NURB 3060 Exam 5 - Ch 20, 26, 27 -
TEST PREP QUESTIONS AND CORRECT
ANSWERS.
The nurse is assessing a client's breasts. When assessing the area of the breast
most vulnerable to breast cancer, where should the nurse to assess?
A) Upper inner quadrant
B) Lower inner quadrant
C) Upper outer quadrant
D) Lower outer quadrant
C) Upper outer quadrant
During a prenatal class, a participant says that she was told that her breasts are
not large enough to breastfeed. When responding to this client, the nurse should
understand that the functional capacity of the breast is primarily determined by
which of the following variables?
A) Amount of glandular tissue
B) Breast size and weight
C) Amount of fatty tissue
D) Depth of the subcutaneous fat layer
A) Amount of glandular tissue
The nurse has asked a female client if she has noticed any lumps or swelling in
her breasts. After the client responds “yes,” which question should the nurse ask
next?
A) “Have any of the other women in your family had this happen?”
B) “Has there been any corresponding change in your breast size?”
C) “Does the lump change over the course of your menstrual cycle?”
D) “What do you think is causing this change?”
C) "Does the lump change over the course of your menstrual cycle?"
When taking a health history for a female client, which factor should the nurse
identify as placing the client at increased risk for breast cancer?
A) The client smokes six to eight cigarettes per day
B) The client had her first child at age 38
C) The client breast-fed her child for a full year
D) The client has a low body mass index
B) The client had her first child at age 38
Which of the following factors should a nurse include when discussing risk
factors about breast cancer for a group of women?
A) Early menarche
B) One or more pregnancies before age 20
C) Consumption of a high-protein diet
D) Early menopause
A) Early menarche
,While assessing a woman's breasts, the nurse notes a pronounced and
asymmetric pattern of veins on the client's breasts. Follow-up care is ordered
because the nurse should suspect which of the following?
A) Pregnancy
B) Fibrocystic changes
C) Malignancy
D) A low platelet count
C) Malignancy
A 42-year-old female client says she does not perform breast self-examination
because she believes that mammograms are more thorough. Which response by
the nurse would be most appropriate?
A) “You should do the exam. It's the best way to detect breast cancer early.”
B) “Be sure to have your breasts checked by a doctor and have a mammogram
every year.”
C) “Mammograms don't always detect the lumps that you might feel.”
D) “Once you hit age 50, you really won't have a choice about doing them.”
B) "Be sure to have your breasts checked by a doctor and have a mammogram every
year."
An 18-year-old woman complains because one breast is larger than the other.
What additional interview data would suggest a need for referral?
A) The client states that she is sexually active.
B) The client states that she does not perform breast self-examination.
C) The client states that her problem affects her body image.
D) The client states that this represents a sudden change in her breast size.
D) The client states that this represents a sudden change in her breast size.
The nurse is assessing the breasts of a Caucasian woman who has just been
diagnosed with Paget disease. Which of the following would the nurse expect to
find?
A) Orange-peel skin
B) Nipple retraction
C) Dark pink areola
D) Red and scaling on the areola
D) Red and scaling on the areola
A woman reports a sudden onset of spontaneous nipple discharge. Which of the
following would be the nurse's most appropriate action?
A) Refer the client for cytologic study of the discharge.
B) Observe the breast for eversion of the nipples.
C) Reassure the woman that this is a result of hormonal fluctuations.
D) Collect a sample for culture and sensitivity testing.
A) Refer the client for cytologic study of the discharge.
The nurse is preparing to inspect a woman's breasts for retraction and dimpling.
Which position would be most appropriate?
A) Standing
B) Supine
C) Semi-Fowlers
D) Sitting
, D) Sitting
A client has large, pendulous breasts. Which of the following would be most
appropriate to ensure better access while examining the client's breasts for
retraction and dimpling?
A) Have the client stand and lean forward
B) Have the client lie on her side
C) Have the client sit and then lean forward
D) Have the client lie flat on her back
C) Have the client sit and then lean forward
The nurse is preparing to palpate the breasts of a female client. Which technique
should the nurse utilize during this aspect of assessment?
A) Use the flat pads of three fingers.
B) Use the fingertips of both hands.
C) Gently pinch the skin between two fingers.
D) Use the palm of one hand.
A) Use the flat pads of three fingers.
A woman appears restless and is wringing her hands prior to having a clinical
breast examination performed. Which statement by the nurse would be most
appropriate?
A) “I know you are worried, but your risk for cancer is low.”
B) “You need to pay attention to these instructions so we can finish as quickly as
possible.”
C) “You seem to be anxious. Can you tell me what you are thinking?”
D) “You appear restless, but I can assure you that your doctor is very good.”
C) "You seem to be anxious. Can you tell me what you are thinking?"
A nurse has completed the assessment of a client's breasts. The nurse should
suspect that the client has fibroadenomas based on which findings?
A) Lobular, ovoid, or round lesions
B) Irregular, firm cysts
C) Round, defined mobile cysts
D) Non defined, mobile cysts
A) Lobular, ovoid, or round lesions
After teaching a group of young women about breast self-examination, the nurse
determines that the teaching was successful when the women state that they will
palpate their breasts using which pattern?
A) A circular pattern
B) A clockwise pattern
C) A random pattern
D) An up-and-down pattern
D) An up-and-down pattern
When palpating a female client's axillae, which of the following actions is most
appropriate?
A) Have the client hold the arm of the side being examined slightly away from the
body.
B) Tell the client to raise her arm on the side being examined up over her head.
