NSG 6020 3p Exam 500 well researched Questions With
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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? - Answer:After menopause, the
glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breast 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? - Answer: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: - Answer:venous function of the lower extremitites
During an examination, the nurse notes severe nystagmus in both eyes of a patient. Which of the
following conclusions is correct? - Answer: 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: - Answer: 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 appear upper
outer quadrant at 1 o'clock, approximately 5 cm form the nipple. It is firm, mobile, nontender, with
borders that are not well defined. The nurse's recommendation to her is: - Answer: 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 thumbs 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: - Answer: Negative Ortolani's sign
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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: - Answer:Impetigo
The nurse is testing superficial reflexes on an 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? - Answer:Plantar reflex present
A woman is in the family planning clinic seeking birth control information. She states that her breasts
"change all month long" and that she is worried that this is unusual. What is the nurse's best response? -
Answer: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: - Answer:palpate the unaffected breast
first
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? - Answer: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.
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? - Answer:Raises head and arches back.
A patient has a positive Homans' sign. The nurse knows that a positive Homans' sign may indicate: -
Answer:deep vein thrombosis
The nurse is discussing breast self-examination with a postmenopausal woman. The best time for
postmenopausal women to perform breast self-examination is: - Answer:the same day every month
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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: - Answer: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? - Answer:An increased loss of elastin and a decrease in
subcutaneous fat in the elderly
A woman who is 22 weeks pregnant has a vaginal infection. She tells the nurse that she is afraid that this
infection will hurt the fetus. The nurse knows that which of these statements is true? - Answer:A thick
mucus plug forms that protects the fetus from infection
In assessment of 1-month-old, nurse notes a lack of response to noise or stimulation. mother reports
that in the last week he has been sleeping all the time + when awake all he does is cry. nurse hears that
infant's cries are very high pitched and shrill. What would be nurse's appropriate response? -
Answer:Refer the infant for further testing
A female patient is 8 months pregnant. She comments that she has noticed a change in posture and is
having lower back pain. The nurse tells her that during pregnancy women have a posture shift to
compensate for the enlarging fetus. This shift in posture is: - Answer:lordosis
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: - Answer: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 breasts?"
The nurse's best response would be: - Answer:"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? - Answer:It is a normal variation and not a significant finding
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The major artery that supplies blood to arm - Answer:brachial artery
The nurse is testing the function of cranial nerve XI. Which of these best describes the response the
nurse should expect if the nerve is intact? The patient - Answer:moves head and shoulder 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? - Answer:Hyperreflexia
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, macular, with a bull's eye pattern across his midriff
and behind his knees. The nurse suspects: - Answer:lyme disease
To assess the dorsalis pedis artery, the nurse would palpate - Answer:lateral to the extensor tendon of
the great toe. The dorsalis pedis artery is located on the dorsum of the foot. Palpate just lateral to and
parallel with the extensor tendon of the big 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 vibrations of a 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? - Answer: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? - Answer:normal
During an examination, you note that a male patient has a red, round, superficial ulcer with a yellowish-
serous discharge on his penis. Upon palpation, you note a nontender base that feels like a small button
between your thumb and fingers. At this point you suspect that this patient has: - Answer:syphilitic
chancre
During an interview, a patient reveals that she is pregnant. She states that she is not sure whether she
will breastfeed her baby and asks for some information about this. Which of these statements by the
nurse is accurate with regard to breastfeeding? - Answer:Breastfeeding provides the perfect food and
antibodies for your baby."