NSG 3160 EXAM 3 STUDY GUIDE
EXAM QUESTIONS WITH 100%
CORRECT ANSWERS NEW
MODIFIED
While inspecting a patient's breasts, the nurse finds that the left breast is slightly larger than
the right with the bilateral presence of Montgomery glands. How would the nurse proceed? -
CORRECT ANSWER--Consider these findings as normal and proceed with the examination.
what makes up the internal structures of the breast? --CORRECT ANSWER--Fibrous,
glandular, and adipose tissues
In performing an assessment of a woman's axillary lymph system, the nurse would assess
which of these nodes? --CORRECT ANSWER--Central, lateral, pectoral, and subscapular
If a patient reports a recent breast infection, then the nurse would expect to find what type of
node enlargement? --CORRECT ANSWER--Ipsilateral axillary
A 14-year-old girl is anxious about not having reached menarche. When taking the health
history, the nurse would ask what --CORRECT ANSWER--The age the girl began to develop
breasts
A woman is in the family planning clinic seeking birth control information. She states that
her breasts "change all month long" and that she is worried that this is unusual. What is the
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best response by the nurse? --CORRECT ANSWER--"Because of the changing hormones
during the monthly menstrual cycle, cyclic breast changes are common."
A woman has just learned that she is pregnant. What would the nurse teach this patient about
changes in her breasts? --CORRECT ANSWER--She can expect her areolae to become larger
and darker in color.
The nurse is teaching a pregnant woman about breast milk. Which statement by the nurse is
correct? --CORRECT ANSWER--"You may notice a thick, yellow fluid expressed from your
breasts as early as the fourth month of pregnancy."
During a physical examination, a 45-year-old woman states that she has had a crusty, itchy
rash on her breast for approximately 2 weeks. In trying to find the cause of the rash, which
question would be important for the nurse to ask? --CORRECT ANSWER--"Where did the
rash first appear—on the nipple, the areola, or the surrounding skin?"
A patient is newly diagnosed with benign breast disease. The nurse recognizes which
statement about benign breast disease to be true? --CORRECT ANSWER--It makes it more
difficult to examine the breasts.
During an interview, a patient reveals that she is pregnant. She states that she is not sure
whether she will breastfeed her baby and asks for some information about this. Which of
these statements by the nurse is accurate? --CORRECT ANSWER--"Breastfeeding provides
the perfect food and antibodies for your baby."
During an examination of a woman, the nurse notices that her left breast is slightly larger
than her right breast. Which of these statements is true about this finding? --CORRECT
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ANSWER--Asymmetry of the breasts is common, but the nurse should verify that this
finding is not new.
The nurse is performing a breast examination. Which statement best describes the correct
procedure to use when screening for nipple and skin retraction during a breast examination? -
CORRECT ANSWER--Have the patient slowly lift her arms above her head and note any
retraction or lag in movement.
The nurse is palpating a female patient's breasts during an examination. Which position is
most likely to make significant lumps more distinct during breast palpation? --CORRECT
ANSWER--Supine with the arms raised over her head
A patient states during the interview that she noticed a new lump in the shower a few days
ago. It was on her left breast near her axilla. What should the nurse do first --CORRECT
ANSWER--Palpate the unaffected breast first.
The best time to perform a Breast self exam --CORRECT ANSWER--is 4 to 7 days after the
first day of the menstrual period.
A 65-year-old patient remarks that she just cannot believe that her breasts "sag so much." She
states it must be from a lack of exercise. What explanation would the nurse offer her? -
CORRECT ANSWER--After menopause, the glandular and fat tissue atrophies, causing
breast size and elasticity to diminish, resulting in breasts that sag.
Gynecomastia --CORRECT ANSWER--enlargement of a man's breasts, usually due to
hormone imbalance or hormone therapy
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The nurse is preparing for a class on breast cancer. Which statement is true with regard to
cultural differences in breast cancer in the United States? --CORRECT ANSWER--The
relative 5-year survival rate for black women is lower than that for Caucasian women.
During a health history interview, a female patient states that she has noticed a few drops of
clear discharge from her right nipple. What would the nurse do next? --CORRECT
ANSWER--Ask the patient some additional questions about the medications she is taking.
During an examination, the nurse notes a supernumerary nipple just under the patient's left
breast. The patient tells the nurse that she always thought it was a mole. Which statement
about this finding is correct? --CORRECT ANSWER--This variation is normal and not a
significant finding.
While examining a 75-year-old woman, the nurse notices that the skin over her right breast is
thickened and the hair follicles are exaggerated. What is this condition called? --CORRECT
ANSWER--Peau d'orange
During a breast examination on a female patient, the nurse notices that the nipple is flat,
broad, and fixed. The patient states it "started doing that a few months ago." What does this
finding suggest? --CORRECT ANSWER--Dimpling
A 54-year-old man comes to the clinic with a "horrible problem." He tells the nurse that he
has just discovered a lump on his breast and is fearful of cancer. The nurse knows which
statement about breast cancer in men is true? --CORRECT ANSWER--Less than one percent
of all breast cancers occurs in men.