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NSG 464 EXAM SCRIPT 2025 QUESTIONS WITH ANSWERS RATED A+, Exams of Nursing

Liberty University (LU)Nursing

Signs of Underlying Breast Cancer - - Flattening normal convex breasts - Asymmetry of nipples - Nipple retraction - Dimpling breasts Paget's sign of breast cancer - Uncommon rash/nipple, eczema-like lesion that may weep, crust, or erode mammary duct ectasia - Inflammation with dilation (ectasia) of the subareolar ducts Breast

Typology: Exams

2024/2025

Available from 08/23/2025

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NSG 464 EXAM SCRIPT 2025 QUESTIONS WITH ANSWERS
RATED A+
✔✔Signs of Underlying Breast Cancer - ✔✔- Flattening normal convex breasts
- Asymmetry of nipples
- Nipple retraction
- Dimpling breasts
✔✔Paget's sign of breast cancer - ✔✔Uncommon
rash/nipple, eczema-like lesion that may weep, crust, or erode
✔✔mammary duct ectasia - ✔✔Inflammation with dilation (ectasia) of the subareolar
ducts
✔✔Breast Malignancy - ✔✔- hard, irregular, poorly circumscribed nodules fixed to
skin/tissue
- dimplying of skin
- nipple retraction
- non-tender
✔✔gynecomastia - ✔✔Abnormal development of breast tissue in males
✔✔Hydradenitis Supprativa - ✔✔sweat gland infection
✔✔Acanthosis nigricans - ✔✔thickening and darkening of skin near axillary region, A/w
Diabetes Type II and gastric carcinoma
✔✔Pectoral Nodes - ✔✔anterior - along the lateral edge of the pectoralis major muscle,
just inside the anterior axillary fold
✔✔Lateral Nodes - ✔✔along the humerus, inside the upper arm
✔✔Subscapular Nodes - ✔✔along the lateral edge of the scapula, deep in the posterior
axillary fold
✔✔Axilla Malignancy - ✔✔nodes larger than 1cm, hard, fixed to skin or underlying
tissue
✔✔Fibroadenoma of breast - ✔✔noncancerous breast tumors composed of fibrous and
glandular tissue
- round, disc-like, lobular
- firm, well delineated, mobile, nontender, no retraction
✔✔Cyst in breast - ✔✔Round, elastic, delineated
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Download NSG 464 EXAM SCRIPT 2025 QUESTIONS WITH ANSWERS RATED A+ and more Exams Nursing in PDF only on Docsity!

NSG 464 EXAM SCRIPT 2025 QUESTIONS WITH ANSWERS

RATED A+

✔✔Signs of Underlying Breast Cancer - ✔✔- Flattening normal convex breasts

  • Asymmetry of nipples
  • Nipple retraction
  • Dimpling breasts ✔✔Paget's sign of breast cancer - ✔✔Uncommon rash/nipple, eczema-like lesion that may weep, crust, or erode ✔✔mammary duct ectasia - ✔✔Inflammation with dilation (ectasia) of the subareolar ducts ✔✔Breast Malignancy - ✔✔- hard, irregular, poorly circumscribed nodules fixed to skin/tissue
  • dimplying of skin
  • nipple retraction
  • non-tender ✔✔gynecomastia - ✔✔Abnormal development of breast tissue in males ✔✔Hydradenitis Supprativa - ✔✔sweat gland infection ✔✔Acanthosis nigricans - ✔✔thickening and darkening of skin near axillary region, A/w Diabetes Type II and gastric carcinoma ✔✔Pectoral Nodes - ✔✔anterior - along the lateral edge of the pectoralis major muscle, just inside the anterior axillary fold ✔✔Lateral Nodes - ✔✔along the humerus, inside the upper arm ✔✔Subscapular Nodes - ✔✔along the lateral edge of the scapula, deep in the posterior axillary fold ✔✔Axilla Malignancy - ✔✔nodes larger than 1cm, hard, fixed to skin or underlying tissue ✔✔Fibroadenoma of breast - ✔✔noncancerous breast tumors composed of fibrous and glandular tissue
  • round, disc-like, lobular
  • firm, well delineated, mobile, nontender, no retraction ✔✔Cyst in breast - ✔✔Round, elastic, delineated
  • mobile, nontender, no retraction ✔✔Cancer in breast - ✔✔- Irregular or stellate shape
  • firm, hard, not delineated, fixed
  • nontender, retraction may be present ✔✔Peau d'orange sign - ✔✔When the skin of the breast looks like skin of an orange, inflammatory breast cancer ✔✔Preeclampsia - ✔✔SBP > 140, DBP > 90 after 20 weeks on 2 occasions at least 4 hours apart
  • Proteinuria > 300mg/24 hours ✔✔Chloasma or Melasma - ✔✔hyper pigmented patches on forehead, nose, cheeks (butterfly) during pregnancy. ✔✔Apical impulse in pregnancy - ✔✔Rotated upward and to left toward 4th intercostal space ✔✔Souffle hum - ✔✔Venous hum during pregnancy due to increased blood flow ✔✔Fetal movement can be examined after: - ✔✔24 weeks
  • Mother can feel by 18-24 weeks ✔✔Quickening - ✔✔the first feeling of movement of the fetus in utero by the pregnant woman ✔✔Fetal Heart Tones are audible at: - ✔✔ 10 - 12 weeks gestation ✔✔location of fetal heart rate - ✔✔- 10 - 18 weeks: along midline of lower abdomen
  • after: over back or chest of fetus ✔✔FHR Range - ✔✔ 110 - 160 ✔✔Chadwick's sign - ✔✔Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a result of increased vascular congestion.
  • soft
  • mucous plug ✔✔Leopold's Maneuvers - ✔✔Palpation to determine presentation and position of the fetus and aid in location of fetal heart sounds. Head=hard, round, movable object Buttocks=soft and irregular shape Back=smooth, hard surface felt on one side of the abdomen

