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NSG 6020 FINAL EXAM 2024 | 3 DIFFERENT
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NSG 6020 FINAL EXAM (FIRST EXAM)
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 vibration of 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? ------CORRECT 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? ------ CORRECT 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 non-tender base that feels like a small button between your thumb and gingers. At this point you suspect that this patient has: ------CORRECT 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 breasfeeding? ------CORRECT ANSWER--------------- "Breastfeeding provides the perfect food and antibodies for your baby?" To palpate the temoromandibular joint, the nurse's finger should be placed in the depression of the ear ------CORRECT ANSWER---------------Anterior to the tragus The nurse practitioner is examining only the rectal area of a woman and should place the woman in what position? ------CORRECT ANSWER--------- ------The nurse should place the female patient in lithotomy position if examining genitalia as well; use the left lateral decubitus position for the rectal area alone The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer. on examination the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine. These findings are most consistent with a(n) _______ hernia ------CORRECT ANSWER--------------- Direct inguinal The nurse is conducting a class about breast self-examination (BSE). Which of these statements indicates proper BSE technique? ------ CORRECT ANSWER---------------The best time to perform BSE is 4 to 7 days after the first day of the menstrual period. A man found wandering in the park at 2am has been brought to emergency department for examination because he said he fell and hit his head. During examination, nurse ask him to use his index finger to touch nurse's finger, the own nose, then nurse's finger again. Patient is clumsy, unable to
some pain. The nurse's interpretation of these results should be which of these? ------CORRECT ANSWER---------------The cervix should move when palpated; an immobile cervix may indicate malignancy You are examining a 6-month-old baby. You place the baby's feet flat on the table and flex his knees up. You note that the right knee is significantly lower than the left. Which of the following is true of this finding? ------ CORRECT ANSWER---------------This is a positive Allis sign and suggests hip dislocation A 75-year-old woman who has a history of diabetes and peripheral vascular disease has been trying to remove a corn from the bottom of her foot with a pair of scissors. The nurse will encourage her to stop trying to remove the corn with scissors because: ------CORRECT ANSWER---------------The woman could be at increased risk for infection and lesions because of her chronic disease You are examining Mr. O, and when you ask him to bend forward from the waist, you notice lateral tilting; when you raise his leg straight up, he complains of a pain going down his buttocks into his leg. You suspect: ------ CORRECT ANSWER---------------Herniated nucleus pulposus The assessment of an 80-year-old patient, the nurse notes that his hands show tremors when he reaches for something and that his head is always nodding. There is no associated rigidity with movement. Which of the following statements is most accurate? ------CORRECT ANSWER------------- --These findings are normal
Which of the following following statements is true regarding the arterial system? ------CORRECT ANSWER---------------The arterial system is a high-pressure system A patient who is visiting the clinic complains of having "stomach pains for 2 weeks" and describes his stools as being "soft and black" for about the last 10 days. He denies taking any medications. The NP is aware that these symptoms are most indicative of: ------CORRECT ANSWER--------------- Occult blood resulting from gastrointestinal bleeding During an internal examination of a woman's genitalia, the nurse will use which technique for proper insertion of the speculum? ------CORRECT ANSWER---------------Instruct the woman to bear down, turn the width of the blades horizontally, and insert the speculum at a 45-degree angle downward toward the small of the woman's back When assessing a patient the nurse practitioner documents the left femoral pulse as 0/0- 4 +. Which of the following findings would the nurse practitioner expect at the dorsalis pedis pulse? ------CORRECT ANSWER-- -------------Absent A 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? ------CORRECT ANSWER---------------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: ------CORRECT ANSWER---- -----------The first sign of puberty is enlargement of the testes
"clunking" sounds and is confident to record a" ------CORRECT ANSWER-- -------------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: ------CORRECT ANSWER--------------- 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? ------CORRECT ANSWER---------------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? ------CORRECT 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: ------CORRECT ANSWER---------------palpate the unaffected breast first A 16-year-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, and high caffeine intake. In this situation, which is most appropriate when collecting current
dietary intake information? ------CORRECT ANSWER---------------Have the patient complete a food diary for 3 day= 2 weekdays + 2 weekend day. 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? ------CORRECT ANSWER---------------Raises head and arches back A patient has a positive Homans' sign. the nurse know that a positive Homans' sign may indicate: ------CORRECT ANSWER---------------Deep vein thrombosis The nurse is discussing breast self- examination with a postmenopausal woman to perform breast self examination is: ------CORRECT ANSWER---- -----------The 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 descriptions is consistent with: ------CORRECT 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? --- ---CORRECT ANSWER---------------An increased loss of elastin and a decrease in subcutaneous fat in the elderly.
