NSG 6020 Final Exam QUESTION AND ANSWERS|2025
SOLVED EXAM |HIGHLIGHTED ANSWERS
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 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 breast?"
The nurse's best response would be:
"I understand that it is hard to feel different from your friends. Breasts usually develop between 8 and
10 years of age"
During an examination, the nurse notes a supernumerary nipple just under the patient's left breast.
The patient tells the nurse that she always thought it was a mole. Which statement about this finding
is correct?
It is a normal variation and not a significant finding
The major artery that supplies blood to arm
Brachial artery
The nurse is testing the function of Cranial nerve XL. Which of these best describes the response the
nurse should expect if the nerve is intact? The patient
Moves head and should against resistance with equal strength
In a person with an upper motor neuron lesion such as a cerebrovascular accident, which of the
following physical assessment findings would the nurse expect to see?
Hyperrelexia
A few days after a summer hiking trip, a 25 year old man comes to the clinic with a rash. On
examination, the nurse notes that the rash is red, muscular, with a bull's eye pattern across his midriff
and behind his knees. The nurse suspects:
Lyme Disease
, To assess the dorsalis pedis artery, the nurse would palpate:
Lateral to the extensor tendon of the great toe
The nurse is performing a neurologic assessment on a 41-year-old woman with a history of diabetes.
When testing her ability to feel the vibration of tuning fork, the nurse notes the following: unable to
feel vibrations on the great toe or ankle bilaterally; is able to feel vibrations on both patellae. Given
this information, what would the nurse suspect?
Peripheral neuropathy
The nurse is reviewing an assessment of a patient's peripheral pulses and notices that the
documentation states that the radial pulses are "2+". The nurse recognizes that this reading indicates
what type of pulse?
Normal
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?
SOLVED EXAM |HIGHLIGHTED ANSWERS
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 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 breast?"
The nurse's best response would be:
"I understand that it is hard to feel different from your friends. Breasts usually develop between 8 and
10 years of age"
During an examination, the nurse notes a supernumerary nipple just under the patient's left breast.
The patient tells the nurse that she always thought it was a mole. Which statement about this finding
is correct?
It is a normal variation and not a significant finding
The major artery that supplies blood to arm
Brachial artery
The nurse is testing the function of Cranial nerve XL. Which of these best describes the response the
nurse should expect if the nerve is intact? The patient
Moves head and should against resistance with equal strength
In a person with an upper motor neuron lesion such as a cerebrovascular accident, which of the
following physical assessment findings would the nurse expect to see?
Hyperrelexia
A few days after a summer hiking trip, a 25 year old man comes to the clinic with a rash. On
examination, the nurse notes that the rash is red, muscular, with a bull's eye pattern across his midriff
and behind his knees. The nurse suspects:
Lyme Disease
, To assess the dorsalis pedis artery, the nurse would palpate:
Lateral to the extensor tendon of the great toe
The nurse is performing a neurologic assessment on a 41-year-old woman with a history of diabetes.
When testing her ability to feel the vibration of tuning fork, the nurse notes the following: unable to
feel vibrations on the great toe or ankle bilaterally; is able to feel vibrations on both patellae. Given
this information, what would the nurse suspect?
Peripheral neuropathy
The nurse is reviewing an assessment of a patient's peripheral pulses and notices that the
documentation states that the radial pulses are "2+". The nurse recognizes that this reading indicates
what type of pulse?
Normal
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?