✔✔Ortolani Test - ✔✔To detect hip dislocation or subluxation; If the head of the femur slips back into the acetabulum with a palpable clunk when pressure is exerted, suspect hip subluxation or dislocation. ✔✔Barlow Test - ✔✔Detection of unstable hip by adduction and extension of hip. The "feel" of dislocation is felt as femur leaves acetabulum ✔✔Galeazzi sign - ✔✔Knee is lower in position of the affected side when patient is supine and knees are flexed. ✔✔Bowing knees are normal up to: - ✔✔18 months ✔✔Gower sign - ✔✔a sign that indicates generalized muscle weakness in children

  • Child rolls over prone and pushes off floor with arms, but not legs ✔✔esotropia and exotropia - ✔✔inward turning of eye, outward turning of eye ✔✔hypertropia and hypotropia - ✔✔hyper- turning upward hypo- turning downward ✔✔Begin checking child's BP at: - ✔✔age 2 ✔✔Abdomen assessment in toddler - ✔✔- Liver span 1-2cm below costal margin
  • Spleen edge 1-2cm below costal margin ✔✔testes should descend by - ✔✔1 year ✔✔Fetal Alcohol Syndrome features - ✔✔- Short palpebral fissures (eye distance)
  • Thin lips
  • Wide/flattened nasal philtrum
  • Microcephaly ✔✔Congenital Hypothyroidism - ✔✔- low set hairline
  • enlarged tongue
  • umbilical hernia
  • myxedema: waxy, swollen skin ✔✔cholesteatoma - ✔✔yellow, waxy tumor arising in the middle ear ✔✔Drainage from tympanic membrane - ✔✔Strong indication of rupture ✔✔otitis media - ✔✔inflammation of the middle ear ✔✔Exaggerated potbelly in children - ✔✔- Celiac

- CF

  • Constipation
  • Aerophagia (swallowing too much air) ✔✔Children: palpating liver and spleen - ✔✔Both should be palpable, soft with sharp edge
  • Spleen is movable
  • Both 1-2cm below costal margin ✔✔Hepatomegaly in children - ✔✔When combined with increased HR and RR, sign of HF
  • Look for central cyanosis of lip and tongue ✔✔Acute Appendicitis - ✔✔- Involuntary rigidity
  • Rebound tenderness
  • Positive psoas or obturator sign ✔✔Psoas sign - ✔✔RLQ pain with extension of right thigh indicative of appendicitis ✔✔Tanner Stages: pubic hair - ✔✔-Begin at age 8
  1. No pubic hair present
  2. sparse, lightly pigmented, downy
  3. hair becomes more pigmented, coarse, curled, and more abundant
  4. pubic hair abundant, but covers smaller area than in an adult
  5. adult hair distribution ✔✔Tanner stages of breast development - ✔✔Tanner I: no glandular tissue; areola follows skin contours of the chest (prepubertal) Tanner II: breast bud forms with small area of surrounding glandular tissue; areola beings to widen - 8 - 13yrs Tanner III: breast begins to become more elevated and extends beyond borders of areola; remains in contour with surrounding breast Tanner IV: increased breast size and elevation; areola and papilla form a secondary mound projecting from the contour of the surrounding breast Tanner V: adult size; areola returns to contour of the surrounding breast, with projecting central papilla (nipple) - 12.5-18.5yrs ✔✔tanner stages of male genitalia - ✔✔I: Preadolescent II: Downy hair; Slightly larger penis, testes larger and reddened III: darker, coarser, curlier hair, sparse; larger penis and testes

