1. A 65-year-old patient remarksthatshe just can't believe that her breastssagso much. She
statesit must be from lack of exercise.What explanation shouldthe nurse offer her?:
Answer After menopause, the glandular and fat tissue atrophies, causing breast size and
elasticity to diminish, resulting in breast that sag
2. The mother of a 10-year-old boy asks the nurse to discuss the recognitionof puberty.
The nurse should reply by saying?:
Answer the firstsign of puberty is enlargement of the testes
3. A patient has bilateral pitting edema of the feet.While assessing the peripheral vascular
system, the nurse's primary focus should be::
Answer venous function ofthe lower extremitites
4. During an examination, the nurse notes severe nystagmus in both eyes of a patient.
Which of the following conclusions is correct?:
Answer this may indicatedisease of the cerebellum or brainstem
5. When performing a musculoskeletal assessment, the nurse knows the correct approach
for the examination should be::
Answer proximal to distal
6. A 43-year-old woman is at the clinic for a routine examination. She reportsthat 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 inthe 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::
Answer Because of the change in consistency ofthe lump, it should be further evaluated
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