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NUR 1600 EXAM 4 Questions and
Answers Latest 2026
Vulnerable Populations Ans: populations at risk for
developing severe medical problems due to substandard
healthcare, poor health literacy, and higher rate of
communicable diseases
Examples of vulnerable populations Ans: working poor,
elderly, homeless, racial/ethnic minorities, uninsured
Breast cancer risk factors Ans: -female 99%
-age, risk increases w age
-race/ ethnicity: white women
-mutation of BRCA 1 BRCA 2- (5-10% women) (5-20% men)
-family history- mother/sister 1st degree relative
-personal medical history
-reproductive history
-breast density
-estrogen replacement therapy
-obesity
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-alcohol intake
-long menstrual history
-first pregnancy after 30
Breast cancer average risk Ans: no personal health
history of breast cancer
no strong family history
no genetic predisposition
no radiation to chest before age 30
no illness/syndrome predisposition
breast cancer assessment tool <20%
Breast cancer high risk Ans: breast cancer assessment
tool >20-25%
BRCA gene mutation or relative with gene
had chest radiation before age 30
history of illness or syndromes
Healthy people 2020 breast cancer guidelines Ans:
reduce female breast cancer death rate
reduce late stage breast cancer
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increase proportion of women who receive breast cancer
screening and women who were counseled by providers
about mammograms
American cancer society breast cancer guidelines for
women with average risk Ans: women 40-44: optional
mammogram every year
women 45-54: yearly mammogram
women 55+: mammogram every other year
no MRI needed
screenings should continue as long as woman is in good
health and expected to live at least 10 more years
asymptomatic women with negative history screening
recommendation Ans: 40-49: individual/ provider
decides
50-74: every 4 years
75+ : no benefit
monthly breast self exam no longer recommended for
cancer screenings
BRCA related risk assessment Ans: women with family
members with breast, ovarian, tubal, peritoneal cancer:
screened for family history associated with increased risk
for genetic mutations
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women with + screening for family history associated
with increased risk for BRCA 1/2 should receive genetic
counseling and if indicated BRCA screening
Normal breast assessment findings Ans: breast symmetry
in size and shape
no tissue dimpling, retraction, bulging
no erythema/inflammation
no discoloration
skin texture smooth
areolae: round, symmetrical, even in color
no discharge from nipple
no enlarged axillary lymph nodes
no lumps or masses
no pain w exam
no supernumerary nipple
Breast cancer signs and symptoms Ans: asymmetry or
change in size
swelling of all or any part
irregular shape/color/areola/nipple
© 2025 All rights reserved
NUR 1600 EXAM 4 Questions and
Answers Latest 2026
Vulnerable Populations Ans: populations at risk for
developing severe medical problems due to substandard
healthcare, poor health literacy, and higher rate of
communicable diseases
Examples of vulnerable populations Ans: working poor,
elderly, homeless, racial/ethnic minorities, uninsured
Breast cancer risk factors Ans: -female 99%
-age, risk increases w age
-race/ ethnicity: white women
-mutation of BRCA 1 BRCA 2- (5-10% women) (5-20% men)
-family history- mother/sister 1st degree relative
-personal medical history
-reproductive history
-breast density
-estrogen replacement therapy
-obesity
© 2025 All rights reserved
, 2 | Page
-alcohol intake
-long menstrual history
-first pregnancy after 30
Breast cancer average risk Ans: no personal health
history of breast cancer
no strong family history
no genetic predisposition
no radiation to chest before age 30
no illness/syndrome predisposition
breast cancer assessment tool <20%
Breast cancer high risk Ans: breast cancer assessment
tool >20-25%
BRCA gene mutation or relative with gene
had chest radiation before age 30
history of illness or syndromes
Healthy people 2020 breast cancer guidelines Ans:
reduce female breast cancer death rate
reduce late stage breast cancer
© 2025 All rights reserved
, 3 | Page
increase proportion of women who receive breast cancer
screening and women who were counseled by providers
about mammograms
American cancer society breast cancer guidelines for
women with average risk Ans: women 40-44: optional
mammogram every year
women 45-54: yearly mammogram
women 55+: mammogram every other year
no MRI needed
screenings should continue as long as woman is in good
health and expected to live at least 10 more years
asymptomatic women with negative history screening
recommendation Ans: 40-49: individual/ provider
decides
50-74: every 4 years
75+ : no benefit
monthly breast self exam no longer recommended for
cancer screenings
BRCA related risk assessment Ans: women with family
members with breast, ovarian, tubal, peritoneal cancer:
screened for family history associated with increased risk
for genetic mutations
© 2025 All rights reserved
, 4 | Page
women with + screening for family history associated
with increased risk for BRCA 1/2 should receive genetic
counseling and if indicated BRCA screening
Normal breast assessment findings Ans: breast symmetry
in size and shape
no tissue dimpling, retraction, bulging
no erythema/inflammation
no discoloration
skin texture smooth
areolae: round, symmetrical, even in color
no discharge from nipple
no enlarged axillary lymph nodes
no lumps or masses
no pain w exam
no supernumerary nipple
Breast cancer signs and symptoms Ans: asymmetry or
change in size
swelling of all or any part
irregular shape/color/areola/nipple
© 2025 All rights reserved