✔✔External Rotation Resistance Test - ✔✔Adduct and flex arm 90 degrees with thumb turned up

  • apply pressure to wrist positive: infraspinatus disorder ✔✔Empty Can Test - ✔✔Elevate arms to 90° in front of pt and internally rotate arms with thumbs pointing down; ask pt to resist as you place downward pressure on arms Positive for Rotator cuff tear if weakness present ✔✔Lateral Epicondylitis - ✔✔tennis elbow, characterized by pain on the outer side of the forearm ✔✔Medial Epicondylitis - ✔✔golfer's elbow, characterized by pain on the palm-side of the forearm ✔✔Colles fracture - ✔✔fracture of the distal radius at the wrist ✔✔Scaphoid fracture - ✔✔Anatomical Snuffbox > Radial artery here Avascular necrosis, most commonly injured wrist bone ✔✔Thumb Abduction Test - ✔✔Ask patient to raise the thumb straight up as you apply downward resistance Positive test - weakness on thumb abduction
  • Most sensitive carpal tunnel test ✔✔Tinel Test - ✔✔Percussion on medial nerve
  • Positive: aching and numbing, tingling ✔✔Phalen's Sign - ✔✔Hold backs of hands together with wrists in flexion for 60 seconds
  • Positive: numbness/tingling ✔✔Sensation Test: median nerve - ✔✔pulp of index finger ✔✔Sensation Test: ulnar nerve - ✔✔pulp of 5th finger ✔✔Sensation Test: radial nerve - ✔✔dorsal web space of thumb and index finger ✔✔Torticollis - ✔✔head tilt due to shortening or spasm of one sternomastoid muscle ✔✔Spondylolithesis - ✔✔forward slipping of a vertebra over a lower vertebra; may compress spinal cord

✔✔Scoliosis - ✔✔lateral curvature of the spine ✔✔spina bifida - ✔✔congenital defects in the lumbar spinal column caused by imperfect union of vertebral parts ✔✔Bulge Sign - ✔✔Minor effusion

  • Knee extended, apply pressure to "milk" fluid downward
  • Tap knee behind patella
  • Positive: fluid wave ✔✔Balloon Sign - ✔✔Major effusion
  • Compress suprapatellar pouch against femur
  • Palpate for fluid "ballooning" into spaces next to patella under R thumb and index finger
  • Positive: palpable fluid wave; present in knee fractures ✔✔Balloting Patella - ✔✔Major Effusion
  • Compress suprapatellar pouch and "ballotte" or push patella sharply against femur
  • Positive: palpable fluid wave returning into pouch ✔✔Achilles Tendon Rupture - ✔✔Patient prone with knee/ankle flexed at 90 degrees, or ask pt to kneel on chair
  • Squeeze calf and watch for plantar flexion at ankle
  • Positive: absent plantar flexion; achilles tendon rupture
  • sudden severe "gunshot" pain, ecchymosis, flat-footed ✔✔McMurray Test - ✔✔Assess medial/lateral meniscus
  • Positive: palpable click/pop; meniscal tear ✔✔Abduction or Valgus stress test - ✔✔medial collateral ligament (MCL)
  • Positive: pain or gap in medial joint line ✔✔Adduction or Varus stress test - ✔✔Lateral collateral ligament (LCL)
  • Positive: pain or gap in lateral joint line points ✔✔Anterior Drawer Test - ✔✔ACL tear
  • Positive: forward jerk showing contours of upper tibia ✔✔Lachman's Test - ✔✔ACL
  • Positive: significant forward excursion ✔✔Posterior Drawer Test - ✔✔PCL
  • Positive: proximal tibia falls back
  • Obtunded: shake gently
  • Stupor: painful stimulus
  • Coma: repeated painful stimulus ✔✔Normal Posture in comatose patient - ✔✔Avoidant: patient purposefully pushes stimulus away or withdraws ✔✔Comtatose Posture: Stereotypic - ✔✔Stimulus evokes abnormal postural response ✔✔Decorticate posturing - ✔✔Rigidity; abnormal flexor response
  • Upper arms flexed tight to sides
  • Deconstructive lesions of corticospinal tracts ✔✔Hemiplegia - ✔✔One-sided paralysis
  • Sudden, unilateral brain damage ✔✔Decerebrate posturing - ✔✔Rigidity; abnormal extensor response
  • jaw clenched, neck extended
  • lesion in diencephalon, midbrain, pons ✔✔Comatose: muscle tone - ✔✔- normal: slightly flexed at wrist
  • abnormal: flaccid (acute cerebral infarct) ✔✔Glasgow Coma Scale - ✔✔Eye opening, Motor, Verbal
  • Score 3-8: coma
  • Unresponsive: 3
  • Highest score 15 ✔✔CN I - ✔✔Olfactory
  • occlude each nostril and test different smells ✔✔CN II - ✔✔Optic
  • Snellen chart ✔✔CN III - ✔✔Ocuolomotor
  • Size/shape of pupils
  • Test light reaction and near response ✔✔CN III, IV, VI - ✔✔Oculomotor, Trochlear, Abducens
  • test extraocular movements in 6 cardinal directions of gaze
  • lid elevation
  • check convergence ✔✔CN V - ✔✔Trigeminal
  • Motor: palpate temporal and masseter muscles while pt clenches teeth
  • Sensory: test forehead, cheeck, jaw for sharp/dull sensation
  • Test corneal reflex ✔✔CN VII - ✔✔Facial
  • Assess for asymmetry, tics, abnormal movements
  • Raise eyebrows, frown, close eyes tightly, show teeth, smile, puff cheeks ✔✔CN VIII - ✔✔Acoustic
  • Test hearing, lateralization, air and bone conduction ✔✔CN IX and X - ✔✔Glossopharyngeal and Vagus
  • assess if voice is hoarse
  • assess swallowing
  • inspect movement of palate as patient says "ah."
  • test gag reflex, warning patient first ✔✔CN XI - ✔✔Spinal Accessory
  • assess strength as patient shrugs shoulders
  • assess force as pt turns head against hand ✔✔CN XII - ✔✔Hypoglossal
  • Ask pt to protrude tongue and move from side to side ✔✔Motor System - ✔✔muscle strength, gait, coordination ✔✔Cerebellar System - ✔✔coordinates movement, maintains equilibrium, and helps maintain posture ✔✔Vestibular System - ✔✔The sensory system that responds to gravity and keeps people informed of their body's location in space.
  • balance and coordinating eye, head, body movements ✔✔Sensory System - ✔✔part of the nervous system that detects or senses the environment (positional sense) ✔✔Levels of Alertness - ✔✔- Alert
  • Lethargy
  • Obtunded
  • Stupor
  • Coma ✔✔Grading Muscle Strength - ✔✔ 1 - 5 Scale 5: normal 3: only move against gravity

✔✔Brudzinski's sign - ✔✔Sign of meningitis; positive when a patient's legs lift involuntarily when lifting a patient's head ✔✔Kernig's sign - ✔✔Sign of meningitis; positive when the leg is fully bent at the hip and knee, and subsequent extension of the knee leads to pain ✔✔Reflex Grading Scale - ✔✔2+: normal 4+: clonus ✔✔Phimosis and Paraphimosis - ✔✔Prepuce too tight to retract/return from retracted position ✔✔Balanitis - ✔✔inflammation of the glans penis ✔✔Balanoposthitis - ✔✔inflammation of the glans and prepuce ✔✔Hypospadias - ✔✔congenital defect in which the urinary meatus is located on the underside of the penis ✔✔Profuse, yellow discharge from glans - ✔✔Gonococcal urethritis ✔✔Scanty white or clear discharge from glans - ✔✔Nongonococcal urethritis ✔✔Induration along ventral surface of penis - ✔✔urethral stricture, carcinoma ✔✔Epidermoid cyst - ✔✔white/yellow papules formed by occluded follicles on scrotum; normal/benign ✔✔Cryptochordism - ✔✔failure of the testicles to descend into the scrotum ✔✔Hydroceles - ✔✔A fluid-filled sac in the scrotum that is located along the spermatic cord leading from the testicles. ✔✔Variocecele - ✔✔Turtous scrotal veins that are palpable/visible ✔✔Pediculosis Pubis - ✔✔an infestation with lice in the pubic hair and pubic region ✔✔Bartholin's Glands - ✔✔Glands located on either side of the vaginal opening that secrete mucus for vaginal lubrication. ✔✔Tenderness when moving cervix - ✔✔PID Ectopic pregnancy Appendicitis

✔✔Ovarian Cancer symptoms - ✔✔- Pelvic Pain

  • bloating
  • increased abdominal size
  • UTI symptoms ✔✔Normal prostate texture - ✔✔Rubbery and nontender ✔✔Rectal exam on female is performed: - ✔✔After vaginal exam while in lithotomy position ✔✔Best time for breast exam - ✔✔ 5 - 7 days after menses