Question 1

Which of the following women is at the highest risk for breast cancer?

Accepted Answer

A)  50-year-old woman who is obese and has Down syndrome 
B)  25-year-old woman with a malignant melanoma of the face 
C)  40-year-old woman who had thoracic radiation therapy 10 years ago for Hodgkin's disease 
D)  72-year-old woman who smokes and has a BMI of 21 
A)  50-year-old woman who is obese and has Down syndrome 
B)  25-year-old woman with a malignant melanoma of the face 
C)  40-year-old woman who had thoracic radiation therapy 10 years ago for Hodgkin's disease 
D)  72-year-old woman who smokes and has a BMI of 21

Question 2

Patients having physical examination of their breasts often experience feelings of embarrassment,anxiety,and loss of control.Which of the following is least likely to assist the patient in dealing with these feelings?

Accepted Answer

A)  ensuring privacy, providing adequate draping material, and a warm environment 
B)  listening carefully, examining her feelings in the context of her culture, validating concerns 
C)  telling her not to worry and that everything will be fine 
D)  providing her with information about the examination before starting, and answering questions about her body and sexuality 
A)  ensuring privacy, providing adequate draping material, and a warm environment 
B)  listening carefully, examining her feelings in the context of her culture, validating concerns 
C)  telling her not to worry and that everything will be fine 
D)  providing her with information about the examination before starting, and answering questions about her body and sexuality

Question 3

A nursing student is caring for a patient scheduled for a mastectomy.When the nursing instructor asks the student to name the muscles supporting the breast,which response/s by the student would suggest that further study is needed? Select all that apply.

Accepted Answer

A)  Vastus lateralis 
B)  Serratus anterior 
C)  Latissimus dorsi 
D)  Rectus abdominus 
E)  Axillary tail of Spence
F) Pectoralis major and minor 
A)  Vastus lateralis 
B)  Serratus anterior 
C)  Latissimus dorsi 
D)  Rectus abdominus 
E)  Axillary tail of Spence
F) Pectoralis major and minor

Question 4

Instructions on breast self-examination should include encouraging the woman to perform the exam

Accepted Answer

A)  once a month, 1 week before menses. 
B)  twice a month, 1 week before and following menses. 
C)  once a month, 8 days following menses. 
D)  once a week, except during menses. 
A)  once a month, 1 week before menses. 
B)  twice a month, 1 week before and following menses. 
C)  once a month, 8 days following menses. 
D)  once a week, except during menses.

Question 5

Palpation of the supraclavicular lymph nodes is most effectively performed

Accepted Answer

A)  using a light rotary motion of the finger pads of all five fingers. 
B)  using a firm rotary motion of the palmar surfaces of the fingers. 
C)  by probing with the index and middle fingers of both hands, using a back-and-forth motion. 
D)  by rolling the tissue against the clavicles. 
A)  using a light rotary motion of the finger pads of all five fingers. 
B)  using a firm rotary motion of the palmar surfaces of the fingers. 
C)  by probing with the index and middle fingers of both hands, using a back-and-forth motion. 
D)  by rolling the tissue against the clavicles.

Question 6

The nurse is teaching a class on breast self-examination.Which of the following should the nurse include in the class?

Accepted Answer

A)  Include both inspection and palpation of the breast in the exam. 
B)  Use only deep pressure when palpating the breast. 
C)  Use the fingertips to palpate the breast. 
D)  Perform a breast palpation exam in front of a mirror. 
A)  Include both inspection and palpation of the breast in the exam. 
B)  Use only deep pressure when palpating the breast. 
C)  Use the fingertips to palpate the breast. 
D)  Perform a breast palpation exam in front of a mirror.

Question 7

Which finding obtained from the health history of a 40-year-old female is most likely linked to an increased risk for breast cancer?

Accepted Answer

A)  patient treated surgically for a pituitary tumor 
B)  brother diagnosed with gynecomastia 
C)  grandmother diagnosed with breast cancer 
D)  menarche at age 16 
A)  patient treated surgically for a pituitary tumor 
B)  brother diagnosed with gynecomastia 
C)  grandmother diagnosed with breast cancer 
D)  menarche at age 16

Question 8

Normal findings upon examining the breasts of a patient who has undergone breast augmentation are

Accepted Answer

A)  breast tenderness. 
B)  firm tissue remaining erect when the patient is supine. 
C)  decreased nipple and skin sensation. 
D)  incision sites on the anterior and lateral aspects of the breasts. 
A)  breast tenderness. 
B)  firm tissue remaining erect when the patient is supine. 
C)  decreased nipple and skin sensation. 
D)  incision sites on the anterior and lateral aspects of the breasts.