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? ------ CORRECT ANSWER---------------It is a normal variation and not a significant finding The major artery that supplies blood to arm ------CORRECT ANSWER------- --------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 ------CORRECT ANSWER---------------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? ------CORRECT ANSWER---------------Hyperrelexia 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, muscular, with a bull's eye pattern across his midriff and behind his knees. The nurse suspects: ------CORRECT ANSWER---------------Lyme Disease To assess the dorsalis pedis artery, the nurse would palpate: ------ CORRECT ANSWER---------------Lateral to the extensor tendon of the great toe
A 2 year old boy has been diagnosed with "physiologic cryptorchidiam" Given this diagnosis, during assessment the nurse will most likely observe: ------CORRECT ANSWER---------------An absence of the testis in the scrotum, but the testis can be milked down The nurse practitioner is doing an assessment on a 29 year old woman who visits the clinic complaining of "always dropping things and falling down" While testing rapid alternating movements, the nurse practitioner notices that the woman is unable to pat both her knees. Her response is very slow and she misses frequently. What might the nurse practitioner suspect? ------CORRECT ANSWER---------------Dysfunction of the cerebellum The wife of a 65 year old man tells the nurse that she is concerned because she has noted a change in her husband's personality and ability to understand. He also cries and becomes angry very easily. The nurse recalls that the cerebral lobe responsible for these behaviors is which of the following? ------CORRECT ANSWER---------------Frontal A male patient with possible fertility problems ask the nurse where sperm is produced. The nurse knows that sperm production occurs in the: ------ CORRECT ANSWER---------------Testes Which of the following statements reflects the best approach to teaching a woman about breast self-examination (BSE)? ------CORRECT ANSWER---- -----------BSE on a monthly basis will help you feel familiar with your own breasts and their normal variations" When assessing a patient's pulse, the nurse practitioner notes that the amplitude is weaker during inspiration and stronger during expiration.
Assessing a 7-month-old infant you make a loud noise and note the following response: Abduction and flexion of arms and legs; fanning of fingers and curling of index finger and thumb in C-position; followed by infant bringing in arms and legs to body. What do you know about this? -----
- CORRECT ANSWER---------------This reflect should disappear between 1 and 4 months of age The nurse is assessing a 75-year-old man. As the nurse beings the mental status portion of the assessment, the nurse expects that this patient: ------ CORRECT ANSWER---------------May take a little longer to respond, but his general knowledge and abilities should not have a decline During an external genitalia examination of a woman, the nurse notices several lesions around the vulva. The lesions are pink, moist, soft, and pointed papules. The patient states that she is not aware of any problems in that area. The nurse recognizes that these lesions may be: ------ CORRECT ANSWER---------------HPV or genital WARTs A 40-year-old woman reports a change in mole size, accompanied by color changes, itching, burning, and bleeding over the past month. She has a dark complexion and has no family history of skin cancer, but she has had many blistering sunburns in the past. The nurse would: ------CORRECT ANSWER---------------Refer the patient because of the suspicion of melanoma on the basis of her symptoms Which of the following veins are responsible for most of the venous return in the arm? ------CORRECT ANSWER---------------Superficial veins
A man who has had gout for several years comes to the clinic with a "problem with my toe." On examination, the nurse practitioner notes the presence of hard, painless nodules over the great toe; one had burst open with a chalky discharge. This finding is known as: ------CORRECT ANSWER---------------Tophi are collections of sodium urate crystals resulting from chronic gout in and around the joint that cause extreme swelling and joint deformity. They appear as hard, painless nodules (tophi) over the metatarsophalangeal joint of the first toe and they sometimes burst with a chalky discharge The nurse is performing a well-child assessment on a 3 year old child. The child's vital signs are normal. Capillary refill tie is 5 seconds. The nurse would: ------CORRECT ANSWER---------------Consider this delayed capillary refill time and investigate further A 70-year-old patient is scheduled for open-heart surgery. The surgeon plans to use the great saphenous vein for the coronary bypass grafts. The patient asks, "What happens to my circulation when the veins are removed?" The nurse should reply: ------CORRECT ANSWER--------------- "Because the deeper veins in your leg are in good condition, this vein can be removed without harming your circulation." When observing the vestibule, the nurse practitioner should be able to see the: ------CORRECT ANSWER---------------Urethral meatus and vaginal orifice When the nurse is conducting sexual history from a male adolescent, which statement would be most appropriate to use at the beginning of the interview? ------CORRECT ANSWER---------------Often boys your age have questions about sexual activity
