NSG6020 Final Exam Questions/Answers
2025/2026Graded A+
. A 40-year-old woman reports a change in mole size, accompanied by color changes, itching, burning, and bleeding
over the past month. She has a dark complexion and has no family history of skin cancer, but she has had many
blistering sunburns in the past. The nurse would: - ✔✔✔Refer the patient because of the suspicion of melanoma
on the basis of her symptoms.
. Assessing a 7-month-old infant you make a loud noise and note the following response: Abduction and flexion of
arms and legs; fanning of fingers and curling of index finger and thumb in C-position; followed by infant bringing in
arms and legs to body. What do you know about this? - ✔✔✔This reflex should disappear between 1 and 4 months
of age
. When performing a genital assessment on a middle-aged man, the nurse notices multiple soft, moist, painless
papules in the shape of cauliflower-like patches scattered across the shaft of the penis. These lesions are
characteristic of: - ✔✔✔genital warts
. You are examining a 6 month old baby. You place the baby's feet flat on the table and flex his knees up. you note
that the right knee is significantly lower than the left. Which of the following is true of this finding?
This is a positive Allis sign and suggests hip dislocation - ✔✔✔This is a positive Allis sign and suggests hip
dislocation
1. A 16-yr-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, + 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 days=2 weekdays + 1 weekend day
Food diaries require the individual to write down everything consumed for a certain time period. Because of the
erratic eating patterns of this individual, assessing dietary intake over a few days would produce more accurate
information regarding eating patterns. Direct observation is best used with young children or older adults.
A 14-year-old boy who has been diagnosed with Osgood-Schlatter disease reports painful swelling just below the
knee for the past 5 months. Which response by the nurse practitioner is appropriate? - ✔✔✔"Your disease is due
to repeated stress on the patellar tendon. It is usually self-limited, and your symptoms should resolve with rest."
A 14-year-old girl is anxious about not having reached menarche. When taking the history, the nurse should
ascertain which of the following? The age: - ✔✔✔she began to develop breasts
, 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 description is consistent with: - ✔✔✔varicocele
A 2-year-old boy has been diagnosed with "physiologic cryptorchidism." Given this diagnosis, during assessment
the nurse will most likely observe: - ✔✔✔An absence of the testis in the scrotum, but the testis can be milked
down
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: - ✔✔✔Because of the change in consistency of the lump, it should be further evaluated by a physician
A 45-year-old mother of two children is seen at the clinic for complaints of "losing my urine when I sneeze." The
nurse documents that she is experiencing: - ✔✔✔stress incontinence
A 54-year-old woman who has just completed menopause is in the clinic today for a yearly physical examination.
Which of these statements should the nurse include in patient education? "A postmenopausal woman: -
✔✔✔should be aware that she is at increased risk for dyspareunia because of decreased vaginal secretions."
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? - ✔✔✔After menopause, the glandular and fat
tissue atrophies, causing breast size and elasticity to diminish, resulting in breast that sag
A 70-year-old patient is scheduled for open-heart surgery. The surgeon plans to use the great saphenous vein for
the coronary bypass grafts. The patient asks, "What happens to my circulation when the veins are removed?" The
nurse should reply: - ✔✔✔"Because the deeper veins in your leg are in good condition, this vein can be removed
without harming your circulation."
A 75-year-old woman who has a history of diabetes and peripheral vascular disease has been trying to remove a
corn on the bottom of her foot with a pair of scissors. The nurse will encourage her to stop trying to remove the
corn with scissors because: - ✔✔✔the woman could be at increased risk for infection and lesions because of her
chronic disease
A 9-year-old girl is in the clinic for a sports physical. After some initial shyness she finally asks, "Am I normal? I
don't seem to need a bra yet, but I have some friends who do. What if I never get breasts?" The nurse's best
2025/2026Graded A+
. A 40-year-old woman reports a change in mole size, accompanied by color changes, itching, burning, and bleeding
over the past month. She has a dark complexion and has no family history of skin cancer, but she has had many
blistering sunburns in the past. The nurse would: - ✔✔✔Refer the patient because of the suspicion of melanoma
on the basis of her symptoms.
. Assessing a 7-month-old infant you make a loud noise and note the following response: Abduction and flexion of
arms and legs; fanning of fingers and curling of index finger and thumb in C-position; followed by infant bringing in
arms and legs to body. What do you know about this? - ✔✔✔This reflex should disappear between 1 and 4 months
of age
. When performing a genital assessment on a middle-aged man, the nurse notices multiple soft, moist, painless
papules in the shape of cauliflower-like patches scattered across the shaft of the penis. These lesions are
characteristic of: - ✔✔✔genital warts
. You are examining a 6 month old baby. You place the baby's feet flat on the table and flex his knees up. you note
that the right knee is significantly lower than the left. Which of the following is true of this finding?
This is a positive Allis sign and suggests hip dislocation - ✔✔✔This is a positive Allis sign and suggests hip
dislocation
1. A 16-yr-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, + 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 days=2 weekdays + 1 weekend day
Food diaries require the individual to write down everything consumed for a certain time period. Because of the
erratic eating patterns of this individual, assessing dietary intake over a few days would produce more accurate
information regarding eating patterns. Direct observation is best used with young children or older adults.
A 14-year-old boy who has been diagnosed with Osgood-Schlatter disease reports painful swelling just below the
knee for the past 5 months. Which response by the nurse practitioner is appropriate? - ✔✔✔"Your disease is due
to repeated stress on the patellar tendon. It is usually self-limited, and your symptoms should resolve with rest."
A 14-year-old girl is anxious about not having reached menarche. When taking the history, the nurse should
ascertain which of the following? The age: - ✔✔✔she began to develop breasts
, 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 description is consistent with: - ✔✔✔varicocele
A 2-year-old boy has been diagnosed with "physiologic cryptorchidism." Given this diagnosis, during assessment
the nurse will most likely observe: - ✔✔✔An absence of the testis in the scrotum, but the testis can be milked
down
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: - ✔✔✔Because of the change in consistency of the lump, it should be further evaluated by a physician
A 45-year-old mother of two children is seen at the clinic for complaints of "losing my urine when I sneeze." The
nurse documents that she is experiencing: - ✔✔✔stress incontinence
A 54-year-old woman who has just completed menopause is in the clinic today for a yearly physical examination.
Which of these statements should the nurse include in patient education? "A postmenopausal woman: -
✔✔✔should be aware that she is at increased risk for dyspareunia because of decreased vaginal secretions."
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? - ✔✔✔After menopause, the glandular and fat
tissue atrophies, causing breast size and elasticity to diminish, resulting in breast that sag
A 70-year-old patient is scheduled for open-heart surgery. The surgeon plans to use the great saphenous vein for
the coronary bypass grafts. The patient asks, "What happens to my circulation when the veins are removed?" The
nurse should reply: - ✔✔✔"Because the deeper veins in your leg are in good condition, this vein can be removed
without harming your circulation."
A 75-year-old woman who has a history of diabetes and peripheral vascular disease has been trying to remove a
corn on the bottom of her foot with a pair of scissors. The nurse will encourage her to stop trying to remove the
corn with scissors because: - ✔✔✔the woman could be at increased risk for infection and lesions because of her
chronic disease
A 9-year-old girl is in the clinic for a sports physical. After some initial shyness she finally asks, "Am I normal? I
don't seem to need a bra yet, but I have some friends who do. What if I never get breasts?" The nurse's best