Question 9

_______________________ are openings through which milk and colostrum are excreted.

Accepted Answer

Lactiferous ducts
Explanation:The glandu

Question 10

When inspecting the breasts and axillae for color and vascularity in a nonpregnant female,it is normal to find

Accepted Answer

A)  moles. 
B)  striae. 
C)  reddened areas 
D)  unilateral superficial vascular patterns. 
A)  moles. 
B)  striae. 
C)  reddened areas 
D)  unilateral superficial vascular patterns.

Question 11

Which regional nodes are easily accessible to palpation? Select all that apply.

Accepted Answer

A)  Central axillary nodes 
B)  Pectoral nodes 
C)  Subscapular nodes 
D)  Internal mammary nodes 
E)  Lateral nodes
F) Rotter's nodes 
A)  Central axillary nodes 
B)  Pectoral nodes 
C)  Subscapular nodes 
D)  Internal mammary nodes 
E)  Lateral nodes
F) Rotter's nodes

Question 12

The procedure for examining the male breasts is essentially the same as that for the female breasts.The only modification is that the patient

Accepted Answer

A)  is examined only in the supine position unless gynecomastia is present. 
B)  is not examined for nipple discharge. 
C)  does not need to lean forward unless gynecomastia is present. 
D)  is examined only for the presence of nodules or masses. 
A)  is examined only in the supine position unless gynecomastia is present. 
B)  is not examined for nipple discharge. 
C)  does not need to lean forward unless gynecomastia is present. 
D)  is examined only for the presence of nodules or masses.

Question 13

Thickening or edema of the breast tissue called peau d'orange is most likely

Accepted Answer

A)  indicative of renal disease. 
B)  caused by plugged skin pores. 
C)  indicative of a tumor that is obstructing lymphatic drainage. 
D)  related to obesity or pregnancy. 
A)  indicative of renal disease. 
B)  caused by plugged skin pores. 
C)  indicative of a tumor that is obstructing lymphatic drainage. 
D)  related to obesity or pregnancy.

Question 14

With the patient in a sitting position and using the palmar surfaces of the fingers of the dominant hand,you should palpate the breast tissue

Accepted Answer

A)  against the chest wall in a large-breasted patient. 
B)  in an upward manner while supporting the breast with the nondominant hand. 
C)  initially in the outer quadrants, moving to the sternal border of each breast. 
D)  in a circular pattern, moving from the nipple toward the outer aspects. 
A)  against the chest wall in a large-breasted patient. 
B)  in an upward manner while supporting the breast with the nondominant hand. 
C)  initially in the outer quadrants, moving to the sternal border of each breast. 
D)  in a circular pattern, moving from the nipple toward the outer aspects.

Question 15

When examining a patient who has undergone a left simple mastectomy,the nurse should do which of the following?

Accepted Answer

A)  examine the right breast first 
B)  omit palpating the lymph nodes on the left side because they were removed 
C)  turn her to her right side before palpation 
D)  omit palpating the left nipple because it was removed 
A)  examine the right breast first 
B)  omit palpating the lymph nodes on the left side because they were removed 
C)  turn her to her right side before palpation 
D)  omit palpating the left nipple because it was removed

Question 16

Abnormal changes in the contour of the breasts such as dimpling,retractions,or flattening may be due to a cancerous growth resulting in which of the following?

Accepted Answer

A)  fibrotic shortening of Cooper's ligaments 
B)  necrosis of epidermal tissue 
C)  inflammation of the mammary duct 
D)  pectoral muscle atrophy 
A)  fibrotic shortening of Cooper's ligaments 
B)  necrosis of epidermal tissue 
C)  inflammation of the mammary duct 
D)  pectoral muscle atrophy

Question 17

An abnormal finding related to the size and symmetry of the breasts is which of the following?

Accepted Answer

A)  enlargement of the breast on the side of the dominant arm 
B)  nipples pointing upward and laterally 
C)  significant unilateral reduction of breast tissue 
D)  supernumerary nipples 
A)  enlargement of the breast on the side of the dominant arm 
B)  nipples pointing upward and laterally 
C)  significant unilateral reduction of breast tissue 
D)  supernumerary nipples

Question 18

Instructions to males regarding breast examination should include recommending

Accepted Answer

A)  monthly breast self-exams and clinical examination every 1-3 years. 
B)  annual breast self-exam and clinical examination every 5 years. 
C)  annual clinical examination of the breasts and mammogram every 3 years. 
D)  breast self-exam every 6 months and clinical examination every 2 years. 
A)  monthly breast self-exams and clinical examination every 1-3 years. 
B)  annual breast self-exam and clinical examination every 5 years. 
C)  annual clinical examination of the breasts and mammogram every 3 years. 
D)  breast self-exam every 6 months and clinical examination every 2 years.

