Question 1

In performing an assessment of a woman's axillary lymph system,the nurse should assess which of these nodes?

Accepted Answer

A) Central, axillary, lateral, and sternal 
B) Pectoral, lateral, anterior, and sternal 
C) Central, lateral, pectoral, and subscapular 
D) Lateral, pectoral, axillary, and suprascapular 
A) Central, axillary, lateral, and sternal 
B) Pectoral, lateral, anterior, and sternal 
C) Central, lateral, pectoral, and subscapular 
D) Lateral, pectoral, axillary, and suprascapular

Question 2

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?

Accepted Answer

A) This variation is normal and not a significant finding. 
B) This finding is significant and needs further investigation. 
C) A supernumerary nipple also contains glandular tissue and may leak milk during pregnancy and lactation. 
D) The patient is correct-a supernumerary nipple is actually a mole that happens to be located under the breast. 
A) This variation is normal and not a significant finding. 
B) This finding is significant and needs further investigation. 
C) A supernumerary nipple also contains glandular tissue and may leak milk during pregnancy and lactation. 
D) The patient is correct-a supernumerary nipple is actually a mole that happens to be located under the breast.

Question 3

A 43-year-old woman is at the clinic for a routine examination.She reports that 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 in the right upper outer quadrant at 1 o'clock,approximately 5 cm from the nipple.It is firm,mobile,and nontender,with borders that are not well defined.The nurse replies:

Accepted Answer

A) "Because of the change in consistency of the lump, it should be further evaluated by a physician." 
B) "The changes could be related to your menstrual cycles. Keep track of the changes in the mass each month." 
C) "The lump is probably nothing to worry about because it has been present for years and was determined to be noncancerous 5 years ago." 
D) "Because you are experiencing no pain and the size has not changed, you should continue to monitor the lump and return to the clinic in 3 months." 
A) "Because of the change in consistency of the lump, it should be further evaluated by a physician." 
B) "The changes could be related to your menstrual cycles. Keep track of the changes in the mass each month." 
C) "The lump is probably nothing to worry about because it has been present for years and was determined to be noncancerous 5 years ago." 
D) "Because you are experiencing no pain and the size has not changed, you should continue to monitor the lump and return to the clinic in 3 months."

Question 4

A 9-year-old girl is in the clinic for a sport physical examination.After some initial shyness she finally asks,"Am I normal? I don't seem to need a bra yet,but I have some friends who do.What if I never get breasts?" The nurse's best response would be:

Accepted Answer

A) "Don't worry, you still have plenty of time to develop." 
B) "I know just how you feel, I was a late bloomer myself. Just be patient, and they will grow." 
C) "You will probably get your periods before you notice any significant growth in your breasts." 
D) "I understand that it is hard to feel different from your friends. Breasts usually develop between 8 and 10 years of age." 
A) "Don't worry, you still have plenty of time to develop." 
B) "I know just how you feel, I was a late bloomer myself. Just be patient, and they will grow." 
C) "You will probably get your periods before you notice any significant growth in your breasts." 
D) "I understand that it is hard to feel different from your friends. Breasts usually develop between 8 and 10 years of age."

Question 5

A woman has just learned that she is pregnant.What are some things the nurse should teach her about her breasts?

Accepted Answer

A) She can expect her areolae to become larger and darker in color. 
B) Breasts may begin secreting milk after the fourth month of pregnancy. 
C) She should inspect her breasts for visible veins and immediately report these. 
D) During pregnancy, breast changes are fairly uncommon; most of the changes occur after the birth. 
A) She can expect her areolae to become larger and darker in color. 
B) Breasts may begin secreting milk after the fourth month of pregnancy. 
C) She should inspect her breasts for visible veins and immediately report these. 
D) During pregnancy, breast changes are fairly uncommon; most of the changes occur after the birth.

In performing an assessment of a woman's axillary lymph system,the nurse should assess which of these nodes?

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?

A 9-year-old girl is in the clinic for a sport physical examination.After some initial shyness she finally asks,"Am I normal? I don't seem to need a bra yet,but I have some friends who do.What if I never get breasts?" The nurse's best response would be:

A woman has just learned that she is pregnant.What are some things the nurse should teach her about her breasts?

Evidence-Based Assessment

Cultural Competence

The Interview

The Complete Health History

Mental Status Assessment

Substance Use Assessment

Domestic and Family Violence Assessments

Assessment Techniques and Safety in the Clinical Setting

General Survey, Measurement, Vital Signs

Pain Assessment: The Fifth Vital Sign

Nutritional Assessment

Skin, Hair, and Nails

Head, Face, and Neck, Including Regional Lymphatics

Eyes

Ears

Nose, Mouth, and Throat

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Musculoskeletal System

Neurologic System

Male Genitourinary System

Anus,Rectum,and Prostate

Female Genitourinary System

The Complete Health Assessment: Adult

The Complete Physical Assessment: Infant, Child, and Adolescent

Bedside Assessment of the Hospitalized Patient

The Pregnant Woman

Functional Assessment of the Older Adult

Filters

Exam 17: Breasts and Regional Lymphatics

In performing an assessment of a woman's axillary lymph system,the nurse should assess which of these nodes?

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?

A 9-year-old girl is in the clinic for a sport physical examination.After some initial shyness she finally asks,"Am I normal? I don't seem to need a bra yet,but I have some friends who do.What if I never get breasts?" The nurse's best response would be:

A woman has just learned that she is pregnant.What are some things the nurse should teach her about her breasts?

Evidence-Based Assessment

Cultural Competence

The Interview

The Complete Health History

Mental Status Assessment

Substance Use Assessment

Domestic and Family Violence Assessments

Assessment Techniques and Safety in the Clinical Setting

General Survey, Measurement, Vital Signs

Pain Assessment: The Fifth Vital Sign

Nutritional Assessment

Skin, Hair, and Nails

Head, Face, and Neck, Including Regional Lymphatics

Eyes

Ears

Nose, Mouth, and Throat

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Musculoskeletal System

Neurologic System

Male Genitourinary System

Anus,Rectum,and Prostate

Female Genitourinary System

The Complete Health Assessment: Adult

The Complete Physical Assessment: Infant, Child, and Adolescent

Bedside Assessment of the Hospitalized Patient

The Pregnant Woman

Functional Assessment of the Older Adult

Filters