BREAST CARE NURSE CERTIFICATION TEST QUESTIONS WITH WELL DETAILED
SOLUTIONS
Mrs. S states in the interview that she noticed a new lump in the shower a few days ago. It
was in her left breast near her axilla. The nurse should plan to:
A.palpate the unaffected breast first.
B.palpate the lump first and try to get an idea of its size.
C.avoid palpating the lump since it could be a cyst which might rupture.
D.palpate the breast with the lump first but plan to palpate the axilla last.
a
Mrs. Smith had a lumpectomy of her right breast a year ago. During her breast exam the
nurse should
A.avoid the area under the lumpectomy scar.
B.gently squeeze the nipple of the right breast to check for discharge.
C.carefully palpate the scar and underlying tissue.
D.substitute a mammogram for the manual exam.
c
In performing a breast examination on Mrs. J., it is especially important to examine the
upper outer quadrant (UOQ) of the breast. Why?
,A.The upper outer quadrant is more prone to injury and calcifications than other locations
in the breast.
B.The upper outer quadrant is where most of the suspensory ligaments attach.
C.The upper outer quadrant is the location of most breast tumors.
D.The upper outer quadrant is the largest quadrant of the breast.
c
Normal breast development in an adolescent female occuring between 8 - 13 years of age
is characterized initially by:
A.A small mound of breast tissue with widening of areola.
B.An enlarged breast.
C.A small elevated nipple.
D.An areola flush with breast contour with protruding nipple.
c
When doing the palpation of the axillae, the purpose is to assess the:
A.Central, axillary, and lateral nodes
B.Supraclavicular and infraclavicular nodes
C.Central, lateral, pectoral, and subscapualr nodes
D.Anterior, posterior central, and lateral nodes
c
The lateral lymph nodes are located along the upper humerus and drain most of the arm. t
or f
, t
Which type of discharge should a nurse consider normal with palpation of the nipples
during a breast examination of a non-lactating female client?
clear
A 23-year-old computer programmer comes to the office for an annual examination. She
has recently become sexually active and wants to start oral contraception. Her only
complaint is that the skin in her armpits has become darker. She states it looks like dirt;
she scrubs her skin nightly with soap and water, but the colour stays. Her past medical
symptoms consist of acne and mild obesity. Her periods have been irregular for 3 years.
Her mother has type 2 diabetes and her father has high blood pressure. The client denies
tobacco but drinks four to five drinks on Friday and Saturday nights. She denies any illegal
drug use. Examination shows a mildly obese woman breathing comfortably. Her vital signs
are unremarkable. Inspection of the axillae reveals dark velvet-like skin. Her annual
examination is otherwise unremarkable. What disorder of the breast or axilla is she most
likely to have?
acanthosis nicaragins
When palpating the female breast for masses, the nurse distinguishes which of the
following characteristics as a potentially cancerous mass?
single, firm, fixed nodule
Which of the following assessment findings is most likely benign on breast examination?
SOLUTIONS
Mrs. S states in the interview that she noticed a new lump in the shower a few days ago. It
was in her left breast near her axilla. The nurse should plan to:
A.palpate the unaffected breast first.
B.palpate the lump first and try to get an idea of its size.
C.avoid palpating the lump since it could be a cyst which might rupture.
D.palpate the breast with the lump first but plan to palpate the axilla last.
a
Mrs. Smith had a lumpectomy of her right breast a year ago. During her breast exam the
nurse should
A.avoid the area under the lumpectomy scar.
B.gently squeeze the nipple of the right breast to check for discharge.
C.carefully palpate the scar and underlying tissue.
D.substitute a mammogram for the manual exam.
c
In performing a breast examination on Mrs. J., it is especially important to examine the
upper outer quadrant (UOQ) of the breast. Why?
,A.The upper outer quadrant is more prone to injury and calcifications than other locations
in the breast.
B.The upper outer quadrant is where most of the suspensory ligaments attach.
C.The upper outer quadrant is the location of most breast tumors.
D.The upper outer quadrant is the largest quadrant of the breast.
c
Normal breast development in an adolescent female occuring between 8 - 13 years of age
is characterized initially by:
A.A small mound of breast tissue with widening of areola.
B.An enlarged breast.
C.A small elevated nipple.
D.An areola flush with breast contour with protruding nipple.
c
When doing the palpation of the axillae, the purpose is to assess the:
A.Central, axillary, and lateral nodes
B.Supraclavicular and infraclavicular nodes
C.Central, lateral, pectoral, and subscapualr nodes
D.Anterior, posterior central, and lateral nodes
c
The lateral lymph nodes are located along the upper humerus and drain most of the arm. t
or f
, t
Which type of discharge should a nurse consider normal with palpation of the nipples
during a breast examination of a non-lactating female client?
clear
A 23-year-old computer programmer comes to the office for an annual examination. She
has recently become sexually active and wants to start oral contraception. Her only
complaint is that the skin in her armpits has become darker. She states it looks like dirt;
she scrubs her skin nightly with soap and water, but the colour stays. Her past medical
symptoms consist of acne and mild obesity. Her periods have been irregular for 3 years.
Her mother has type 2 diabetes and her father has high blood pressure. The client denies
tobacco but drinks four to five drinks on Friday and Saturday nights. She denies any illegal
drug use. Examination shows a mildly obese woman breathing comfortably. Her vital signs
are unremarkable. Inspection of the axillae reveals dark velvet-like skin. Her annual
examination is otherwise unremarkable. What disorder of the breast or axilla is she most
likely to have?
acanthosis nicaragins
When palpating the female breast for masses, the nurse distinguishes which of the
following characteristics as a potentially cancerous mass?
single, firm, fixed nodule
Which of the following assessment findings is most likely benign on breast examination?
