TEST EXAM: NURS 210 - PHYSICAL
ASSESSMENT, 2024/2025 WITH
CORRECT/ACCURATE ANSWERS
The nurse is conducting a class on a priority setting for a group of
new graduate nurses. Which is an example of a first-level priority
problems?
a. Patient with postoperative pain
b. newly diagnosed patient with diabetes who needs diabetic
teaching
c. individual with a small laceration on the sole of the foot
d. individual with shortness of breath and respiratory distress -
CORRECT ANSWERS- D
The nurse is teaching a class on breast cancer risks. What will be
included in the teaching? (Select all that apply.)
A.
BRCA1 and BRCA2 gene mutations
B.
Female gender, age >65 years
C.
Late menarche (>12 years)
,D.
Mammographically dense breasts
E.
First-degree relative with breast cancer
F.
High dose radiation to chest - CORRECT ANSWERS- a b d e f
What technique will the nurse use to assess the breasts for
retractions?
a Have women lift arms over head and then push hands onto her
hips
b Have woman lay in supine position with a small pad under one
side
c Observe breasts from right side and then left side
d Have woman lay prone on exam table - CORRECT ANSWERS- a
What information will the nurse include when providing patient
teaching regarding male breast cancer?
A.
Breast cancer in men is usually detected by mammogram.
B.
1% of breast cancers occur in men.
C.
Male breast cancer usually occurs at age 40 - 50 years.
,D.
Spread to lymph nodes does not occur. - CORRECT ANSWERS- b
What technique will the nurse use to palpate the breast tissue?
A.
Use the pads of the first two fingers to press lightly into the breast
tissue, being sure to palpate all of the breast.
B.
Use the pad of the index finger to press deeply into the breast
tissue, being sure to palpate all of the breast.
C.
Using the pads of the first three fingers make a gentle rotary
motion, to perform light, medium and deep palpation
D.
Palpate both breasts simultaneously so that you can compare
your findings side-to-side. - CORRECT ANSWERS- c
When is the best time to perform breast palpation?
A.
Mid cycle
B.
During the mensus
C.
The first week after the woman's menses
, D.
The week before the woman's mensus - CORRECT ANSWERS- c
When examining the nipples, the nurse identifies a retracted
nipple. What does this finding indicate?
A.
Nipple retraction is normal in some women
B.
Nipple retraction signifies acquired disease
C.
Nipple retraction is common during lactation
D.
Nipple retraction may occur with aging - CORRECT ANSWERS- d
What areas will be included in palpation of the axillary lymph
nodes?
A.
Along the clavicle
B.
Along the right and left sternal border
C.
Along the anterior border of the axilla.
D.
ASSESSMENT, 2024/2025 WITH
CORRECT/ACCURATE ANSWERS
The nurse is conducting a class on a priority setting for a group of
new graduate nurses. Which is an example of a first-level priority
problems?
a. Patient with postoperative pain
b. newly diagnosed patient with diabetes who needs diabetic
teaching
c. individual with a small laceration on the sole of the foot
d. individual with shortness of breath and respiratory distress -
CORRECT ANSWERS- D
The nurse is teaching a class on breast cancer risks. What will be
included in the teaching? (Select all that apply.)
A.
BRCA1 and BRCA2 gene mutations
B.
Female gender, age >65 years
C.
Late menarche (>12 years)
,D.
Mammographically dense breasts
E.
First-degree relative with breast cancer
F.
High dose radiation to chest - CORRECT ANSWERS- a b d e f
What technique will the nurse use to assess the breasts for
retractions?
a Have women lift arms over head and then push hands onto her
hips
b Have woman lay in supine position with a small pad under one
side
c Observe breasts from right side and then left side
d Have woman lay prone on exam table - CORRECT ANSWERS- a
What information will the nurse include when providing patient
teaching regarding male breast cancer?
A.
Breast cancer in men is usually detected by mammogram.
B.
1% of breast cancers occur in men.
C.
Male breast cancer usually occurs at age 40 - 50 years.
,D.
Spread to lymph nodes does not occur. - CORRECT ANSWERS- b
What technique will the nurse use to palpate the breast tissue?
A.
Use the pads of the first two fingers to press lightly into the breast
tissue, being sure to palpate all of the breast.
B.
Use the pad of the index finger to press deeply into the breast
tissue, being sure to palpate all of the breast.
C.
Using the pads of the first three fingers make a gentle rotary
motion, to perform light, medium and deep palpation
D.
Palpate both breasts simultaneously so that you can compare
your findings side-to-side. - CORRECT ANSWERS- c
When is the best time to perform breast palpation?
A.
Mid cycle
B.
During the mensus
C.
The first week after the woman's menses
, D.
The week before the woman's mensus - CORRECT ANSWERS- c
When examining the nipples, the nurse identifies a retracted
nipple. What does this finding indicate?
A.
Nipple retraction is normal in some women
B.
Nipple retraction signifies acquired disease
C.
Nipple retraction is common during lactation
D.
Nipple retraction may occur with aging - CORRECT ANSWERS- d
What areas will be included in palpation of the axillary lymph
nodes?
A.
Along the clavicle
B.
Along the right and left sternal border
C.
Along the anterior border of the axilla.
D.
