Question 1

A12-year-old female with breast buds is identified as which Tanner stage?

Accepted Answer

A)  1 
B)  2 
C)  3 
D)  4

Question 2

A patient on Depo-Provera states that she is not menstruating and, therefore, is unsure of the best time to perform BSE. Which response by the nurse is most appropriate?

Accepted Answer

A)  "You should perform your BSE when you think you would be menstruating." 
B)  "You should perform your BSE on the day you receive your monthly injections. 
C)  "You should perform your BSE on the 1st day of each month." 
D)  "You should perform your BSE every Monday."

Question 3

Which statement is true about fibroadenomas?

Accepted Answer

A)  Fibroadenomas are usually malignant. 
B)  Fibroadenomas are usually smooth. 
C)  Fibroadenomas are usually at least 10 cm in size. 
D)  Fibroadenomas are usually tender.

Question 4

Which patient population is most likely to have fibrous breast ducts?

Accepted Answer

A)  Adolescence 
B)  Early adulthood 
C)  Postmenopause 
D)  Perimenopause
Completion
Complete each statement.

Question 5

Which method is best for breast self-exam (BSE)?

Accepted Answer

A)  Vertical strip method 
B)  Wedge method 
C)  Concentric circle method 
D)  All of the above

Question 6

The nurse is conducting a health history for a female patient. A first pregnancy after the age of ________________years increases the risk for breast cancer.

Accepted Answer

The answer of The nurse is conducting a health history...

Question 7

In taking a history on a 54-year-old female, which factor may have the most significance related to risk for developing breast cancer?

Accepted Answer

A)  Late menarche 
B)  Early menopause 
C)  First pregnancy before the age of 30 years 
D)  Personal history of endometrial or ovarian cancer

Question 8

The majority of breast cancers in men are located in which location?

Accepted Answer

A)  Just right or left of the sternal notch 
B)  In the tail of Spence 
C)  In the areola 
D)  At the seventh intercostal space

Question 9

During the 7th month of pregnancy, a woman notices a yellowish discharge from her nipple. Which is the best explanation for this discharge?

Accepted Answer

A)  An infection is present. 
B)  This is witch's milk, caused by elevated estrogen levels. 
C)  This is breast milk, and delivery is imminent. 
D)  Colostrum is secreted in preparation for milk production.

Question 10

Which is the first step when teaching a patient to perform a breast self-examination?

Accepted Answer

A)  Using the pads of the fingers to palpate the breast symmetrically 
B)  Compressing the nipple looking for discharge 
C)  Inspecting the breasts in the mirror 
D)  Reporting any redness or inflammation

Question 11

Which is the most likely cause of bloody discharge from the nipple?

Accepted Answer

A)  Breast cancer 
B)  Interductal papilloma 
C)  Fibrocystic breast disease 
D)  Side effect of medication

Question 12

The nurse is teaching a patient when to perform a breast self-examination (BSE). The nurse states that the examination should be conducted 5 to 7 days after menstruation begins or 3 to ________________days after menstruation ceases.

Accepted Answer

The answer of The nurse is teaching a patient when...

Question 13

A patient comes to the clinic with a small lump on the left breast. When the nurse inspects the patient's breast, which position is most likely to reveal hidden breast dimpling?

Accepted Answer

A)  Sitting with her hands on her hips 
B)  Lying supine with her arms at her sides 
C)  Standing with her arms at her sides 
D)  Leaning forward with her hands outstretched

Question 14

How should the nurse position a patient for palpation of the breast and axillae?

Accepted Answer

A)  Supine with arms at her side 
B)  Supine with arms over her head 
C)  Supine with arm over her head and pillow under shoulder of side being examined 
D)  Supine with arm over her head and a pillow under shoulder opposite side being examined

Question 15

A new mother is concerned because she notices a white, milky discharge from her newborn's nipples. Which explanation by the nurse is most appropriate?

Accepted Answer

A)  "This is an abnormal finding, and the drainage will be cultured." 
B)  "This is an abnormal finding and may be indicative of diabetes." 
C)  "This is a normal finding and will disappear in a few days." 
D)  "This is a normal finding and will disappear when the mother stops breastfeeding."

Question 16

Which abnormal finding is most significant in relation to possible breast cancer?

Accepted Answer

A)  Dimpling of breast 
B)  Asymmetry of breasts 
C)  Enlarged Montgomery glands 
D)  Inverted nipples

Question 17

Which finding in the patient's health history increases the risk for developing breast cancer?

Accepted Answer

A)  Late menarche 
B)  Early menopause 
C)  Endometrial cancer 
D)  Breastfeeding

Exam 8: Assessing the Breasts