2026|2027 ACTUAL COMPLETE REAL EXAM
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A 65-year-old patient remarks that she just can't believe that her
breasts 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 breast that
sag
The nurse is assessing a 75-year-old man. As the nurse beings
the mental status portion of the assessment, the nurse expects
that this patient: - ANSWER-may take a little longer to respond,
but his general knowledge and abilities should not have
declined
During an external genitalia examination of a woman, the nurse
notices several
lesions around the vulva. The lesions are pink, moist, soft, and
pointed papules.
,The patient states that she is not aware of any problems in that
area. The nurse
recognizes that these lesions may be: - ANSWER-HPV or
genital WARTs
A 40-year-old woman reports a change in mole size,
accompanied by color
changes, itching, burning, and bleeding over the past
month. She has a dark
complexion and has no family history of skin cancer, but
she has had many
blistering sunburns in the past. The nurse would: - ANSWER-
Refer the patient
because of the suspicion of melanoma on the basis of
her symptoms.
Which of the following veins are responsible for most of the
venous return in the
arm? - ANSWER-
Superficial veins
A man who has had gout for several years comes to the clinic
with a "problem with my toe." On examination, the nurse
practitioner notes the presence of hard, painless nodules over
the great toe; one had burst open with a chalky discharge. This
finding is known as: - ANSWER-Tophi are collections of sodium
urate crystals resulting from chronic gout in and around the
joint that cause extreme swelling and joint deformity. They
appear as hard, painless nodules (tophi) over the
, metatarsophalangeal joint of the first toe and they sometimes
burst with a chalky discharge
The nurse is performing a well-child assessment on a 3-
year-old child. The
child's vital signs are normal. Capillary refill time is 5 seconds.
The nurse would:
- ANSWER-consider this a delayed capillary refill time and
investigate further
A 70-year-old patient is scheduled for open-heart surgery. The
surgeon plans to use the great saphenous vein for the coronary
bypass grafts. The patient asks, "What happens to my
circulation when the veins are removed?" The nurse should
reply: - ANSWER-"Because the deeper veins in your leg are in
good condition, this vein can be removed without harming your
circulation."
When observing the vestibule, the nurse practitioner should be
able to see the: -
ANSWER-Urethral meatus and
vaginal orifice
When the nurse is conducting sexual history from a male
adolescent, which statement would be most appropriate to use
at the beginning of the interview? - ANSWER-Often boys your
age have questions about sexual activity