NSG6020 FINAL #3
1. 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
2. The mother of a 10-year-old boy asks the nurse to discuss the recognition of
puberty. The nurse should reply by saying?
Answer the first sign of puberty is enlargement of the testes
3. A patient has bilateral pitting edema of the feet. While assessing the periph-
eral vascular system, the nurse's primary focus should beAnswer venous function of the
lower extremitites
4. During an examination, the nurse notes severe nystagmus in both eyes of a
patient. Which of the following conclusions is correct?
Answer this may indicate disease of the cerebellum or brainstem
,5. When performing a musculoskeletal assessment, the nurse knows the correct
approach for the examination should be
Answer proximal to distal
6. A 43-year-old woman is at the clinic for a routine examination. She reports
that she has had a breast lump in her right breast for years. Recently, it has
begun to change in consistency and is becoming harder. She reports that
5 years ago her physician evaluated the lump and determined that it "was
nothing to worry about." The examination validates the presence of a mass in
the right appear upper outer quadrant at 1 o'clock, approximately 5 cm form
the nipple. It is frim, mobile, nontender, with borders that are not well defined.
The nurse's recommendation to her is
Answer Because of the change in consistency of the lump, it should be further evaluated by a physician
7. The nurse practitioner is examining a 3-month-old infant. While holding
the thumbs on the infant's inner-mid-thighs and the fingers outside on the
hips, touching the greater trochanter, the nurse practitioner adducts the legs
,until the nurse practitioner's thumbs touch and then abducts the legs until
the infant's knees touch the table. The nurse practitioner does not note any
"clunking" sounds and is confident to record a
Answer Negative Ortolani's sign
8. A patient's mother has noticed that her son, who has been to a new babysitter,
has some blisters and scabs on his face and buttocks. On examination, the
, nurse notices moist, thin-roofed vesicles with a thin erythematous base and
suspects
Answer Impetigo
9. The nurse is testing superficial reflexes on an adult patient. When stroking up
the lateral side of the sole and across the ball of the foot, the nurse notices the
plantar flexion of the toes. How would the nurse document this finding?
Answer Plantar reflex present
10. 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.
11. 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
1. 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
2. The mother of a 10-year-old boy asks the nurse to discuss the recognition of
puberty. The nurse should reply by saying?
Answer the first sign of puberty is enlargement of the testes
3. A patient has bilateral pitting edema of the feet. While assessing the periph-
eral vascular system, the nurse's primary focus should beAnswer venous function of the
lower extremitites
4. During an examination, the nurse notes severe nystagmus in both eyes of a
patient. Which of the following conclusions is correct?
Answer this may indicate disease of the cerebellum or brainstem
,5. When performing a musculoskeletal assessment, the nurse knows the correct
approach for the examination should be
Answer proximal to distal
6. A 43-year-old woman is at the clinic for a routine examination. She reports
that she has had a breast lump in her right breast for years. Recently, it has
begun to change in consistency and is becoming harder. She reports that
5 years ago her physician evaluated the lump and determined that it "was
nothing to worry about." The examination validates the presence of a mass in
the right appear upper outer quadrant at 1 o'clock, approximately 5 cm form
the nipple. It is frim, mobile, nontender, with borders that are not well defined.
The nurse's recommendation to her is
Answer Because of the change in consistency of the lump, it should be further evaluated by a physician
7. The nurse practitioner is examining a 3-month-old infant. While holding
the thumbs on the infant's inner-mid-thighs and the fingers outside on the
hips, touching the greater trochanter, the nurse practitioner adducts the legs
,until the nurse practitioner's thumbs touch and then abducts the legs until
the infant's knees touch the table. The nurse practitioner does not note any
"clunking" sounds and is confident to record a
Answer Negative Ortolani's sign
8. A patient's mother has noticed that her son, who has been to a new babysitter,
has some blisters and scabs on his face and buttocks. On examination, the
, nurse notices moist, thin-roofed vesicles with a thin erythematous base and
suspects
Answer Impetigo
9. The nurse is testing superficial reflexes on an adult patient. When stroking up
the lateral side of the sole and across the ball of the foot, the nurse notices the
plantar flexion of the toes. How would the nurse document this finding?
Answer Plantar reflex present
10. 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.
11. 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
