Question 1

The nurse is teaching a childbirth education class. When educating the participants about breast changes during pregnancy, which substance leaking from the breast is anticipated during pregnancy?

Accepted Answer

A)   Blood.
B)   Milk.
C)   Serum.
D)   Colostrum. D

Question 2

During the breast examination on a client, the nurse palpates a small, subclavicular node on the right side of the client's chest. Which is the priority nursing action at this time?

Accepted Answer

A)   Call the primary care provider.
B)   Ask the client if they have a family history of breast cancer.
C)   Continue with the exam.
D)   Schedule a mammogram for the next available appointment. C

Question 3

The nurse is planning to perform a breast examination of a female client. When preparing the client for the examination, the nurse will inform the client to expect which techniques?

Accepted Answer

A)   Inspection.
B)   Palpation.
C)   Percussion.
D)   Auscultation.
E)   Client interview. A,B,E

Question 4

The nurse is teaching self-breast examination to a client and demonstrates inspecting the breasts with arms over the head. The client asks the nurse why this is necessary. Which response by the nurse is the most appropriate?

Accepted Answer

A)   "It allows any masses to bulge forward to be seen."
B)   "This is the only position to detect Paget's disease."
C)   "This is the best position to look for skin dimpling."
D)   "It is the only way to look for nipple retraction."

Question 5

A female client is hospitalized with injury and tissue destruction of the left pectoralis major and serratus anterior muscles due to a motor vehicle accident. The nurse would include which information during the discharge teaching?

Accepted Answer

A)   Prosthetic devices.
B)   Support bras.
C)   Plastic surgery.
D)   Physical therapy.

Question 6

The nurse is educating a prenatal class about lactation when one of the clients asks how milk is produced. When responding to the client, which structure will the nurse include as being responsible for milk production?

Accepted Answer

A)   Montgomery's glands.
B)   Areola.
C)   Acini cells.
D)   Mammary ridge.

Question 7

While the nurse is counseling a client about fibrocystic breast disease, the client asks if having this disorder will lead to cancer. Which response by the nurse is the most appropriate?

Accepted Answer

A)   "There is no direct link between this disease and breast cancer."
B)   "You will need to ask the primary healthcare provider that question."
C)   "This disease is a form of cancer."
D)   "Why are you so worried about this?"

Question 8

The nurse is conducting a focused interview for an adult female client who is experiencing breast discomfort. The client states that the discomfort has increased over the last 6 months. Upon assessment, the nurse notes that the client has round, mobile masses with smooth borders in all quadrants bilaterally. The client's last mammogram was conducted 6 months ago and the findings support the current assessment findings. Based on this data, which statement by the nurse is the most appropriate?

Accepted Answer

A)   "You will need to have a biopsy as your symptoms indicate cancer."
B)   "You will need to wear a bra that offers you more support."
C)   "You will need to increase your salt intake."
D)   "You should not worry about these findings."

Question 9

A pregnant client expresses concern about performing breast self-examination during pregnancy since her breasts are tender. Which response by the nurse is the most appropriate?

Accepted Answer

A)   "All you need to do is just concentrate on having a healthy baby for now."
B)   "You can wait until your breasts are no longer tender, and then resume your self-exams."
C)   "It's very important for you to be familiar with the changes in your breasts."
D)   "Breast cancer during pregnancy is rare, so don't worry about it."

Question 10

The nurse is interviewing a 37-year-old client for breast cancer risks. Which statement by the client indicates an appropriate understanding of the risks associated with breast cancer?

Accepted Answer

A)   "I know my risk for breast cancer increases with age."
B)   "A mammogram every three years is my goal."
C)   "I will see my healthcare provider every two years for a breast examination."
D)   "My family history is negative so I do not need to worry."

Question 11

The nurse is performing a breast examination and is palpating into the tail of Spence. Why is it appropriate to palpate this area of the breast during an examination?

Accepted Answer

A)   It does not contain any lymph nodes.
B)   It can show the difference between fibrocystic disease and fibroadenomas.
C)   Breast cancer occurs more frequently in this area.
D)   Peau d'orange may occur in this area of the breast.

Question 12

The nurse is asking a client questions regarding lifestyle patterns. Which statement by the client would alert the nurse to possible risk for breast cancer?

Accepted Answer

A)   "I work in a chemical factory."
B)   "I drink two glasses of wine each night."
C)   "I have smoked two packs of cigarettes daily for four years."
D)   "I occasionally have unprotected sexual contact with unknown partners."

Question 13

The nurse is performing an assessment on a newborn and notes a thin, milky discharge from the infant's nipple. Which conclusion by the nurse based on this data is the most appropriate?

Accepted Answer

A)   The newborn has a congenital anomaly.
B)   This is a highly irregular finding.
C)   This is a reason to call in a specialist.
D)   This is a common finding in a newborn.

Question 14

The nurse is compiling statistics for a breast cancer awareness presentation for a group of women. Which facts about breast cancer are appropriate for the nurse to include in the presentation?

Accepted Answer

A)   Breast cancer is one of the most common cancers in females.
B)   Rates are on the decline.
C)   Associated mortality has declined.
D)   Diagnostics have improved.
E)   25% of females in Western countries are genetically predisposed.

Question 15

The nurse is performing a breast assessment of an Asian adult female. Which action should the nurse complete first?

Accepted Answer

A)   Ask the client if she has ever had any breast disease such as cancer of the breast, fibrocystic disease, or fibroadenoma.
B)   Ask the client to disrobe from the waist up and place a gown on with the opening to the front.
C)   Ask the client if she has noticed any changes in her breasts such as lumps, thickening, or discharge from the nipples.
D)   Ask the client how she feels about her breasts.

Question 16

The nurse is evaluating the risk for metastasis after a client is diagnosed with breast cancer. Which lymph node involvement would indicate the greatest likelihood of metastasis for this client?

Accepted Answer

A)   A.
B)   B.
C)   C.
D)   D.

Question 17

The nurse is using inspection to assess the breasts of a female client. Which finding might the nurse obtain using this assessment technique?

Accepted Answer

A)   Symmetry.
B)   Hard nodules.
C)   Tenderness.
D)   Skin consistency.

Question 18

The nurse is assessing a client and confirms the presence of galactorrhea. Which conclusion by the nurse is the most appropriate?

Accepted Answer

A)   It suggests an endocrine disorder.
B)   It may indicate a malignancy.
C)   It suggests a breast infection.
D)   It is usually indicative of lactation.

Question 19

The nurse is teaching a client with benign breast disease about symptom relief. Which topic would the nurse include in this session?

Accepted Answer

A)   Avoiding all fat in the diet.
B)   Wearing a firm bra.
C)   Limiting salt intake.
D)   Drinking tea instead of coffee.

Question 20

The nurse is conducting a breast health workshop for a group of women. Which would the nurse include in this workshop when outlining risk factors for breast cancer?

Accepted Answer

A)   Caucasian race.
B)   Positive family history.
C)   Low socioeconomic status.
D)   Hormone replacement therapy.
E)   Female age 35 to 40.

Exam 18: Breasts and Axillae