Question 19

When examining a patient who has undergone a mastectomy,the nurse should do which of the following? Select all that apply.

Accepted Answer

A)  Always begin the examination on the unaffected breast. 
B)  Inspect the scar(s) for swelling, lumps, thickening, redness, rash, or irritation. 
C)  Use two finger pads to palpate the surgical scar. 
D)  Perform large, circular motions when palpating the area. 
E)  Examine the area for swelling, lumps, thickening, or tenderness.
F) Instruct the patient to perform annual breast self-examinations to determine if masses have returned to the excised area. 
A)  Always begin the examination on the unaffected breast. 
B)  Inspect the scar(s) for swelling, lumps, thickening, redness, rash, or irritation. 
C)  Use two finger pads to palpate the surgical scar. 
D)  Perform large, circular motions when palpating the area. 
E)  Examine the area for swelling, lumps, thickening, or tenderness.
F) Instruct the patient to perform annual breast self-examinations to determine if masses have returned to the excised area.

Question 20

The current guidelines for screening by mammogram recommend which of the following?

Accepted Answer

A)  baseline screening mammogram for women age 30 
B)  mammogram every 2 years for women ages 30-45 
C)  baseline mammography and annual screening starting at age 40 
D)  annual mammogram for women after age 45 
A)  baseline screening mammogram for women age 30 
B)  mammogram every 2 years for women ages 30-45 
C)  baseline mammography and annual screening starting at age 40 
D)  annual mammogram for women after age 45

Exam 14: Breasts And Regional Nodes

Which of the following women is at the highest risk for breast cancer?

Patients having physical examination of their breasts often experience feelings of embarrassment,anxiety,and loss of control.Which of the following is least likely to assist the patient in dealing with these feelings?

A nursing student is caring for a patient scheduled for a mastectomy.When the nursing instructor asks the student to name the muscles supporting the breast,which response/s by the student would suggest that further study is needed? Select all that apply.

Instructions on breast self-examination should include encouraging the woman to perform the exam

Palpation of the supraclavicular lymph nodes is most effectively performed

The nurse is teaching a class on breast self-examination.Which of the following should the nurse include in the class?

Which finding obtained from the health history of a 40-year-old female is most likely linked to an increased risk for breast cancer?

Normal findings upon examining the breasts of a patient who has undergone breast augmentation are

_______________________ are openings through which milk and colostrum are excreted.

When inspecting the breasts and axillae for color and vascularity in a nonpregnant female,it is normal to find

Which regional nodes are easily accessible to palpation? Select all that apply.

The procedure for examining the male breasts is essentially the same as that for the female breasts.The only modification is that the patient

Thickening or edema of the breast tissue called peau d'orange is most likely

With the patient in a sitting position and using the palmar surfaces of the fingers of the dominant hand,you should palpate the breast tissue

When examining a patient who has undergone a left simple mastectomy,the nurse should do which of the following?

Abnormal changes in the contour of the breasts such as dimpling,retractions,or flattening may be due to a cancerous growth resulting in which of the following?

An abnormal finding related to the size and symmetry of the breasts is which of the following?

Instructions to males regarding breast examination should include recommending

When examining a patient who has undergone a mastectomy,the nurse should do which of the following? Select all that apply.

The current guidelines for screening by mammogram recommend which of the following?

Critical Thinking And The Nursing Process

Communication Techniques And The Patient Interview

The Complete Health History Including Documentation

Developmental Assessment

Cultural Assessment

Spiritual Assessment

Nutritional Assessment

Physical Examination Techniques

General Survey, vital Signs, and Pain

Skin, hair, and Nails

Head, neck, and Regional Lymph Nodes

Eyes

Ears, nose, mouth, and Throat

Thorax And Lungs

Heart

Peripheral Vasculature And Lymphatic System

Abdomen

Musculoskeletal System

Mental Status And Neurological Techniques

Female Genitalia

Male Genitalia

Anus, rectum, and Prostate

The Pregnant Patient

The Pediatric Patient

The Older Adult Patient

The Complete Health History And Physical Examination

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