NSG 6020 FINAL EXAM (3 VERSIONS) NSG6020 FINAL EXAM ... file:///C:/Users/HP/Desktop/SSSSSSS/NSG%206020%20FINAL%
NSG6020 FINAL EXAM (3 VERSIONS) NSG 6020
FINAL EXAM
1. 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?
Answer After menopause, the glandular and fat tissue atrophies, causing breast size and
elasticity to diminish, resulting in breast that sag
2. The mother of a 10-year-old boy asks the nurse to discuss the recognitionof puberty.
The nurse should reply by saying?
Answer the first sign of puberty is enlarge-ment of the testes
3. A patient has bilateral pitting edema of the feet.While assessing the periph-eral vascular
system, the nurse's primary focus should be
Answer venous function ofthe lower extremitites
1 of 31 8/30/2024, 3:34
,NSG 6020 FINAL EXAM (3 VERSIONS) NSG6020 FINAL EXAM ... file:///C:/Users/HP/Desktop/SSSSSSS/NSG%206020%20FINAL%
4. During an examination, the nurse notes severe nystagmus in both eyes of a patient.
Which of the following conclusions is correct?
Answer this may indicatedisease of the cerebellum or brainstem
5. When performing a musculoskeletal assessment, the nurse knows the cor-rect
approach for the examination should be
Answer proximal to distal
6. 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
Answer Because of the change in consistency ofthe lump, it should be further evaluated by a
physician
2 of 31 8/30/2024, 3:34
,NSG 6020 FINAL EXAM (3 VERSIONS) NSG6020 FINAL EXAM ... file:///C:/Users/HP/Desktop/SSSSSSS/NSG%206020%20FINAL%
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 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
Answer Negative Ortolani's sign
8. 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
Answer Impetigo
9. 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?
Answer Plantar reflex present
3 of 31 8/30/2024, 3:34
,NSG 6020 FINAL EXAM (3 VERSIONS) NSG6020 FINAL EXAM ... file:///C:/Users/HP/Desktop/SSSSSSS/NSG%206020%20FINAL%
10. 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?
Answer Tell her that, because ofthe changing hormones during the monthly menstrual cycle,
cyclic breast changesare common.
11. 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 RNshould plan to
Answer palpate the unaffected breast first
12. 1. A 16-yr-old girl is being seen at clinic for gastrointestinal complaints andweight loss.
Nurse determines that many of her complaints may be related toerratic eating patterns,
eating predominantly fast foods, + high caffeine intake.In this situation, which is most
appropriate when collecting current dietary intake information?
Answer Have 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 certaintime period.
4 of 31 8/30/2024, 3:34
NSG6020 FINAL EXAM (3 VERSIONS) NSG 6020
FINAL EXAM
1. 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?
Answer After menopause, the glandular and fat tissue atrophies, causing breast size and
elasticity to diminish, resulting in breast that sag
2. The mother of a 10-year-old boy asks the nurse to discuss the recognitionof puberty.
The nurse should reply by saying?
Answer the first sign of puberty is enlarge-ment of the testes
3. A patient has bilateral pitting edema of the feet.While assessing the periph-eral vascular
system, the nurse's primary focus should be
Answer venous function ofthe lower extremitites
1 of 31 8/30/2024, 3:34
,NSG 6020 FINAL EXAM (3 VERSIONS) NSG6020 FINAL EXAM ... file:///C:/Users/HP/Desktop/SSSSSSS/NSG%206020%20FINAL%
4. During an examination, the nurse notes severe nystagmus in both eyes of a patient.
Which of the following conclusions is correct?
Answer this may indicatedisease of the cerebellum or brainstem
5. When performing a musculoskeletal assessment, the nurse knows the cor-rect
approach for the examination should be
Answer proximal to distal
6. 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
Answer Because of the change in consistency ofthe lump, it should be further evaluated by a
physician
2 of 31 8/30/2024, 3:34
,NSG 6020 FINAL EXAM (3 VERSIONS) NSG6020 FINAL EXAM ... file:///C:/Users/HP/Desktop/SSSSSSS/NSG%206020%20FINAL%
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 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
Answer Negative Ortolani's sign
8. 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
Answer Impetigo
9. 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?
Answer Plantar reflex present
3 of 31 8/30/2024, 3:34
,NSG 6020 FINAL EXAM (3 VERSIONS) NSG6020 FINAL EXAM ... file:///C:/Users/HP/Desktop/SSSSSSS/NSG%206020%20FINAL%
10. 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?
Answer Tell her that, because ofthe changing hormones during the monthly menstrual cycle,
cyclic breast changesare common.
11. 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 RNshould plan to
Answer palpate the unaffected breast first
12. 1. A 16-yr-old girl is being seen at clinic for gastrointestinal complaints andweight loss.
Nurse determines that many of her complaints may be related toerratic eating patterns,
eating predominantly fast foods, + high caffeine intake.In this situation, which is most
appropriate when collecting current dietary intake information?
Answer Have 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 certaintime period.
4 of 31 8/30/2024, 3:34
