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NSG6020 Final #3 ( 100% verified) A+ grade assured 2024/2025
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NSG6020 Final #3 ( 100% verified) A+ grade assured 2024/2025
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NSG6020 Final #3A 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? -
ANSAfter 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? - ANSthe 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: - ANSvenous 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? - ANSthis may indicate disease of the cerebellum or
brainstem
When performing a musculoskeletal assessment, the nurse knows the correct approach for
the examination should be: - ANSproximal 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 frim, mobile, nontender, with borders that are not well defined. The nurse's
recommendation to her is: - ANSBecause 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: - ANSNegative 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: - ANSImpetigo
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? - ANSPlantar 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? - ANSTell 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: - ANSpalpate 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? - ANSHave 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? - ANSRaises
head and arches back.
A patient has a positive Homans' sign. The nurse knows that a positive Homans' sign may
indicate: - ANSdeep 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: - ANSthe 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 description is consistent with: - ANSvaricocele
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? - ANSAn 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? - ANSA 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? - ANSRefer 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
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