NSG 6020 FINAL EXAM REVIEW TEST QUESTIONS WITH WELL DETAILED SOLUTIONS-
ALREADY GRADED A+
A 65-year-old patient remarks that she just can't believe that her breast sag so much. She
states it must be from lack of exercise. What explanation should the nurse offer her?
After menopause, the glandular and fat tissue atrophies, causing breast size and elasticity
to diminish, resulting in breasts that sag.
The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The
nurse should reply by saying:
The first sign of puberty is enlargement of the testes
A patient has bilateral pitting edema of the feet. While assessing the peripheral vascular
system, the nurse's primary focus should be:
Venous function of the lower extremities
During an examination, the nurse notes severe nystagmus in both eyes of a patient. Which
of the following conclusions is correct?
This may indicate disease of the cerebellum or brainstem
When performing a musculoskeletal assessment, the nurse knows the correct approach
for the examination should be:
proximal to distal
,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, non-tender, with borders that are not well defined. The nurse's
recommendation to her is:
Because of the change in consistency of the lump, it should be further evaluated by a
physician.
A 9-year-old girl is in the clinic for a sports physical. After some initial shyness she finally
asks, " Am I normal? I don't seem to need a bra yet, but I have some friends who do. What if
I never get breast?" The nurse's best response would be:
"I understand that it is hard to feel different from your friends. Breasts usually develop
between 8 and 10 years of age"
During an examination, the nurse notes a supernumerary nipple just under the patient's left
breast. The patient tells the nurse that she always thought it was a mole. Which statement
about this finding is correct?
It is a normal variation and not a significant finding
The major artery that supplies blood to arm
Brachial artery
The nurse is testing the function of Cranial nerve XL. Which of these best describes the
response the nurse should expect if the nerve is intact? The patient
, Moves head and should against resistance with equal strength
In a person with an upper motor neuron lesion such as a cerebrovascular accident, which
of the following physical assessment findings would the nurse expect to see?
Hyperrelexia
A few days after a summer hiking trip, a 25 year old man comes to the clinic with a rash. On
examination, the nurse notes that the rash is red, muscular, with a bull's eye pattern across
his midriff and behind his knees. The nurse suspects:
Lyme Disease
To assess the dorsalis pedis artery, the nurse would palpate:
Lateral to the extensor tendon of the great toe
The nurse is performing a neurologic assessment on a 41-year-old woman with a history of
diabetes. When testing her ability to feel the vibration of tuning fork, the nurse notes the
following: unable to feel vibrations on the great toe or ankle bilaterally; is able to feel
vibrations on both patellae. Given this information, what would the nurse suspect?
Peripheral neuropathy
The nurse is reviewing an assessment of a patient's peripheral pulses and notices that the
documentation states that the radial pulses are "2+". The nurse recognizes that this reading
indicates what type of pulse?
ALREADY GRADED A+
A 65-year-old patient remarks that she just can't believe that her breast sag so much. She
states it must be from lack of exercise. What explanation should the nurse offer her?
After menopause, the glandular and fat tissue atrophies, causing breast size and elasticity
to diminish, resulting in breasts that sag.
The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The
nurse should reply by saying:
The first sign of puberty is enlargement of the testes
A patient has bilateral pitting edema of the feet. While assessing the peripheral vascular
system, the nurse's primary focus should be:
Venous function of the lower extremities
During an examination, the nurse notes severe nystagmus in both eyes of a patient. Which
of the following conclusions is correct?
This may indicate disease of the cerebellum or brainstem
When performing a musculoskeletal assessment, the nurse knows the correct approach
for the examination should be:
proximal to distal
,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, non-tender, with borders that are not well defined. The nurse's
recommendation to her is:
Because of the change in consistency of the lump, it should be further evaluated by a
physician.
A 9-year-old girl is in the clinic for a sports physical. After some initial shyness she finally
asks, " Am I normal? I don't seem to need a bra yet, but I have some friends who do. What if
I never get breast?" The nurse's best response would be:
"I understand that it is hard to feel different from your friends. Breasts usually develop
between 8 and 10 years of age"
During an examination, the nurse notes a supernumerary nipple just under the patient's left
breast. The patient tells the nurse that she always thought it was a mole. Which statement
about this finding is correct?
It is a normal variation and not a significant finding
The major artery that supplies blood to arm
Brachial artery
The nurse is testing the function of Cranial nerve XL. Which of these best describes the
response the nurse should expect if the nerve is intact? The patient
, Moves head and should against resistance with equal strength
In a person with an upper motor neuron lesion such as a cerebrovascular accident, which
of the following physical assessment findings would the nurse expect to see?
Hyperrelexia
A few days after a summer hiking trip, a 25 year old man comes to the clinic with a rash. On
examination, the nurse notes that the rash is red, muscular, with a bull's eye pattern across
his midriff and behind his knees. The nurse suspects:
Lyme Disease
To assess the dorsalis pedis artery, the nurse would palpate:
Lateral to the extensor tendon of the great toe
The nurse is performing a neurologic assessment on a 41-year-old woman with a history of
diabetes. When testing her ability to feel the vibration of tuning fork, the nurse notes the
following: unable to feel vibrations on the great toe or ankle bilaterally; is able to feel
vibrations on both patellae. Given this information, what would the nurse suspect?
Peripheral neuropathy
The nurse is reviewing an assessment of a patient's peripheral pulses and notices that the
documentation states that the radial pulses are "2+". The nurse recognizes that this reading
indicates what type of pulse?
