NSG6020 WEEK 10 Final Exam – 2026/2027
Edition – Actual Questions with 100% Verified
Correct Answers
Questions with Step-by-Step Answers | 100% Verified | A+ Graded Review
OVERVIEW:
NSG6020 WEEK 10 Final Exam – 2026/2027 covers comprehensive health
assessment across the lifespan. Topics include breast and lymphatic
examination, puberty and reproductive health, peripheral vascular and neurologic
assessment, musculoskeletal screening, genitourinary and STI evaluation,
pediatric growth and reflexes, pregnancy physiology, aging changes, skin lesions,
and patient education on BSE, Pap smear, and health promotion.
Answers are in bold Green, with rationales after.
1. 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?
A. After menopause, the glandular and fat tissue atrophies, causing breast size and
elasticity to diminish, resulting in breasts that sag.
B. Sagging is due to lack of exercise and can be corrected with chest workouts.
C. This is caused by wearing an underwire bra too long.
D. This indicates breast cancer and needs immediate biopsy.
, Rationale: Postmenopausal estrogen decline leads to atrophy of glandular tissue
and loss of elasticity, causing ptosis. This is physiological, not due to lack of
exercise.
2. The mother of a 10-year-old boy asks the nurse to discuss the recognition of
puberty. The nurse should reply by saying:
A. Puberty usually begins about age fifteen.
B. The first sign of puberty is enlargement of the testes.
C. Penis size does not increase until about the age of sixteen.
D. The development of pubic hair precedes testicular or penis enlargement.
Rationale: In boys, testicular enlargement is the earliest sign of puberty, typically
around age 9-11.
3. A patient has bilateral pitting edema of the feet. While assessing the peripheral
vascular system, the nurse's primary focus should be:
A. Venous function of the lower extremities
B. Arterial function of the lower extremities
C. Lymphatic obstruction in the upper extremities
D. Cardiac output only
Rationale: Bilateral pitting edema suggests venous insufficiency or systemic cause
affecting venous return.
4. During an examination, the nurse notes severe nystagmus in both eyes of a patient.
Which of the following conclusions is correct?
A. This is a normal occurrence.
B. This may indicate disease of the cerebellum or brainstem.
C. This is a sign that the patient is nervous about the examination.
D. This indicates a visual problem and a referral to an ophthalmologist is indicated.
Rationale: End-point nystagmus at extreme lateral gaze is normal; severe
sustained nystagmus indicates vestibular, cerebellar, or brainstem disease.
, 5. When performing a musculoskeletal assessment, the nurse knows the correct
approach for the examination should be:
A. Proximal to distal
B. Distal to proximal
C. Random order based on patient complaint
D. From painful area to non-painful area
Rationale: Musculoskeletal exam proceeds proximal to distal to systematically
assess joints and strength.
6. 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 upper outer quadrant at 1
o'clock, approximately 5 cm from the nipple. It is firm, mobile, nontender, with
borders that are not well defined. The nurse's recommendation to her is:
A. Because of the change in consistency of the lump, it should be further evaluated
by a physician.
B. Continue to monitor, no action needed.
C. Apply warm compress and it will resolve.
D. This is normal for premenopausal women.
Rationale: Any change in previously stable mass - increased firmness, indistinct
borders - requires prompt re-evaluation to rule out malignancy.
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 legs until the thumbs touch and
then abducts the legs until the infant's knees touch the table. The nurse does not note
any 'clunking' sounds and is confident to record a:
A. Negative Ortolani's sign.
B. Positive Ortolani's sign.
C. Positive Barlow's sign.
D. Positive Allis sign.
Edition – Actual Questions with 100% Verified
Correct Answers
Questions with Step-by-Step Answers | 100% Verified | A+ Graded Review
OVERVIEW:
NSG6020 WEEK 10 Final Exam – 2026/2027 covers comprehensive health
assessment across the lifespan. Topics include breast and lymphatic
examination, puberty and reproductive health, peripheral vascular and neurologic
assessment, musculoskeletal screening, genitourinary and STI evaluation,
pediatric growth and reflexes, pregnancy physiology, aging changes, skin lesions,
and patient education on BSE, Pap smear, and health promotion.
Answers are in bold Green, with rationales after.
1. 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?
A. After menopause, the glandular and fat tissue atrophies, causing breast size and
elasticity to diminish, resulting in breasts that sag.
B. Sagging is due to lack of exercise and can be corrected with chest workouts.
C. This is caused by wearing an underwire bra too long.
D. This indicates breast cancer and needs immediate biopsy.
, Rationale: Postmenopausal estrogen decline leads to atrophy of glandular tissue
and loss of elasticity, causing ptosis. This is physiological, not due to lack of
exercise.
2. The mother of a 10-year-old boy asks the nurse to discuss the recognition of
puberty. The nurse should reply by saying:
A. Puberty usually begins about age fifteen.
B. The first sign of puberty is enlargement of the testes.
C. Penis size does not increase until about the age of sixteen.
D. The development of pubic hair precedes testicular or penis enlargement.
Rationale: In boys, testicular enlargement is the earliest sign of puberty, typically
around age 9-11.
3. A patient has bilateral pitting edema of the feet. While assessing the peripheral
vascular system, the nurse's primary focus should be:
A. Venous function of the lower extremities
B. Arterial function of the lower extremities
C. Lymphatic obstruction in the upper extremities
D. Cardiac output only
Rationale: Bilateral pitting edema suggests venous insufficiency or systemic cause
affecting venous return.
4. During an examination, the nurse notes severe nystagmus in both eyes of a patient.
Which of the following conclusions is correct?
A. This is a normal occurrence.
B. This may indicate disease of the cerebellum or brainstem.
C. This is a sign that the patient is nervous about the examination.
D. This indicates a visual problem and a referral to an ophthalmologist is indicated.
Rationale: End-point nystagmus at extreme lateral gaze is normal; severe
sustained nystagmus indicates vestibular, cerebellar, or brainstem disease.
, 5. When performing a musculoskeletal assessment, the nurse knows the correct
approach for the examination should be:
A. Proximal to distal
B. Distal to proximal
C. Random order based on patient complaint
D. From painful area to non-painful area
Rationale: Musculoskeletal exam proceeds proximal to distal to systematically
assess joints and strength.
6. 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 upper outer quadrant at 1
o'clock, approximately 5 cm from the nipple. It is firm, mobile, nontender, with
borders that are not well defined. The nurse's recommendation to her is:
A. Because of the change in consistency of the lump, it should be further evaluated
by a physician.
B. Continue to monitor, no action needed.
C. Apply warm compress and it will resolve.
D. This is normal for premenopausal women.
Rationale: Any change in previously stable mass - increased firmness, indistinct
borders - requires prompt re-evaluation to rule out malignancy.
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 legs until the thumbs touch and
then abducts the legs until the infant's knees touch the table. The nurse does not note
any 'clunking' sounds and is confident to record a:
A. Negative Ortolani's sign.
B. Positive Ortolani's sign.
C. Positive Barlow's sign.
D. Positive Allis sign.
