Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update
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? - Answer✔✔-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: -
Answer✔✔-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: -
Answer✔✔-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? -
Answer✔✔-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: - Answer✔✔-
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: - Answer✔✔-Because of the
change in consistency of the lump, it should be further evaluated by
a physician.
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 nurse practitioner's thumb
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
, A patient's mother has noticed that her son, who has been to a new
babysitter has some blisters and scabs on his face and buttocks. On
examination, the nurse notices moist, thin-roofed vesicles with a thin
erythematous base and suspects: - Answer✔✔-Impetigo
The nurse is testing superficial reflexes on a adult patient. When
stroking up 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
A woman is in the family planning clinic seeking birth control
information. She states that her breast "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 of the changing
hormones during the monthly menstrual cycle, cyclic breast changes
are common
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 RN should plan to: - Answer✔✔-palpate the unaffected
breast first
A 16-year-old girl is being seen at clinic for gastrointestinal
complaints and weight loss. Nurse determines that many of her
complaints may be related to erratic eating patterns, eating
predominantly fast foods, and high caffeine intake. In this situation,
which is most appropriate when collecting current dietary intake