NR 509 Final Exam Questions and Answers (Verified Answers)
||ACTUAL EXAM 2025 TEST!! Graded A+ | 2025|2026 EXAM
UPDATE
Suspicious breast mass - (answer)-A mobile mass that becomes fixed when the arm relaxes is attached
to the ribs and intercostal muscles; if fixed when the hand is pressed against the hip, it is attached to the
pectoral fascia.
-Hard irregular poorly circumscribed nodules, fixed to the skin or underlying tissues, strongly suggest
cancer
Risk for Breast cancer - (answer)--*Age*
-family history of breast/ovarian CA
- inherited genetic mutations,
-personal history of breast cancer
- high levels of endogenous hormones
- breast tissue density
- proliferative lesions with atypia on breast biopsy, - duration of unopposed estrogen exposure related
to early menarche
-age of first full-term pregnancy
- late menopause.
- breastfeeding for less than 1 year,
- postmenopausal obesity
-cigarette smoking, alcohol ingestion,
- physical inactivity, and type of contraception.
Characteristics of a breast cyst - (answer)Soft to firm, round, mobile, often tender.
The best way to examine the lateral portion of the breast - (answer)-Have pt roll onto the opposite hip
-place her hand on her forehead.
- keep shoulders pressed against the bed
, NR 509 Final Exam Questions and Answers (Verified Answers)
||ACTUAL EXAM 2025 TEST!! Graded A+ | 2025|2026 EXAM
UPDATE
-palpate in the axilla, moving in a straight line down to the bra line, then move the fingers medially and
palpate in a vertical strip up the chest to the clavicle. Continue in vertical overlapping strips until you
reach the nipple
Bacterial Vaginosis (BV) - (answer)-Caused by overgrowth of anaerobic bacteria (often from sex)
- Discharge: Gray or white, thin, homogenous, malodorous, coats the vaginal walls, usually not profuse,
may be minimal
- Fishy/musty genital odor
-Normal vulva and vaginal mucosa
-Scan saline wet mount for clue cells (epithelial cells with stippled borders); sniff for fishy odor after
applying KOH ("whiff test"); test the vaginal secretions for pH > 4.5
Candidal Vaginitis - (answer)-Cause: Candida albicans, a yeast (normal overgrowth of vaginal flora);
many factors predispose, including antibiotic therapy
-Discharge: white and curdy, may be thin but usually thick, not as profuse as trichomonal infection, not
malodorous
- vaginal soreness, pruritus, pain on urination, dyspareunia (painful intercourse)
-The vulva and surrounding skin are inflamed and sometimes swollen to a variable extent; the vaginal
mucosa is reddened, with white tenacious patches of discharge; the mucosa may bleed when these
patches are scraped off; in mild cases, the mucosa looks normal
-Scan potassium hydroxide (KOH) preparation for the branching hyphae of Candida
Trichomonal Vaginitis - (answer)-Trichomonas vaginalis, a protozoan; often but not always acquired
sexually
- Discharge:Yellowish green or gray, possibly frothy; often profuse and pooled in the vaginal fornix; may
be malodorous
-Pruritus (though not usually as severe as with Candida
infection); pain on urination (from skin inflammation or possibly urethritis); dyspareunia
||ACTUAL EXAM 2025 TEST!! Graded A+ | 2025|2026 EXAM
UPDATE
Suspicious breast mass - (answer)-A mobile mass that becomes fixed when the arm relaxes is attached
to the ribs and intercostal muscles; if fixed when the hand is pressed against the hip, it is attached to the
pectoral fascia.
-Hard irregular poorly circumscribed nodules, fixed to the skin or underlying tissues, strongly suggest
cancer
Risk for Breast cancer - (answer)--*Age*
-family history of breast/ovarian CA
- inherited genetic mutations,
-personal history of breast cancer
- high levels of endogenous hormones
- breast tissue density
- proliferative lesions with atypia on breast biopsy, - duration of unopposed estrogen exposure related
to early menarche
-age of first full-term pregnancy
- late menopause.
- breastfeeding for less than 1 year,
- postmenopausal obesity
-cigarette smoking, alcohol ingestion,
- physical inactivity, and type of contraception.
Characteristics of a breast cyst - (answer)Soft to firm, round, mobile, often tender.
The best way to examine the lateral portion of the breast - (answer)-Have pt roll onto the opposite hip
-place her hand on her forehead.
- keep shoulders pressed against the bed
, NR 509 Final Exam Questions and Answers (Verified Answers)
||ACTUAL EXAM 2025 TEST!! Graded A+ | 2025|2026 EXAM
UPDATE
-palpate in the axilla, moving in a straight line down to the bra line, then move the fingers medially and
palpate in a vertical strip up the chest to the clavicle. Continue in vertical overlapping strips until you
reach the nipple
Bacterial Vaginosis (BV) - (answer)-Caused by overgrowth of anaerobic bacteria (often from sex)
- Discharge: Gray or white, thin, homogenous, malodorous, coats the vaginal walls, usually not profuse,
may be minimal
- Fishy/musty genital odor
-Normal vulva and vaginal mucosa
-Scan saline wet mount for clue cells (epithelial cells with stippled borders); sniff for fishy odor after
applying KOH ("whiff test"); test the vaginal secretions for pH > 4.5
Candidal Vaginitis - (answer)-Cause: Candida albicans, a yeast (normal overgrowth of vaginal flora);
many factors predispose, including antibiotic therapy
-Discharge: white and curdy, may be thin but usually thick, not as profuse as trichomonal infection, not
malodorous
- vaginal soreness, pruritus, pain on urination, dyspareunia (painful intercourse)
-The vulva and surrounding skin are inflamed and sometimes swollen to a variable extent; the vaginal
mucosa is reddened, with white tenacious patches of discharge; the mucosa may bleed when these
patches are scraped off; in mild cases, the mucosa looks normal
-Scan potassium hydroxide (KOH) preparation for the branching hyphae of Candida
Trichomonal Vaginitis - (answer)-Trichomonas vaginalis, a protozoan; often but not always acquired
sexually
- Discharge:Yellowish green or gray, possibly frothy; often profuse and pooled in the vaginal fornix; may
be malodorous
-Pruritus (though not usually as severe as with Candida
infection); pain on urination (from skin inflammation or possibly urethritis); dyspareunia
