NURS 612 Advanced Health Assessment - Week 12 Quiz 2026
|Maryville
1. During a clinical breast examination, the nurse practitioner notes skin
thickening and large pores, resembling an orange peel. What is the clinical term
for this finding?
A. Fibroadenoma
B. Paget’s disease
C. Peau d’orange
D. Mastitis
Answer: C
Rationale: Peau d’orange (orange peel skin) is caused by edema from lymphatic
obstruction and is often a sign of inflammatory breast cancer.
2. When palpating the axillary nodes, which group of nodes is located along the
lower border of the pectoralis major inside the anterior axillary fold?
A. Lateral nodes
B. Central nodes
C. Pectoral nodes
D. Subscapular nodes
Answer: C
Rationale: The pectoral (anterior) nodes are located along the lower border of the
pectoralis major.
,3. A 22-year-old female presents with a firm, painless, highly mobile, 2-cm
breast mass. What is the most likely diagnosis?
A. Breast cyst
B. Fibroadenoma
C. Intraductal papilloma
D. Mammary duct ectasia
Answer: B
Rationale: Fibroadenomas are benign tumors characterized by firm, rubbery, mobile, and
nontender masses typically seen in younger women.
4. Which of the following findings on a mammogram would be most suggestive
of malignancy?
A. Smooth, well-defined borders
B. Microcalcifications in a cluster
C. Anechoic fluid-filled sac
D. Diffuse glandular tissue
Answer: B
Rationale: Irregular, clustered microcalcifications are a hallmark radiologic sign of
potential breast malignancy.
5. A patient presents with a red, scaly, crusty patch on the nipple that has
started to involve the areola. The patient reports it feels itchy. What should the
clinician suspect?
A. Eczema of the nipple
B. Paget’s disease of the breast
C. Nipple inversion
D. Galactorrhea
Answer: B
, Rationale: Paget’s disease of the breast is a rare form of cancer that starts as a scaly,
eczema-like lesion on the nipple that does not heal.
6. At what Tanner stage does the breast and areola enlarge as a single mound
with no separation of their contours?
A. Stage 2
B. Stage 3
C. Stage 4
D. Stage 5
Answer: B
Rationale: In Stage 3, the breast and areola enlarge further; in Stage 4, the areola and
papilla form a secondary mound.
7. A 65-year-old male presents with bilateral breast enlargement. He is currently
taking Spironolactone. This condition is known as:
A. Gynecomastia
B. Mastalgia
C. Lipoma
D. Male breast carcinoma
Answer: A
Rationale: Gynecomastia is the enlargement of male breast tissue, often caused by
medications like Spironolactone which have anti-androgenic effects.
8. During a speculum exam, the clinician notes a small, round, yellow-white
nodule on the cervix. The patient is asymptomatic. What is the likely diagnosis?
A. Nabothian cyst
B. Cervical polyp
C. Cervical dysplasia
D. Herpes simplex virus
Answer: A
|Maryville
1. During a clinical breast examination, the nurse practitioner notes skin
thickening and large pores, resembling an orange peel. What is the clinical term
for this finding?
A. Fibroadenoma
B. Paget’s disease
C. Peau d’orange
D. Mastitis
Answer: C
Rationale: Peau d’orange (orange peel skin) is caused by edema from lymphatic
obstruction and is often a sign of inflammatory breast cancer.
2. When palpating the axillary nodes, which group of nodes is located along the
lower border of the pectoralis major inside the anterior axillary fold?
A. Lateral nodes
B. Central nodes
C. Pectoral nodes
D. Subscapular nodes
Answer: C
Rationale: The pectoral (anterior) nodes are located along the lower border of the
pectoralis major.
,3. A 22-year-old female presents with a firm, painless, highly mobile, 2-cm
breast mass. What is the most likely diagnosis?
A. Breast cyst
B. Fibroadenoma
C. Intraductal papilloma
D. Mammary duct ectasia
Answer: B
Rationale: Fibroadenomas are benign tumors characterized by firm, rubbery, mobile, and
nontender masses typically seen in younger women.
4. Which of the following findings on a mammogram would be most suggestive
of malignancy?
A. Smooth, well-defined borders
B. Microcalcifications in a cluster
C. Anechoic fluid-filled sac
D. Diffuse glandular tissue
Answer: B
Rationale: Irregular, clustered microcalcifications are a hallmark radiologic sign of
potential breast malignancy.
5. A patient presents with a red, scaly, crusty patch on the nipple that has
started to involve the areola. The patient reports it feels itchy. What should the
clinician suspect?
A. Eczema of the nipple
B. Paget’s disease of the breast
C. Nipple inversion
D. Galactorrhea
Answer: B
, Rationale: Paget’s disease of the breast is a rare form of cancer that starts as a scaly,
eczema-like lesion on the nipple that does not heal.
6. At what Tanner stage does the breast and areola enlarge as a single mound
with no separation of their contours?
A. Stage 2
B. Stage 3
C. Stage 4
D. Stage 5
Answer: B
Rationale: In Stage 3, the breast and areola enlarge further; in Stage 4, the areola and
papilla form a secondary mound.
7. A 65-year-old male presents with bilateral breast enlargement. He is currently
taking Spironolactone. This condition is known as:
A. Gynecomastia
B. Mastalgia
C. Lipoma
D. Male breast carcinoma
Answer: A
Rationale: Gynecomastia is the enlargement of male breast tissue, often caused by
medications like Spironolactone which have anti-androgenic effects.
8. During a speculum exam, the clinician notes a small, round, yellow-white
nodule on the cervix. The patient is asymptomatic. What is the likely diagnosis?
A. Nabothian cyst
B. Cervical polyp
C. Cervical dysplasia
D. Herpes simplex virus
Answer: A
