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South University NSG 6020 – Advanced Health
Assessment, Women's Health, Nutrition,
Pediatric Assessment & Clinical Examination
A woman is in the family planning clinic seeking birth control information.
She states that her breasts "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
1. A 16-yr-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, + high caffeine
intake. In this situation, which is most appropriate when collecting current
dietary intake information? ......answer ....Have the patient complete a food
diary for 3 days=2 weekdays + 1 weekend day
Food diaries require the individual to write down everything consumed for a
certain time period. Because of the erratic eating patterns of this individual,
SH
assessing dietary intake over a few days would produce more accurate
TS
, 2|Page
information regarding eating patterns. Direct observation is best used with
young children or older adults.
To assess the head control of a 4-month-old infant, the nurse lifts the infant
up in a prone position while supporting his chest. The nurse looks for what
normal response? ......answer. ... Raises head and arches back.
A patient has a positive Homans' sign. The nurse knows that a positive
Homans' sign may indicate: ......answer. ... deep vein thrombosis
The nurse is discussing breast self-examination with a postmenopausal
woman. The best time for postmenopausal women to perform breast self-
examination is: ......answer. ... the same day every month
A 15-year-old boy is seen in the clinic for complaints of "dull pain and
pulling" in the scrotal area. On examination the nurse palpates a soft,
irregular mass posterior to and above the testis on the left. This mass
collapses when the patient is supine and refills when he is upright. This
description is consistent with: ......answer. ... varicocele
The nurse is bathing an 80-year-old man and notices that his skin is
SH
wrinkled, thin, lax, and dry. This finding would be related to which factor?
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, 3|Page
......answer. ... An increased loss of elastin and a decrease in subcutaneous fat
in the elderly
A woman who is 22 weeks pregnant has a vaginal infection. She tells the
nurse that she is afraid that this infection will hurt the fetus. The nurse
knows that which of these statements is true? ......answer. ... A thick mucus
plug forms that protects the fetus from infection
In assessment of 1-month-old, nurse notes a lack of response to noise or
stimulation. mother reports that in the last week he has been sleeping all the
time + when awake all he does is cry. nurse hears that infant's cries are very
high pitched and shrill. What would be nurse's appropriate response?
......answer. ... Refer the infant for further testing
A female patient is 8 months pregnant. She comments that she has noticed a
change in posture and is having lower back pain. The nurse tells her that
during pregnancy women have a posture shift to compensate for the
enlarging fetus. This shift in posture is: ......answer. ... lordosis
A 14-year-old girl is anxious about not having reached menarche. When
taking the history, the nurse should ascertain which of the following? The
age: ......answer .... she began to develop breasts
SH
TS
, 4|Page
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 breasts?" The nurse's best
response would be: ......answer. ... "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? ......answer..... It is
a normal variation and not a significant finding
The major artery that supplies blood to arm ......answer. .... brachial artery
The nurse is testing the function of cranial nerve XI. Which of these best
describes the response the nurse should expect if the nerve is intact? The
patient ......answer.... moves head and shoulder 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? ......answer .... Hyperreflexia
SH
TS
South University NSG 6020 – Advanced Health
Assessment, Women's Health, Nutrition,
Pediatric Assessment & Clinical Examination
A woman is in the family planning clinic seeking birth control information.
She states that her breasts "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
1. A 16-yr-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, + high caffeine
intake. In this situation, which is most appropriate when collecting current
dietary intake information? ......answer ....Have the patient complete a food
diary for 3 days=2 weekdays + 1 weekend day
Food diaries require the individual to write down everything consumed for a
certain time period. Because of the erratic eating patterns of this individual,
SH
assessing dietary intake over a few days would produce more accurate
TS
, 2|Page
information regarding eating patterns. Direct observation is best used with
young children or older adults.
To assess the head control of a 4-month-old infant, the nurse lifts the infant
up in a prone position while supporting his chest. The nurse looks for what
normal response? ......answer. ... Raises head and arches back.
A patient has a positive Homans' sign. The nurse knows that a positive
Homans' sign may indicate: ......answer. ... deep vein thrombosis
The nurse is discussing breast self-examination with a postmenopausal
woman. The best time for postmenopausal women to perform breast self-
examination is: ......answer. ... the same day every month
A 15-year-old boy is seen in the clinic for complaints of "dull pain and
pulling" in the scrotal area. On examination the nurse palpates a soft,
irregular mass posterior to and above the testis on the left. This mass
collapses when the patient is supine and refills when he is upright. This
description is consistent with: ......answer. ... varicocele
The nurse is bathing an 80-year-old man and notices that his skin is
SH
wrinkled, thin, lax, and dry. This finding would be related to which factor?
TS
, 3|Page
......answer. ... An increased loss of elastin and a decrease in subcutaneous fat
in the elderly
A woman who is 22 weeks pregnant has a vaginal infection. She tells the
nurse that she is afraid that this infection will hurt the fetus. The nurse
knows that which of these statements is true? ......answer. ... A thick mucus
plug forms that protects the fetus from infection
In assessment of 1-month-old, nurse notes a lack of response to noise or
stimulation. mother reports that in the last week he has been sleeping all the
time + when awake all he does is cry. nurse hears that infant's cries are very
high pitched and shrill. What would be nurse's appropriate response?
......answer. ... Refer the infant for further testing
A female patient is 8 months pregnant. She comments that she has noticed a
change in posture and is having lower back pain. The nurse tells her that
during pregnancy women have a posture shift to compensate for the
enlarging fetus. This shift in posture is: ......answer. ... lordosis
A 14-year-old girl is anxious about not having reached menarche. When
taking the history, the nurse should ascertain which of the following? The
age: ......answer .... she began to develop breasts
SH
TS
, 4|Page
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 breasts?" The nurse's best
response would be: ......answer. ... "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? ......answer..... It is
a normal variation and not a significant finding
The major artery that supplies blood to arm ......answer. .... brachial artery
The nurse is testing the function of cranial nerve XI. Which of these best
describes the response the nurse should expect if the nerve is intact? The
patient ......answer.... moves head and shoulder 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? ......answer .... Hyperreflexia
SH
TS
