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Chapter 17: Breasts and Regional Lymphatics
Chapter 17: Breasts and Regional Lymphatics
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. Which of the following statements is true regarding the internal structures of
the breast? The breast is made up of:
a. Primarily muscle with very little fibrous tissue.
b. Fibrous, glandular, and adipose tissues.
c. Primarily milk ducts, known as lactiferous ducts.
d. Glandular tissue, which supports the breast by attaching to the chest wall.
ANS: B
,The breast is made up of glandular, fibrous (including the suspensory
ligaments), and adipose tissues.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 386
MSC: Client Needs: General
2. In performing a breast examination, the nurse knows that examining the
upper outer quadrant of the breast is especially important. The reason for this is
that the upper outer quadrant is:
a. The largest quadrant of the breast.
b. The location of most breast tumors.
c. Where most of the suspensory ligaments attach.
d. More prone to injury and calcifications than other locations in the breast.
ANS: B
The upper outer quadrant is the site of most breast tumors. In the upper outer
quadrant, the nurse should notice the axillary tail of Spence, the cone-shaped
breast tissue that projects up into the axilla, close to the pectoral group of
axillary lymph nodes.
,DIF: Cognitive Level: Applying (Application) REF: p. 386
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. In performing an assessment of a woman’s axillary lymph system, the nurse
should assess which of these nodes?
a. Central, axillary, lateral, and sternal
b. Pectoral, lateral, anterior, and sternal
c. Central, lateral, pectoral, and subscapular
d. Lateral, pectoral, axillary, and suprascapular
ANS: C
The breast has extensive lymphatic drainage. Four groups of axillary nodes are
present: (1) central, (2) pectoral (anterior), (3) subscapular (posterior), and (4)
lateral.
DIF: Cognitive Level: Applying (Application) REF: p. 387
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
, 4. If a patient reports a recent breast infection, then the nurse should expect to
find ________ node enlargement.
a. Nonspecific
b. Ipsilateral axillary
c. Contralateral axillary
d. Inguinal and cervical
ANS: B
The breast has extensive lymphatic drainage. Most of the lymph, more than
75%, drains into the ipsilateral, or same side, axillary nodes.
DIF: Cognitive Level: Applying (Application) REF: p. 387
MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
5. A 9-year-old girl is in the clinic for a sport physical examination. After some
initial shyness she finally asks, “Am I normal? I don’t seem to need a bra yet,
but I have some friends who do. What if I never get breasts?” The nurse’s best
response would be:
a. “Don’t worry, you still have plenty of time to develop.”
One Account Get all Test Banks
Chapter 17: Breasts and Regional Lymphatics
Chapter 17: Breasts and Regional Lymphatics
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. Which of the following statements is true regarding the internal structures of
the breast? The breast is made up of:
a. Primarily muscle with very little fibrous tissue.
b. Fibrous, glandular, and adipose tissues.
c. Primarily milk ducts, known as lactiferous ducts.
d. Glandular tissue, which supports the breast by attaching to the chest wall.
ANS: B
,The breast is made up of glandular, fibrous (including the suspensory
ligaments), and adipose tissues.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 386
MSC: Client Needs: General
2. In performing a breast examination, the nurse knows that examining the
upper outer quadrant of the breast is especially important. The reason for this is
that the upper outer quadrant is:
a. The largest quadrant of the breast.
b. The location of most breast tumors.
c. Where most of the suspensory ligaments attach.
d. More prone to injury and calcifications than other locations in the breast.
ANS: B
The upper outer quadrant is the site of most breast tumors. In the upper outer
quadrant, the nurse should notice the axillary tail of Spence, the cone-shaped
breast tissue that projects up into the axilla, close to the pectoral group of
axillary lymph nodes.
,DIF: Cognitive Level: Applying (Application) REF: p. 386
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. In performing an assessment of a woman’s axillary lymph system, the nurse
should assess which of these nodes?
a. Central, axillary, lateral, and sternal
b. Pectoral, lateral, anterior, and sternal
c. Central, lateral, pectoral, and subscapular
d. Lateral, pectoral, axillary, and suprascapular
ANS: C
The breast has extensive lymphatic drainage. Four groups of axillary nodes are
present: (1) central, (2) pectoral (anterior), (3) subscapular (posterior), and (4)
lateral.
DIF: Cognitive Level: Applying (Application) REF: p. 387
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
, 4. If a patient reports a recent breast infection, then the nurse should expect to
find ________ node enlargement.
a. Nonspecific
b. Ipsilateral axillary
c. Contralateral axillary
d. Inguinal and cervical
ANS: B
The breast has extensive lymphatic drainage. Most of the lymph, more than
75%, drains into the ipsilateral, or same side, axillary nodes.
DIF: Cognitive Level: Applying (Application) REF: p. 387
MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
5. A 9-year-old girl is in the clinic for a sport physical examination. After some
initial shyness she finally asks, “Am I normal? I don’t seem to need a bra yet,
but I have some friends who do. What if I never get breasts?” The nurse’s best
response would be:
a. “Don’t worry, you still have plenty of time to develop.”
