NR 509 Final Exam Questions and Answers (Verified Answers) ||ACTUA
EXAM 2025 TEST!! Graded A+ | 2025|2026 EXAM UPDATE
1. Suspicious breast -A mobile mass that becomes fixed when the arm relaxes is attached to the ribs
mass 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
2. Risk for Breast --*Age*
cancer -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.
3. Characteristics of Soft to firm, round, mobile, often tender.
a breast cyst
4. The best way to -Have pt roll onto the opposite hip
examine the lat- -place her hand on her forehead.
eral portion of - keep shoulders pressed against the bed
the breast -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
, NR 509 Final Exam Questions and Answers (Verified Answers) ||ACTUA
EXAM 2025 TEST!! Graded A+ | 2025|2026 EXAM UPDATE
5. Bacterial Vagi- -Caused by overgrowth of anaerobic bacteria (often from sex)
nosis (BV) - 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
6. Candidal Vagini- -Cause: Candida albicans, a yeast (normal overgrowth of vaginal flora); many
tis 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 Can-
dida
7. Trichomonal -Trichomonas vaginalis, a protozoan; often but not always acquired sexually
Vaginitis - 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); dys-
pareunia
-Vestibule and labia minora may be erythematous; the vaginal mucosa may be
diffusely reddened, with small red granular spots or petechiae in the posterior
fornix; in mild cases, the mucosa looks normal
- Scan saline wet mount for trichomonads
EXAM 2025 TEST!! Graded A+ | 2025|2026 EXAM UPDATE
1. Suspicious breast -A mobile mass that becomes fixed when the arm relaxes is attached to the ribs
mass 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
2. Risk for Breast --*Age*
cancer -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.
3. Characteristics of Soft to firm, round, mobile, often tender.
a breast cyst
4. The best way to -Have pt roll onto the opposite hip
examine the lat- -place her hand on her forehead.
eral portion of - keep shoulders pressed against the bed
the breast -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
, NR 509 Final Exam Questions and Answers (Verified Answers) ||ACTUA
EXAM 2025 TEST!! Graded A+ | 2025|2026 EXAM UPDATE
5. Bacterial Vagi- -Caused by overgrowth of anaerobic bacteria (often from sex)
nosis (BV) - 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
6. Candidal Vagini- -Cause: Candida albicans, a yeast (normal overgrowth of vaginal flora); many
tis 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 Can-
dida
7. Trichomonal -Trichomonas vaginalis, a protozoan; often but not always acquired sexually
Vaginitis - 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); dys-
pareunia
-Vestibule and labia minora may be erythematous; the vaginal mucosa may be
diffusely reddened, with small red granular spots or petechiae in the posterior
fornix; in mild cases, the mucosa looks normal
- Scan saline wet mount for trichomonads
