NSG 6020 Final Exam 2022
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
... [Show More] 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
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 [Show Less]