C) Hold the client's elbow of the side being examined with one hand.
TEST PREP QUESTIONS AND CORRECT
ANSWERS.
The nurse is assessing a client's breasts. When assessing the area of the breast
most vulnerable to breast cancer, where should the nurse to assess?
A) Upper inner quadrant
B) Lower inner quadrant
C) Upper outer quadrant
D) Lower outer quadrant
C) Upper outer quadrant
During a prenatal class, a participant says that she was told that her breasts are
not large enough to breastfeed. When responding to this client, the nurse should
understand that the functional capacity of the breast is primarily determined by
which of the following variables?
A) Amount of glandular tissue
B) Breast size and weight
C) Amount of fatty tissue
D) Depth of the subcutaneous fat layer
A) Amount of glandular tissue
The nurse has asked a female client if she has noticed any lumps or swelling in
her breasts. After the client responds “yes,” which question should the nurse ask
next?
A) “Have any of the other women in your family had this happen?”
B) “Has there been any corresponding change in your breast size?”
C) “Does the lump change over the course of your menstrual cycle?”
D) “What do you think is causing this change?”
C) "Does the lump change over the course of your menstrual cycle?"
When taking a health history for a female client, which factor should the nurse
identify as placing the client at increased risk for breast cancer?
A) The client smokes six to eight cigarettes per day
B) The client had her first child at age 38
C) The client breast-fed her child for a full year
D) The client has a low body mass index
B) The client had her first child at age 38
Which of the following factors should a nurse include when discussing risk
factors about breast cancer for a group of women?
A) Early menarche
B) One or more pregnancies before age 20
C) Consumption of a high-protein diet
D) Early menopause
A) Early menarche
,While assessing a woman's breasts, the nurse notes a pronounced and
asymmetric pattern of veins on the client's breasts. Follow-up care is ordered
because the nurse should suspect which of the following?
A) Pregnancy
B) Fibrocystic changes
C) Malignancy
D) A low platelet count
C) Malignancy
A 42-year-old female client says she does not perform breast self-examination
because she believes that mammograms are more thorough. Which response by
the nurse would be most appropriate?
A) “You should do the exam. It's the best way to detect breast cancer early.”
B) “Be sure to have your breasts checked by a doctor and have a mammogram
every year.”
C) “Mammograms don't always detect the lumps that you might feel.”
D) “Once you hit age 50, you really won't have a choice about doing them.”
B) "Be sure to have your breasts checked by a doctor and have a mammogram every
year."
An 18-year-old woman complains because one breast is larger than the other.
What additional interview data would suggest a need for referral?
A) The client states that she is sexually active.
B) The client states that she does not perform breast self-examination.
C) The client states that her problem affects her body image.
D) The client states that this represents a sudden change in her breast size.
D) The client states that this represents a sudden change in her breast size.
The nurse is assessing the breasts of a Caucasian woman who has just been
diagnosed with Paget disease. Which of the following would the nurse expect to
find?
A) Orange-peel skin
B) Nipple retraction
C) Dark pink areola
D) Red and scaling on the areola
D) Red and scaling on the areola
A woman reports a sudden onset of spontaneous nipple discharge. Which of the
following would be the nurse's most appropriate action?
A) Refer the client for cytologic study of the discharge.
B) Observe the breast for eversion of the nipples.
C) Reassure the woman that this is a result of hormonal fluctuations.
D) Collect a sample for culture and sensitivity testing.
A) Refer the client for cytologic study of the discharge.
The nurse is preparing to inspect a woman's breasts for retraction and dimpling.
Which position would be most appropriate?
A) Standing
B) Supine
C) Semi-Fowlers
D) Sitting
, D) Sitting
A client has large, pendulous breasts. Which of the following would be most
appropriate to ensure better access while examining the client's breasts for
retraction and dimpling?
A) Have the client stand and lean forward
B) Have the client lie on her side
C) Have the client sit and then lean forward
D) Have the client lie flat on her back
C) Have the client sit and then lean forward
The nurse is preparing to palpate the breasts of a female client. Which technique
should the nurse utilize during this aspect of assessment?
A) Use the flat pads of three fingers.
B) Use the fingertips of both hands.
C) Gently pinch the skin between two fingers.
D) Use the palm of one hand.
A) Use the flat pads of three fingers.
A woman appears restless and is wringing her hands prior to having a clinical
breast examination performed. Which statement by the nurse would be most
appropriate?
A) “I know you are worried, but your risk for cancer is low.”
B) “You need to pay attention to these instructions so we can finish as quickly as
possible.”
C) “You seem to be anxious. Can you tell me what you are thinking?”
D) “You appear restless, but I can assure you that your doctor is very good.”
C) "You seem to be anxious. Can you tell me what you are thinking?"
A nurse has completed the assessment of a client's breasts. The nurse should
suspect that the client has fibroadenomas based on which findings?
A) Lobular, ovoid, or round lesions
B) Irregular, firm cysts
C) Round, defined mobile cysts
D) Non defined, mobile cysts
A) Lobular, ovoid, or round lesions
After teaching a group of young women about breast self-examination, the nurse
determines that the teaching was successful when the women state that they will
palpate their breasts using which pattern?
A) A circular pattern
B) A clockwise pattern
C) A random pattern
D) An up-and-down pattern
D) An up-and-down pattern
When palpating a female client's axillae, which of the following actions is most
appropriate?
A) Have the client hold the arm of the side being examined slightly away from the
body.
B) Tell the client to raise her arm on the side being examined up over her head.
C) Hold the client's elbow of the side being examined with one hand.
