Exam
NR509 Week 7 Quiz /Physical
assessment quiz
Week 7 physical assessment quiz
These are the automatically
computed results of your exam. Date Taken: 11/30/2015
Grades for essay questions, and Time Spent: 34 min , 27 secs
comments from your instructor, are Points Received: (100%)
in the "Details" section below.
Question Type: # Of Questions: # Correct:
Multiple Choice 25 25
Grade Details - All Questions
Question 1.Question :
A 65-year-old patient remarks that she just can’t believe that her
breasts sag so much. She states it must be from lack of exercise.
What explanation should the nurse offer her?
Student Answer:
After menopause, only women with large breasts experience
sagging.
After menopause, sagging is usually due to decreased muscle
mass within the breast.
After menopause, a diet that is high in protein will help
maintain muscle mass, which keeps the breasts from sagging.
After menopause, the glandular and fat tissue atrophies,
causing breast size and elasticity to diminish, resulting in breasts
that sag.
Instructor After menopause, the glandular tissue atrophies and is replaced with
Explanation: connective tissue. The fat envelope atrophies also, beginning in the
middle years and becoming marked in the eighth and ninth decades.
These changes decrease breast size and elasticity, so the breasts droop
and sag, looking flattened and flabby.
Points Received: 2 of 2
Comments:
, Exam
NR509 Week 7 Quiz /Physical
assessment quiz
Question 2.Question :
During a physical examination, a 45-year-old woman states that she
has had a crusty, itchy rash on her breast for about 2 weeks. In
trying to find the cause of the rash, which of these would be
important for the nurse to determine?
, Exam
NR509 Week 7 Quiz /Physical
assessment quiz
Student Answer:
Is the rash raised and red?
Does it appear to be cyclic?
Where did it first appear—on the nipple, the areola, or the
surrounding skin?
What was she doing when she first noticed the rash, and do her
actions make it worse?
Instructor It is important for the nurse to determine where the rash first appeared.
Explanation: Paget’s disease starts with a small crust on the nipple apex and then spreads
to the areola. Eczema or other dermatitis rarely starts at nipple unless it
results from breastfeeding. It usually starts on the areola or surrounding
skin and then spreads to the nipple. See Table 17-6.
Points Received: 2 of 2
Comments:
Question 3.Question :
The nurse is performing a breast examination. Which of these
statements best describes the correct procedure to use when
screening for nipple and skin retraction during a breast
examination? Have the woman
Student Answer:
bend over and touch her toes.
lie down on her left side and notice any retraction.
shift from a supine position to a standing position; notice any
lag or retraction.
slowly lift her arms above her head and note any retraction or
lag in movement.
Instructor Direct the woman to change position while checking the breasts for skin
Explanation: retraction signs. First ask her to lift her arms slowly over her head. Both
breasts should move up symmetrically. Retraction signs are due to fibrosis
in the breast tissue, usually caused by growing neoplasms. The nurse should
notice if there is a lag in movement of one breast.
Points Received: 2 of 2
Comments:
NR509 Week 7 Quiz /Physical
assessment quiz
Week 7 physical assessment quiz
These are the automatically
computed results of your exam. Date Taken: 11/30/2015
Grades for essay questions, and Time Spent: 34 min , 27 secs
comments from your instructor, are Points Received: (100%)
in the "Details" section below.
Question Type: # Of Questions: # Correct:
Multiple Choice 25 25
Grade Details - All Questions
Question 1.Question :
A 65-year-old patient remarks that she just can’t believe that her
breasts sag so much. She states it must be from lack of exercise.
What explanation should the nurse offer her?
Student Answer:
After menopause, only women with large breasts experience
sagging.
After menopause, sagging is usually due to decreased muscle
mass within the breast.
After menopause, a diet that is high in protein will help
maintain muscle mass, which keeps the breasts from sagging.
After menopause, the glandular and fat tissue atrophies,
causing breast size and elasticity to diminish, resulting in breasts
that sag.
Instructor After menopause, the glandular tissue atrophies and is replaced with
Explanation: connective tissue. The fat envelope atrophies also, beginning in the
middle years and becoming marked in the eighth and ninth decades.
These changes decrease breast size and elasticity, so the breasts droop
and sag, looking flattened and flabby.
Points Received: 2 of 2
Comments:
, Exam
NR509 Week 7 Quiz /Physical
assessment quiz
Question 2.Question :
During a physical examination, a 45-year-old woman states that she
has had a crusty, itchy rash on her breast for about 2 weeks. In
trying to find the cause of the rash, which of these would be
important for the nurse to determine?
, Exam
NR509 Week 7 Quiz /Physical
assessment quiz
Student Answer:
Is the rash raised and red?
Does it appear to be cyclic?
Where did it first appear—on the nipple, the areola, or the
surrounding skin?
What was she doing when she first noticed the rash, and do her
actions make it worse?
Instructor It is important for the nurse to determine where the rash first appeared.
Explanation: Paget’s disease starts with a small crust on the nipple apex and then spreads
to the areola. Eczema or other dermatitis rarely starts at nipple unless it
results from breastfeeding. It usually starts on the areola or surrounding
skin and then spreads to the nipple. See Table 17-6.
Points Received: 2 of 2
Comments:
Question 3.Question :
The nurse is performing a breast examination. Which of these
statements best describes the correct procedure to use when
screening for nipple and skin retraction during a breast
examination? Have the woman
Student Answer:
bend over and touch her toes.
lie down on her left side and notice any retraction.
shift from a supine position to a standing position; notice any
lag or retraction.
slowly lift her arms above her head and note any retraction or
lag in movement.
Instructor Direct the woman to change position while checking the breasts for skin
Explanation: retraction signs. First ask her to lift her arms slowly over her head. Both
breasts should move up symmetrically. Retraction signs are due to fibrosis
in the breast tissue, usually caused by growing neoplasms. The nurse should
notice if there is a lag in movement of one breast.
Points Received: 2 of 2
Comments:
