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NSG6020- FINAL EXAM REVIEW
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NSG6020- FINAL EXAM REVIEW
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NSG6020- FINAL EXAM REVIEWA 65-year-old patient remarks that she just can't believe that her breast sag so much.
She states it must be from lack of exercise. What explanation should the nurse offer
her? - Answers -After menopause, the glandular and fat tissue atrophies, causing breast
size and elasticity to diminish, resulting in breasts 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: - Answers -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: - Answers -Venous function of the lower
extremities
During an examination, the nurse notes severe nystagmus in both eyes of a patient.
Which of the following conclusions is correct? - Answers -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: - Answers -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 upper outer quadrant at 1 o'clock
approximately 5 cm from the nipple. It is firm, mobile, non-tender, with borders that are
not well defined. The nurse's recommendation to her is: - Answers -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 thumb
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" - Answers
-Negative 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: - Answers -
Impetigo
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? - Answers -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? - Answers -Tell her that, because of the changing
hormones during the monthly menstrual cycle, cyclic breast changes are common
A woman who is 22 weeks pregnant has a vaginal infection. She tells the nurse that she
is afraid that this infection with hurt the fetus. The nurse knows that which of these
statements are true? - Answers -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 and when awake
all he does is cry. The nurse hears that infant's cries are very high pitched and shrill.
what would be nurse's appropriate response? - Answers -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: - Answers -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: - Answers -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: - Answers -"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? - Answers -It is a normal variation and not a
significant finding
The major artery that supplies blood to arm - Answers -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 - Answers -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? -
Answers -Hyperrelexia
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