NURS 251 Final Exam – Questions With Comprehensive
Solutions
Axillae lymph nodes Correct Answer - central axillary nodes
pectoral
subscapular
lateral
flow is UPWARD
Inguinal lymph nodes Correct Answer - located in the inguinal area of
the lower abdomen, can be NORMAL to palpate isolate node
Testicular self-exam Correct Answer - 1x/month, starting @ 13-14 years
old, goal of early detection of testicular cancer
T Correct Answer - timing, 1x/month
S Correct Answer - shower, relaxes scrotum
E Correct Answer - examine, looking for changes in consistency
Testicular Cancer age group Correct Answer - 15-35 y/o
Breast Self Exam Correct Answer - BSE, lie down press 3 middle fingers
in a circular motion using 3 levels of pressure, follow an UP & DOWN pattern,
hold hand on hips and shrug shoulder to look for surface changes
Time and place BSE Correct Answer - 1x/month, BEST after period in
shower
Modifiable risk factors for breast cancer Correct Answer - alcohol use
decreased physical activity
postmenopausal weight gain
Non-modifiable risk factors for breast cancer Correct Answer - 1st
degree relative (daughter, sister, mother)
Hormones taken for more than 5 years
h/o early period before 12 y/o
,h/o late menopause, after 55 years
Prostate Correct Answer - secretes a fluid rich in fructose, nourishes
sperm
lies in front of anterior wall of rectum
Normal prostate Correct Answer - smooth, elastic, rubbery structure
with a central sulcus depression
Firm Correct Answer - the prostate should not feel ______
Benign prostatic hypertrophy Correct Answer - present in 80% of men
over 60, gland commonly stars to enlarge during middle adult years and
increases with age
Prostate cancer Correct Answer - most frequently diagnosed cancer in
men, increased risk with African ancestry, FMH
Menopause Correct Answer - the time of natural cessation of
menstruation; also refers to the biological changes a woman experiences as
her ability to reproduce declines
bio changes from menopause Correct Answer - uterus drops, pelvic
musculature weakens, cervix shrinks, vagina becomes shorter, narrower, less
elastic, atrophy of breast tissue, decrease in vaginal secretions
Components of a health history Correct Answer - biographic data
reason for seeking care
h/o present illness
PMH
Family MH
Review of systems
Functional Assessments
Biographic data Correct Answer - name, age, gender, relationship status,
ethnic origin, occupation, language
Reason for seeking care Correct Answer - brief description from the
patient, symptoms
, Symptoms Correct Answer - subjective , sensation that the person feels
and reports
Signs Correct Answer - objective data, abnormality collected through
physical exam or diagnostic tests
History of present illness Correct Answer - PQRST
COLDSPA
PQRST Correct Answer - provocative/palliative, quality,
region/radiation, severity, timing
Past medical history Correct Answer - diagnoses, past illness
Family history Correct Answer - genogram, patient risk factors
Review of system Correct Answer - review each system and evaluate
health promotion activities
Functional assessment Correct Answer - measures a persons self-care
ability in the areas of general physical health (life style type, living
environment, FICA, self-concept, self-esteem, activity, exercise, sleep/rest,
nutrition, coping stress)
Subjective data Correct Answer - what the person says about himself or
herself during history taking (symptoms)
Objective data Correct Answer - what you as the health professional
observe by inspecting, percussing, palpating, auscultating during the physical
exam (signs)
Accurate data Correct Answer - the goal of assessment is to collect
Complete health history Correct Answer - baseline, total health history
and full physical examination describing current and past health state
Solutions
Axillae lymph nodes Correct Answer - central axillary nodes
pectoral
subscapular
lateral
flow is UPWARD
Inguinal lymph nodes Correct Answer - located in the inguinal area of
the lower abdomen, can be NORMAL to palpate isolate node
Testicular self-exam Correct Answer - 1x/month, starting @ 13-14 years
old, goal of early detection of testicular cancer
T Correct Answer - timing, 1x/month
S Correct Answer - shower, relaxes scrotum
E Correct Answer - examine, looking for changes in consistency
Testicular Cancer age group Correct Answer - 15-35 y/o
Breast Self Exam Correct Answer - BSE, lie down press 3 middle fingers
in a circular motion using 3 levels of pressure, follow an UP & DOWN pattern,
hold hand on hips and shrug shoulder to look for surface changes
Time and place BSE Correct Answer - 1x/month, BEST after period in
shower
Modifiable risk factors for breast cancer Correct Answer - alcohol use
decreased physical activity
postmenopausal weight gain
Non-modifiable risk factors for breast cancer Correct Answer - 1st
degree relative (daughter, sister, mother)
Hormones taken for more than 5 years
h/o early period before 12 y/o
,h/o late menopause, after 55 years
Prostate Correct Answer - secretes a fluid rich in fructose, nourishes
sperm
lies in front of anterior wall of rectum
Normal prostate Correct Answer - smooth, elastic, rubbery structure
with a central sulcus depression
Firm Correct Answer - the prostate should not feel ______
Benign prostatic hypertrophy Correct Answer - present in 80% of men
over 60, gland commonly stars to enlarge during middle adult years and
increases with age
Prostate cancer Correct Answer - most frequently diagnosed cancer in
men, increased risk with African ancestry, FMH
Menopause Correct Answer - the time of natural cessation of
menstruation; also refers to the biological changes a woman experiences as
her ability to reproduce declines
bio changes from menopause Correct Answer - uterus drops, pelvic
musculature weakens, cervix shrinks, vagina becomes shorter, narrower, less
elastic, atrophy of breast tissue, decrease in vaginal secretions
Components of a health history Correct Answer - biographic data
reason for seeking care
h/o present illness
PMH
Family MH
Review of systems
Functional Assessments
Biographic data Correct Answer - name, age, gender, relationship status,
ethnic origin, occupation, language
Reason for seeking care Correct Answer - brief description from the
patient, symptoms
, Symptoms Correct Answer - subjective , sensation that the person feels
and reports
Signs Correct Answer - objective data, abnormality collected through
physical exam or diagnostic tests
History of present illness Correct Answer - PQRST
COLDSPA
PQRST Correct Answer - provocative/palliative, quality,
region/radiation, severity, timing
Past medical history Correct Answer - diagnoses, past illness
Family history Correct Answer - genogram, patient risk factors
Review of system Correct Answer - review each system and evaluate
health promotion activities
Functional assessment Correct Answer - measures a persons self-care
ability in the areas of general physical health (life style type, living
environment, FICA, self-concept, self-esteem, activity, exercise, sleep/rest,
nutrition, coping stress)
Subjective data Correct Answer - what the person says about himself or
herself during history taking (symptoms)
Objective data Correct Answer - what you as the health professional
observe by inspecting, percussing, palpating, auscultating during the physical
exam (signs)
Accurate data Correct Answer - the goal of assessment is to collect
Complete health history Correct Answer - baseline, total health history
and full physical examination describing current and past health state
