NSG 6020 WEEK 10

Final Exam

South University

NSG 6020

NSG 6020 FINAL EXAM

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NSG 6020 FINAL EXAM

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 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:

“Puberty usually begins about age fifteen.”

“The first sign of puberty is enlargement of the testes.”

“Penis size does not increase until about the age of sixteen.”

"The development of pubic hair precedes testicular or penis enlargement.”

A patient has bilateral pitting edema of the feet. While assessing the

peripheral vascular system, the nurse's primary focus should be:

The correct answer is: 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?

1.This is a normal occurrence.

2.This may indicate disease of the cerebellum or brainstem.

3.This is a sign that the patient is nervous about the examination.

4.This indicates a visual problem and a referral to an ophthalmologist is indicated.

End-point nystagmus at an extreme lateral gaze occurs normally. Assess any

other nystagmus carefully. Severe nystagmus occurs with disease of the

vestibular system, cerebellum, or brainstem.

When performing a musculoskeletal assessment, the nurse knows the

correct approach for the examination should be: proximal to distal

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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, 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.”

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:

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: 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?

1.Positive Babinski sign

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