NSG6020- Final Exam Review Questions with
Verified Correct Answers
A 65-year-old patient remarks that she just can't believe that her breast sag so much.
She states it must be from lack of exercise. What explanation should the nurse offer
her?
After menopause, the glandular and fat tissue atrophies, causing breast size and elasticity to
diminish, resulting in breasts that sag.
The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty.
The nurse should reply by saying:
The first sign of puberty is enlargement of the testes
A patient has bilateral pitting edema of the feet. While assessing the peripheral vascular
system, the nurse's primary focus should be:
Venous function of the lower extremities
During an examination, the nurse notes severe nystagmus in both eyes of a patient.
Which of the following conclusions is correct?
This may indicate disease of the cerebellum or brainstem
When performing a musculoskeletal assessment, the nurse knows the correct approach
for the examination should be:
proximal to distal
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 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:
Because of the change in consistency of the lump, it should be further evaluated by a
physician.
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 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"
Negative Ortolani's sign
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:
Impetigo
The nurse is testing superficial 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?
Plantar reflex present
A woman is in the family planning clinic seeking birth control information. She states
that her breast "change all month long" and that she is worried that this is unusual.
What is the nurse's best response?
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:
, palpate the unaffected breast first
A 16-year-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, and high caffeine intake. In this situation, which is
most appropriate when collecting current dietary intake information?
Have the patient complete a food diary for 3 day= 2 weekdays + 2 weekend day.
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?
Raises head and arches back
A patient has a positive Homans' sign. the nurse know that a positive Homans' sign may
indicate:
Deep vein thrombosis
The nurse is discussing breast self- examination with a postmenopausal woman to
perform breast self examination is:
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 descriptions is consistent with:
Varicocele
The nurse is bathing an 80- year-old man and notices that his skin is wrinkled, thin, lax,
and dry. This finding would be related to which factor?
An increased loss of elastin and a decrease in subcutaneous fat in the elderly.
Verified Correct Answers
A 65-year-old patient remarks that she just can't believe that her breast sag so much.
She states it must be from lack of exercise. What explanation should the nurse offer
her?
After menopause, the glandular and fat tissue atrophies, causing breast size and elasticity to
diminish, resulting in breasts that sag.
The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty.
The nurse should reply by saying:
The first sign of puberty is enlargement of the testes
A patient has bilateral pitting edema of the feet. While assessing the peripheral vascular
system, the nurse's primary focus should be:
Venous function of the lower extremities
During an examination, the nurse notes severe nystagmus in both eyes of a patient.
Which of the following conclusions is correct?
This may indicate disease of the cerebellum or brainstem
When performing a musculoskeletal assessment, the nurse knows the correct approach
for the examination should be:
proximal to distal
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 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:
Because of the change in consistency of the lump, it should be further evaluated by a
physician.
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 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"
Negative Ortolani's sign
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:
Impetigo
The nurse is testing superficial 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?
Plantar reflex present
A woman is in the family planning clinic seeking birth control information. She states
that her breast "change all month long" and that she is worried that this is unusual.
What is the nurse's best response?
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:
, palpate the unaffected breast first
A 16-year-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, and high caffeine intake. In this situation, which is
most appropriate when collecting current dietary intake information?
Have the patient complete a food diary for 3 day= 2 weekdays + 2 weekend day.
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?
Raises head and arches back
A patient has a positive Homans' sign. the nurse know that a positive Homans' sign may
indicate:
Deep vein thrombosis
The nurse is discussing breast self- examination with a postmenopausal woman to
perform breast self examination is:
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 descriptions is consistent with:
Varicocele
The nurse is bathing an 80- year-old man and notices that his skin is wrinkled, thin, lax,
and dry. This finding would be related to which factor?
An increased loss of elastin and a decrease in subcutaneous fat in the elderly.
