NR 509 Final Exam
NR 509 Final Exam Study Questions (67
Terms) with Correct Answers Updated
2024-2025.
Suspicious breast mass - Answer: -A mobile mass that becomes fixed when the
arm relaxes is attached to the ribs 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
Risk for Breast cancer - Answer: --*Age*
, NR 509 Final Exam
-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.
Characteristics of a breast cyst - Answer: Soft to firm, round, mobile, often tender.
The best way to examine the lateral portion of the breast - Answer: -Have pt roll
onto the opposite hip
-place her hand on her forehead.
- keep shoulders pressed against the bed
-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
Bacterial Vaginosis (BV) - Answer: -Caused by overgrowth of anaerobic bacteria
(often from sex)
- 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
Candidal Vaginitis - Answer: -Cause: Candida albicans, a yeast (normal overgrowth
of vaginal flora); many 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
Candida
Trichomonal Vaginitis - Answer: -Trichomonas vaginalis, a protozoan; often but
not always acquired sexually
NR 509 Final Exam Study Questions (67
Terms) with Correct Answers Updated
2024-2025.
Suspicious breast mass - Answer: -A mobile mass that becomes fixed when the
arm relaxes is attached to the ribs 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
Risk for Breast cancer - Answer: --*Age*
, NR 509 Final Exam
-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.
Characteristics of a breast cyst - Answer: Soft to firm, round, mobile, often tender.
The best way to examine the lateral portion of the breast - Answer: -Have pt roll
onto the opposite hip
-place her hand on her forehead.
- keep shoulders pressed against the bed
-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
Bacterial Vaginosis (BV) - Answer: -Caused by overgrowth of anaerobic bacteria
(often from sex)
- 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
Candidal Vaginitis - Answer: -Cause: Candida albicans, a yeast (normal overgrowth
of vaginal flora); many 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
Candida
Trichomonal Vaginitis - Answer: -Trichomonas vaginalis, a protozoan; often but
not always acquired sexually