A 14-year-old boy who has been diagnosed with Osgood-Schlatter disease reports painful swelling just below the knee for the past 5 months. Which response by the nurse practitioner is appropriate? ------CORRECT ANSWER---------------"Your disease is due to repeated stress on the patellar tendon. It is usually self limited, and your symptoms should resolve with rest." Which of the following is considered a normal and expected finding when the nurse practitioner is performing a physical examination on a pregnant woman? ------CORRECT ANSWER---------------A palpable, full thyroid A 54-year-old woman who has just completed menopause is in the clinic today for a yearly physical examination. Which of these statements should the nurse include in patient education? "A postmenopausal woman: ------ CORRECT ANSWER---------------should be aware that she is at increased risk for dyspareunia because of decreased vaginal secretions." The nurse practitioner has completed the musculoskeletal examination of a patient's knee and has found a positive bulge sign. The nurse suspects: ---- --CORRECT ANSWER---------------Swelling from fluid in the suprapatellar pouch Which of the following statements is true with regard to the history of a postmenopausal woman? ------CORRECT ANSWER---------------The nurse should ask a postmenopausal woman if she ever has vaginal bleeding. When performing a genital assessment on a middle-aged man, the nurse notices multiple soft, moist, painless papules in the shape of cauliflower-like patches scattered across the shaft of the penis. These lesions are characteristic of: ------CORRECT ANSWER---------------Genital warts
During a physical examination, a 45-year-old woman states that she has had a crusty, itchy rash on her breast for about 2 weeks. In trying to find the cause of the rash, which of these would be important for the nurse to determine? ------CORRECT ANSWER---------------Where did it first appear - on the nipple, the areola, or the surrounding skin? Which of the following statements is true regarding assessment of the anklebrachial index (ABI)? ------CORRECT ANSWER---------------ABI = highest ankle pressure divided by the highest brachial pressure The patient is in her first trimester of pregnancy. She complains of feeling nauseated and has vomited on occasion. She tells the nurse that she did not have this with her first pregnancy. She asks the nurse, "What is causing this and when will it end?" How should the nurse respond? ------CORRECT ANSWER---------------The nausea is caused by elevated levels of progesterone and estrogen, and the nausea should end once her body adjusts to the increased hormone levels. A professional tennis player comes in complaining of a sore elbow. You suspect that he has tenderness at: ------CORRECT ANSWER--------------- the medial and lateral epicondyle During a bimanual examination, the nurse detects a solid tumor on the ovary that is heavy and fixed, with a poorly defined mass. This finding is suggestive of: ------CORRECT ANSWER---------------ovarian cancer
need for a ------CORRECT ANSWER---------------Colonoscopy every 10 years What are the two main parts of the nervous system? ------CORRECT ANSWER---------------central nervous system and peripheral nervous system While obtaining a history of a 3-month old infant from the mother, the nurse practitioner asks about the baby's ability to suck and grasp the mother's finger. What is the nurse practitioner assessing? ------CORRECT ANSWER---------------Reflexes The nurse practitioner auscultates a functional systolic murmur, grade II/IV, on a woman in week 30 of her pregnancy. The remainder of her physical assessment is within normal limits. The nurse practitioner would: ------ CORRECT ANSWER---------------Know that this finding is normal and is a result of the increase in blood volume during pregnancy The nurse practitioner knows that classic symptoms associated with preeclampsia include: ------CORRECT ANSWER---------------Elevated blood pressure and proteinuria.
NSG 6020 FINAL EXAM (SECOND EXAM)
Heberden's nodes are commonly found in which one of the following diseases? ------CORRECT ANSWER---------------Degenerative joint disease
You are beginning the examination of the skin on a 25-year-old teacher. You have previously elicited that she came to the office for evaluation of fatigue, weight gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the expected moisture and texture of the skin of the patient with hypothyroidism - -----CORRECT ANSWER---------------dry and rough You are assessing a patient with joint pain and are trying to decide whether it is inflammatory or noninflammatory in nature. Which one of the following symptoms is consistent with an inflammatory process? ------CORRECT ANSWER---------------tenderness A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right temporal area of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale that is round and feels hard. He has several more of these scattered on the forehead, arms and legs. Based on this description, what is your most likely diagnosis? -----
- CORRECT ANSWER---------------actinic keratosis A 28-year-old graduate student comes to your clinic for evaluation of pain "all over." With further questioning, she is able to relate that the pain is worse in the neck, shoulders, hands, low back and knees. She denies swelling in her joints. She states that the pain is worse in the morning. There is no limitation in her range of motion. On physical examination, she has several points on the muscles of the neck, shoulders and back that are tender to palpation. Muscle strength and range of motion are normal. Which one of the following is likely the cause of her pain? ------CORRECT ANSWER---------------fibromyalgia A new patient is complaining of severe pruritus that is worse at night. Several family members also have the same symptoms. Upon examination,
