompleteafooddiaryfor3days=2weekdays+1weekenddayFood
z z z zz z z z z z z zz zz zz z z z z
diariesrequiretheindividual towritedowneverythingconsumedforacertaintime
z zz zz zz zz zz zz z zz z z z
period. Becauseoftheerraticeatingpatternsofthisindividual,assessingdietary
z zz z z z z z z z
intakeoverafewdayswouldproducemoreaccurateinformationregardingeating
z z z z z z z z z z zz
patterns. Directobservationis bestusedwithyoungchildrenorolderadults.
zz z z zz z zz zz z zz z z z
Toassesstheheadcontrolofa4-month-oldinfant,thenurseliftstheinfantupina
z zz z z z z z z zz z z z z z zz z
pronepositionwhilesupportinghischest.Thenurselooksforwhat normal
z z z z z z zz z z z z zz
response?
zz
1. Raises headandarches back. zz z z z z
