NSG6020- Final Exam Review
Save
Terms in this set (97)
A 65-year-old patient remarks that After menopause, the glandular and fat tissue
she just can't believe that her breast atrophies, causing breast size and elasticity to
sag so much. She states it must be diminish, resulting in breasts that sag.
from lack of exercise. What
explanation should the nurse offer
her?
The mother of a 10-year-old boy The first sign of puberty is enlargement of the
asks the nurse to discuss the testes
recognition of puberty. The nurse
should reply by saying:
A patient has bilateral pitting Venous function of the lower extremities
edema of the feet. While assessing
the peripheral vascular system, the
nurse's primary focus should be:
During an examination, the nurse This may indicate disease of the cerebellum or
notes severe nystagmus in both brainstem
eyes of a patient. Which of the
following conclusions is correct?
When performing a musculoskeletal proximal to distal
assessment, the nurse knows the
correct approach for the
examination should be:
,A 43-year-old woman is at the clinic Because of the change in consistency of the
for a routine examination. She lump, it should be further evaluated by a
reports that she has had a breast physician.
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 upper outer quadrant at 1
o'clock approximately 5 cm from
the nipple. It is firm, mobile, non-
tender, with borders that are not
well defined. The nurse's
recommendation to her is:
The nurse practitioner is examining Negative Ortolani's sign
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 thumb 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"
, A patient's mother has noticed that Impetigo
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:
The nurse is testing superficial Plantar reflex present
reflexes on a 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?
A woman is in the family planning Tell her that, because of the changing hormones
clinic seeking birth control during the monthly menstrual cycle, cyclic breast
information. She states that her changes are common
breast "change all month long" and
that she is worried that this is
unusual. What is the nurse's best
response?
A patient states during the interview palpate the unaffected breast first
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:
Save
Terms in this set (97)
A 65-year-old patient remarks that After menopause, the glandular and fat tissue
she just can't believe that her breast atrophies, causing breast size and elasticity to
sag so much. She states it must be diminish, resulting in breasts that sag.
from lack of exercise. What
explanation should the nurse offer
her?
The mother of a 10-year-old boy The first sign of puberty is enlargement of the
asks the nurse to discuss the testes
recognition of puberty. The nurse
should reply by saying:
A patient has bilateral pitting Venous function of the lower extremities
edema of the feet. While assessing
the peripheral vascular system, the
nurse's primary focus should be:
During an examination, the nurse This may indicate disease of the cerebellum or
notes severe nystagmus in both brainstem
eyes of a patient. Which of the
following conclusions is correct?
When performing a musculoskeletal proximal to distal
assessment, the nurse knows the
correct approach for the
examination should be:
,A 43-year-old woman is at the clinic Because of the change in consistency of the
for a routine examination. She lump, it should be further evaluated by a
reports that she has had a breast physician.
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 upper outer quadrant at 1
o'clock approximately 5 cm from
the nipple. It is firm, mobile, non-
tender, with borders that are not
well defined. The nurse's
recommendation to her is:
The nurse practitioner is examining Negative Ortolani's sign
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 thumb 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"
, A patient's mother has noticed that Impetigo
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:
The nurse is testing superficial Plantar reflex present
reflexes on a 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?
A woman is in the family planning Tell her that, because of the changing hormones
clinic seeking birth control during the monthly menstrual cycle, cyclic breast
information. She states that her changes are common
breast "change all month long" and
that she is worried that this is
unusual. What is the nurse's best
response?
A patient states during the interview palpate the unaffected breast first
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:
