Question 1

Findings upon palpation of lymph nodes that are indicative of a systemic infection include which of the following?

Accepted Answer

A)  fixed firm, immobile, irregular nodes 
B)  enlarged nodes less than 1 cm in diameter 
C)  enlarged, nontender, firm nodes 
D)  enlarged, tender, or painful nodes that are matted together 
A)  fixed firm, immobile, irregular nodes 
B)  enlarged nodes less than 1 cm in diameter 
C)  enlarged, nontender, firm nodes 
D)  enlarged, tender, or painful nodes that are matted together D

Question 2

To palpate the supraclavicular lymph nodes,you should place your fingers over the patient's clavicles

Accepted Answer

A)  lateral to the tendinous portion of the sternocleidomastoid muscle. 
B)  lateral to the tendinous portion of the trapezius muscle. 
C)  anterior to the tendinous portion of the sternocleidomastoid muscles. 
D)  superior to the tendinous portion of the scalene muscles. 
A)  lateral to the tendinous portion of the sternocleidomastoid muscle. 
B)  lateral to the tendinous portion of the trapezius muscle. 
C)  anterior to the tendinous portion of the sternocleidomastoid muscles. 
D)  superior to the tendinous portion of the scalene muscles. A

Question 3

Which associated manifestation in a female with a chief complaint of a lump in the breast and discharge is most likely to be linked with breast cancer?

Accepted Answer

A)  multiple soft, well-defined masses, and tenderness upon palpation 
B)  fever and breast swelling 
C)  bruising of the breast tissue and chest wall 
D)  dimpling of the skin 
A)  multiple soft, well-defined masses, and tenderness upon palpation 
B)  fever and breast swelling 
C)  bruising of the breast tissue and chest wall 
D)  dimpling of the skin D

Question 4

Breast masses are most frequently found

Accepted Answer

A)  around the nipple. 
B)  in the lower outer quadrant. 
C)  in the upper outer quadrant. 
D)  in the supraclavicular lymph nodes. 
A)  around the nipple. 
B)  in the lower outer quadrant. 
C)  in the upper outer quadrant. 
D)  in the supraclavicular lymph nodes.

Question 5

It is recommended that mastectomy patients perform routine breast examination,including

Accepted Answer

A)  monthly breast self-exams, annual clinical evaluation, and mammography every 2 years. 
B)  weekly breast self-exams, clinical evaluation every 6 months, and mammography annually. 
C)  weekly breast self-exams, annual clinical evaluation, and mammography every 6 months. 
D)  monthly breast self-exams and clinical evaluation and mammography annually. 
A)  monthly breast self-exams, annual clinical evaluation, and mammography every 2 years. 
B)  weekly breast self-exams, clinical evaluation every 6 months, and mammography annually. 
C)  weekly breast self-exams, annual clinical evaluation, and mammography every 6 months. 
D)  monthly breast self-exams and clinical evaluation and mammography annually.

Question 6

A breast cancer that results in fibrotic shortening and disablement of the Cooper's ligaments can be manifested in which clinical finding?

Accepted Answer

A)  nipple discharge 
B)  breast edema 
C)  eczematous dermatitis 
D)  dimpling 
A)  nipple discharge 
B)  breast edema 
C)  eczematous dermatitis 
D)  dimpling

Question 7

The diagnostic procedure in which a breast mass is examined by means of x-rays is called

Accepted Answer

A)  ultrasonography. 
B)  mammography. 
C)  thermography. 
D)  biopsy. 
A)  ultrasonography. 
B)  mammography. 
C)  thermography. 
D)  biopsy.

Question 8

Which finding is normal in the breast of a pregnant woman?

Accepted Answer

A)  localized erythema 
B)  small, nontender nodule 
C)  dermatitis of the areola 
D)  spontaneous discharge of a yellow fluid 
A)  localized erythema 
B)  small, nontender nodule 
C)  dermatitis of the areola 
D)  spontaneous discharge of a yellow fluid

Question 9

Which of the following findings on a female breast exam should the nurse report as suspicious of breast cancer?

Accepted Answer

A)  multiple, bilateral, round, lumpy tissue that is tender 
B)  soft, mobile, single lobular nodule that is nontender 
C)  single soft lump that is well defined and tender 
D)  poorly defined, firm lump that is nontender and fixed to the skin 
A)  multiple, bilateral, round, lumpy tissue that is tender 
B)  soft, mobile, single lobular nodule that is nontender 
C)  single soft lump that is well defined and tender 
D)  poorly defined, firm lump that is nontender and fixed to the skin

Question 10

When inspecting the breast,in which positions should the patient be placed?

Accepted Answer

A)  arms at sides, arms overhead, hands pressed on hips, leaning forward 
B)  arms at side, arms overhead, leaning forward, hands on knees 
C)  arms at side, arms overhead, hands pressed on hips, leaning backward 
D)  arms at sides, arms overhead, hands pressed on shoulders, leaning forward 
A)  arms at sides, arms overhead, hands pressed on hips, leaning forward 
B)  arms at side, arms overhead, leaning forward, hands on knees 
C)  arms at side, arms overhead, hands pressed on hips, leaning backward 
D)  arms at sides, arms overhead, hands pressed on shoulders, leaning forward

Question 11

According to Tanner's sexual maturity rating for female breast development,in an adolescent female between the ages of 14 and 17,the presence of a secondary mound of tissue over the breast formed by the areola and nipple normally coincides with

Accepted Answer

A)  the peak of the height spurt. 
B)  the onset of menarche. 
C)  the end of the height spurt. 
D)  hormonal fluctuations occurring at the beginning of the menstrual cycle. 
A)  the peak of the height spurt. 
B)  the onset of menarche. 
C)  the end of the height spurt. 
D)  hormonal fluctuations occurring at the beginning of the menstrual cycle.

Question 12

The function of Cooper's ligaments is to

Accepted Answer

A)  serve as a reservoir for milk during lactation. 
B)  provide support for the breast tissue. 
C)  lubricate the nipple. 
D)  excrete colostrum. 
A)  serve as a reservoir for milk during lactation. 
B)  provide support for the breast tissue. 
C)  lubricate the nipple. 
D)  excrete colostrum.

Question 13

According to Tanner's sexual maturity rating for female breast development,the normal breast development in an adolescent female occurring after 10 years of age is characterized initially by a(n)

Accepted Answer

A)  small mound of breast tissue with widening of the areola. 
B)  enlarged breast. 
C)  small, elevated nipple. 
D)  areola flush with the breast contour with a protruding nipple. 
A)  small mound of breast tissue with widening of the areola. 
B)  enlarged breast. 
C)  small, elevated nipple. 
D)  areola flush with the breast contour with a protruding nipple.

Question 14

Which finding is most likely indicative of a fibroadenoma in the breast?

Accepted Answer

A)  round, movable lump 
B)  firm nodule tender to touch 
C)  erythema 
D)  retraction and dimpling 
A)  round, movable lump 
B)  firm nodule tender to touch 
C)  erythema 
D)  retraction and dimpling

Question 15

Which of the following can cause nipple discharge? Select all that apply.

Accepted Answer

A)  Medications 
B)  Mammary duct ectasia 
C)  Infection 
D)  Cysts 
E)  Pituitary tumors
F) Manual stimulation 
A)  Medications 
B)  Mammary duct ectasia 
C)  Infection 
D)  Cysts 
E)  Pituitary tumors
F) Manual stimulation

Question 16

The nurse should teach a patient that one of the steps of a complete breast self-examination is to examine her breasts while standing in front of a mirror

Accepted Answer

A)  with both arms raised and then with her hands pressed into her hips. 
B)  with her hands at her sides and then with hands behind her head. 
C)  with both arms raised and leaning forward. 
D)  with her hands at her sides, with arms raised, and with hands pressed into her hips. 
A)  with both arms raised and then with her hands pressed into her hips. 
B)  with her hands at her sides and then with hands behind her head. 
C)  with both arms raised and leaning forward. 
D)  with her hands at her sides, with arms raised, and with hands pressed into her hips.

Question 17

Preparation of the patient for palpation of the supraclavicular and infraclavicular lymph nodes should include instructing the patient to do which of the following?

Accepted Answer

A)  Lean slightly forward with her head in a neutral position. 
B)  Relax the muscles of her head and neck by flexing the neck. 
C)  Turn her head first to one side and then to the other to relax the sternocleidomastoid muscle. 
D)  Lift the upper arm and elbow away from her body and then repeat with the other arm. 
A)  Lean slightly forward with her head in a neutral position. 
B)  Relax the muscles of her head and neck by flexing the neck. 
C)  Turn her head first to one side and then to the other to relax the sternocleidomastoid muscle. 
D)  Lift the upper arm and elbow away from her body and then repeat with the other arm.

Question 18

The pigmented area surrounding the nipple is called the ____________________.

Accepted Answer

areola
Explanation:Surrounding the nippl

Question 19

To lessen patient discomfort during the breast examination,the nurse would instruct the patient to do which of the following?

Accepted Answer

A)  Schedule the appointment during the next menstrual period. 
B)  Avoid shaving her underarms 24 to 48 hours before the scheduled examination. 
C)  Apply lotion or powder to her breasts and underarms before the appointment to minimize friction to the skin during the examination. 
D)  Restrict fluid intake for 24 hours before the appointment. 
A)  Schedule the appointment during the next menstrual period. 
B)  Avoid shaving her underarms 24 to 48 hours before the scheduled examination. 
C)  Apply lotion or powder to her breasts and underarms before the appointment to minimize friction to the skin during the examination. 
D)  Restrict fluid intake for 24 hours before the appointment.

Question 20

The procedure for palpation of the axillary lymph nodes is to first stand at the patient's right side,facing the patient,and next

Accepted Answer

A)  ask her to flex her head to enhance relaxation of the shoulders and arms. 
B)  abduct her left arm, using your left hand to relax the axillary muscles. 
C)  adduct her right arm, using your left hand so that it is close to the chest wall. 
D)  support her flexed left arm on your left forearm. 
A)  ask her to flex her head to enhance relaxation of the shoulders and arms. 
B)  abduct her left arm, using your left hand to relax the axillary muscles. 
C)  adduct her right arm, using your left hand so that it is close to the chest wall. 
D)  support her flexed left arm on your left forearm.

Exam 14: Breasts And Regional Nodes

Findings upon palpation of lymph nodes that are indicative of a systemic infection include which of the following?

To palpate the supraclavicular lymph nodes,you should place your fingers over the patient's clavicles

Which associated manifestation in a female with a chief complaint of a lump in the breast and discharge is most likely to be linked with breast cancer?

Breast masses are most frequently found

It is recommended that mastectomy patients perform routine breast examination,including

A breast cancer that results in fibrotic shortening and disablement of the Cooper's ligaments can be manifested in which clinical finding?

The diagnostic procedure in which a breast mass is examined by means of x-rays is called

Which finding is normal in the breast of a pregnant woman?

Which of the following findings on a female breast exam should the nurse report as suspicious of breast cancer?

When inspecting the breast,in which positions should the patient be placed?

According to Tanner's sexual maturity rating for female breast development,in an adolescent female between the ages of 14 and 17,the presence of a secondary mound of tissue over the breast formed by the areola and nipple normally coincides with

The function of Cooper's ligaments is to

According to Tanner's sexual maturity rating for female breast development,the normal breast development in an adolescent female occurring after 10 years of age is characterized initially by a(n)

Which finding is most likely indicative of a fibroadenoma in the breast?

Which of the following can cause nipple discharge? Select all that apply.

The nurse should teach a patient that one of the steps of a complete breast self-examination is to examine her breasts while standing in front of a mirror

Preparation of the patient for palpation of the supraclavicular and infraclavicular lymph nodes should include instructing the patient to do which of the following?

The pigmented area surrounding the nipple is called the ____________________.

To lessen patient discomfort during the breast examination,the nurse would instruct the patient to do which of the following?

The procedure for palpation of the axillary lymph nodes is to first stand at the patient's right side,facing the patient,and next

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