NURS 612 (MARYVILLE) EXAM 4 QUESTIONS WITH
ACCURATE SOLUTIONS
1) Which finding indicates a normal cremasteric reflex?
A) penile erection in response to light touch
B) descent of testicle into scrotum in response to pressure on
abdominal wall
C) Drop of urine appearing at urethral meatus in response to pressing
glans
D) Elevation of left testicle and scrotum in response to stroking left
inner thigh. -- Correct Answer ✔✔ D. Elevation of left testicle and
scrotum in response to stroking left inner thigh.
2) Which characteristics suggests that a lesion on a patients breast is Paget disease
and not eczema?
A) Itchy predominantly at night
B) Erythemtous and crusty
C) Confined to nipple and areola of one breast
D) Does not respond to steroids -- Correct Answer ✔✔ D. Does not
response to steroids
3) How should a breast examination on a patient who had a lumpectomy for breast
cancer differ from a breast examination on one who has not had breast cancer?
, A) Supraclavicular and infraclavicular lymph nodes are palplated
B) Lateral position with hands over head is used for palpation
C) Area of scar is palpated using a circular motion
D) fingertips are used to palpate for intercostal breast tissue -- Correct
Answer ✔✔ C. Are of scar is palpated using a circular motion
4) While palpating the axilla it is best to place the patient in a
A) sitting position with arm flexed at elbow
B) sitting position with arm at side
C) supine position with arms on hips
D) lateral position with arms at sides. -- Correct Answer ✔✔ A. sitting
position with arm flexed at elbow
5) Nipple compression should be included as part of the breast examination for
which of the following patients?
A) 23 year old concerned about lumps and tenderness
B) 35 year old lactating with very sore nipples
C) 48 year old reporting 2 episodes of bloody discharge from the right
nipple
D) 60 year old with gynecomastia -- Correct Answer ✔✔ C. 48 year
old reporting 2 episodes of bloody discharge from the right nipple
6) A supernumerary nipple is found on a white newborn infant girl. Which of the
following may accompany this finding?
A) Increased risk for breast cancer as adult
B) increased lactation volume as adult
C) congenital renal and cardiac anomolies
D) mental retardation -- Correct Answer ✔✔ C. congenital renal and
cardiac anomolies
7) Which are typical of fibroadenomas?
A) bilateral, stellate, rubber, nontender
B) multiple, unilateral, tender, well defined
C) Single, discoid, firm, nontender
, D) unilateral, hard, stellate, fixed -- Correct Answer ✔✔ C. Single,
discoid, firm, nontender
8) What is the correct position in which to place a patient for breast palpation? --
Correct Answer ✔✔ Supine, arm over head, and small pillow under shoulder of
side being assessed
9) Which statement made by a 37 year old would make the examiner suspect
fibrocystic disease?
A) lump in my breast that is nontender
B) right breast is larger than left
C) nipples are darker than before baby was born
D) I feel a lump in my breast right before my period. -- Correct Answer
✔✔ D. I feel a lump in my breast right before my period.
10) A patient 3 weeks postpartum reports sore nipples and is breastfeeding. The
examiner observes dry, cracked nipples, Which question would be helpful?
A) Do you pump?
B) How do you clean your breasts?
C) Have you been able to bond with your baby?
D) what medications have you been taking? -- Correct Answer ✔✔ B.
How do you clean your breasts?
11) 68 year old man presents with gynecomastia which factor is a potential cause of
the problem?
A) decrease in physical activity
B) increased lactiferous duct glans
C) lymphatic engorgement
D) a decrease in testosterone -- Correct Answer ✔✔ D. a decrease in
testosterone
12) Symptoms consistent with underlying ducats malignancy include:
A) erythema, heat, pain around one nipple
B) red, scaling, crusty patch on one nipple
ACCURATE SOLUTIONS
1) Which finding indicates a normal cremasteric reflex?
A) penile erection in response to light touch
B) descent of testicle into scrotum in response to pressure on
abdominal wall
C) Drop of urine appearing at urethral meatus in response to pressing
glans
D) Elevation of left testicle and scrotum in response to stroking left
inner thigh. -- Correct Answer ✔✔ D. Elevation of left testicle and
scrotum in response to stroking left inner thigh.
2) Which characteristics suggests that a lesion on a patients breast is Paget disease
and not eczema?
A) Itchy predominantly at night
B) Erythemtous and crusty
C) Confined to nipple and areola of one breast
D) Does not respond to steroids -- Correct Answer ✔✔ D. Does not
response to steroids
3) How should a breast examination on a patient who had a lumpectomy for breast
cancer differ from a breast examination on one who has not had breast cancer?
, A) Supraclavicular and infraclavicular lymph nodes are palplated
B) Lateral position with hands over head is used for palpation
C) Area of scar is palpated using a circular motion
D) fingertips are used to palpate for intercostal breast tissue -- Correct
Answer ✔✔ C. Are of scar is palpated using a circular motion
4) While palpating the axilla it is best to place the patient in a
A) sitting position with arm flexed at elbow
B) sitting position with arm at side
C) supine position with arms on hips
D) lateral position with arms at sides. -- Correct Answer ✔✔ A. sitting
position with arm flexed at elbow
5) Nipple compression should be included as part of the breast examination for
which of the following patients?
A) 23 year old concerned about lumps and tenderness
B) 35 year old lactating with very sore nipples
C) 48 year old reporting 2 episodes of bloody discharge from the right
nipple
D) 60 year old with gynecomastia -- Correct Answer ✔✔ C. 48 year
old reporting 2 episodes of bloody discharge from the right nipple
6) A supernumerary nipple is found on a white newborn infant girl. Which of the
following may accompany this finding?
A) Increased risk for breast cancer as adult
B) increased lactation volume as adult
C) congenital renal and cardiac anomolies
D) mental retardation -- Correct Answer ✔✔ C. congenital renal and
cardiac anomolies
7) Which are typical of fibroadenomas?
A) bilateral, stellate, rubber, nontender
B) multiple, unilateral, tender, well defined
C) Single, discoid, firm, nontender
, D) unilateral, hard, stellate, fixed -- Correct Answer ✔✔ C. Single,
discoid, firm, nontender
8) What is the correct position in which to place a patient for breast palpation? --
Correct Answer ✔✔ Supine, arm over head, and small pillow under shoulder of
side being assessed
9) Which statement made by a 37 year old would make the examiner suspect
fibrocystic disease?
A) lump in my breast that is nontender
B) right breast is larger than left
C) nipples are darker than before baby was born
D) I feel a lump in my breast right before my period. -- Correct Answer
✔✔ D. I feel a lump in my breast right before my period.
10) A patient 3 weeks postpartum reports sore nipples and is breastfeeding. The
examiner observes dry, cracked nipples, Which question would be helpful?
A) Do you pump?
B) How do you clean your breasts?
C) Have you been able to bond with your baby?
D) what medications have you been taking? -- Correct Answer ✔✔ B.
How do you clean your breasts?
11) 68 year old man presents with gynecomastia which factor is a potential cause of
the problem?
A) decrease in physical activity
B) increased lactiferous duct glans
C) lymphatic engorgement
D) a decrease in testosterone -- Correct Answer ✔✔ D. a decrease in
testosterone
12) Symptoms consistent with underlying ducats malignancy include:
A) erythema, heat, pain around one nipple
B) red, scaling, crusty patch on one nipple
