c4WEEK 10 Final Exam(LATEST-2026):SOUTH c4 c4 c4 c4 c4
UNIVERSITY(ANSWERSVERIFIED 100%
c4 c4 c4 c4 c4 c4
CORRECT) c4
NSG6020FINALEXAM c4 c4 c4
A 65-year-old patient remarks that she just can't believe that her breasts sag so
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
much. She states it must be from lack of exercise. What explanation should the
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
nurse offer her?
c4 c4 c4
After menopause, the glandular and fat tissue atrophies, causing breast size and
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
elasticityto diminish, resultinginbreasts thatsag.
c4 c4 c4 c4 c4 c4 c4 c4
Themotherofa10-year-oldboyasksthenursetodiscusstherecognitionof
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
puberty. The nurse should reply by saying:
c4 c4 c4 c4 c4 c4 c4
“Pubertyusuallybegins aboutage fifteen.” c4 c4 c4 c4 c4
“Thefirst signofpubertyis enlargement ofthe testes.”
c4 c4 c4 c4 c4 c4 c4
“Penissize does notincreaseuntil aboutthe ageofsixteen.”
c4 c4 c4 c4 c4 c4 c4 c4 c4
"The development ofpubic hairprecedes testicular orpenis enlargement.”
c4 c4 c4 c4 c4 c4 c4 c4
A patient has bilateral pitting edema ofthe feet. While assessing the peripheral
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
vascular system, the nurse's primaryfocus shouldbe:
c4 c4 c4 c4 c4 c4 c4 c4
Thecorrectansweris:Venous functionofthelowerextremities
c4 c4 c4 c4 c4 c4 c4 c4
Duringanexamination, thenurse notes severe nystagmus inboth eyes ofa
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
patient. Which ofthe following conclusions is correct?
c4 c4 c4 c4 c4 c4 c4 c4
1. Thisisanormaloccurrence. c4 c4 c4 c4
2. This mayindicate disease ofthe cerebellumorbrainstem.
c4 c4 c4 c4 c4 c4 c4
3. Thisisasignthatthepatientisnervousabouttheexamination.
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
,End-point nystagmus at an extreme lateral gaze occurs normally. Assess anyother
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
nystagmus carefully. Severe nystagmus occurs withdisease ofthe vestibular
c4 c4 c 4 c4 c4 c4 c4 c4 c4
system, cerebellum, or brainstem.
c4 c4 c4 c4
When performing a musculoskeletal assessment, the nurse knows the correct
c4 c4 c4 c4 c4 c4 c4 c4 c4
approach for the examination should be:
c4 c4 c4 c4 c4 c4
proximal to distal c4 c4
A43-year-oldwomanisat the clinic for aroutine examination. She reports that
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
she has had a breast lump in her right breast for years. Recently, it has begun
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
to change in consistency andis becoming harder. Shereports that5 years ago
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
her physician evaluated the lump and determined that it “was nothing to worry
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
about.” The examinationvalidates the presence ofamassin the right upper
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
outer quadrant at 1 o'clock, approximately 5 cm from the nipple.Itisfirm,
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
mobile, nontender, with borders that arenotwelldefined.
c4 c4 c4 c4 c4 c4 c4 c4 c4
The nurse's recommendation to her is:
c4 c4 c4 c4 c4
“Because ofthe change inconsistencyofthe lump, it shouldbe further evaluated by a
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
physician.”
c4
The nurse practitioner is examining a 3-month-oldinfant. While holding the
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
thumbs on the infant's inner—mid-thighs and the fingers outside on the hips,
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
touching the greater trochanter, the nurse practitioner adducts the legs until the
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
nurse practitioner's thumbs touchand thenabducts the legs until the infant's
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
knees touch the table. The nurse practitioner does not noteany "clunking"
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
sounds and is confident to record a:
c4 c4 c4 c4 c4 c4 c4
Negative Ortolani's sign. c4 c 4
Apatient's mother has noticed that her son, who has been to a new babysitter, has
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
some blistersand scabsonhis face and buttocks. Onexamination, the nurse
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
notices moist, thin-roofedvesicles with athin erythematous base and suspects:
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
Impetigo
The nurse is testing superficial reflexes on an adult patient. When stroking up the
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
lateral side of the sole and across the ball of the foot, the nurse notices the plantar
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
flexionofthe toes.Howwouldthenurse documentthis finding?
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
1. Positive Babinski sign c4 c4
, 2. Plantar reflex abnormal c4 c4
3. Plantar reflex present c4 c4
4. Plantar reflex “2+” on ascale from“0 to 4+” c4 c4 c4 c4 c4 c4 c4 c4 c4
With the same instrument, draw a light stroke up the lateral side of the sole ofthe
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
foot and across the ball ofthe foot, like an upside-down “J.” The normal response is
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
plantar flexion ofthe toes andsometimes ofthe whole foot.
c4 c4 c4 c4 c4 c4 c4 c4 c4
A woman is in the family planning clinic seeking birth control information.
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
She states thather breasts“changeall month long” and thatshe isworried that
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
this is unusual. What is the nurse's best response?
c4 c4 c4 c4 c4 c4 c4 c4 c4
Tell her that, because ofthe changing hormones during the monthly menstrual
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
cycle, cyclic breast changes are common.
c4 c4 c4 c4 c4 c4
Apatientstates during the interview that she noticed a newbreastlumpinthe
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
shower a few days ago. It was on her left breast near her axilla. The RN should
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
plan to:
c4 c4
palpate the unaffected breast first c4 c4 c4 c4
A 16-yr-oldgirl isbeing seenatclinic forgastrointestinal complaints+weight
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
loss.Nurse determines thatmanyofher complaints maybe related to erratic
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
eating patterns, eating predominantly fast foods, + high caffeine intake. In this
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
situation, which ismostappropriate whencollectingcurrentdietaryintake
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
information?
c4
• 1. Schedule atime fordirect observationofthe adolescent during meals.
c4 c 4 c4 c4 c4 c4 c4 c4 c4 c4 c4
• 2. Askthe patient for a24-hour diet recall andassume this is reflective ofa
c 4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
typical day for her.
c4 c4 c4 c4
3. Have the patient complete afooddiaryfor 3 days=2 weekdays + 1 weekendday
c 4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
Fooddiaries require the individual to write downeverything consumedfor a
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
certaintime period. Because ofthe erratic eating patterns ofthis
c4 c4 c4 c4 c4 c4 c4 c4
individual,assessing dietaryintake over afewdays wouldproduce more
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
accurateinformation regarding eating patterns. Direct observation is best used
c4 c4 c4 c4 c 4 c4 c4 c4 c4
withyoung childrenor older adults.
c4 c4 c4 c4 c4
To assess the head control ofa 4-month-old infant, the nurse lifts the infant up in a
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
prone positionwhile supporting his chest. The nurse looks for what normal
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
response?
c4
1. Raises head and arches back. c4 c4 c4 c4