NR 302 Health Assessment I - Exam 7 Study Guide 2026 |Chamberlain
College
1. Which quadrant of the breast is the most common site for breast tumors?
A. Upper inner quadrant
B. Lower inner quadrant
C. Upper outer quadrant
D. Lower outer quadrant
Answer: C
Rationale: The upper outer quadrant, which includes the Tail of Spence, is the most
frequent site for breast tumors.
2. When is the best time for a woman to perform a breast self-examination
(BSE)?
A. On the first day of the menstrual cycle
B. Mid-cycle during ovulation
C. 4 to 7 days after the menstrual period begins
D. The day the menstrual period ends
Answer: C
Rationale: Breasts are smallest and least congested 4 to 7 days after the start of the
menstrual cycle, making it the ideal time for palpation.
,3. A client presents with ‘peau d’orange’ skin on the breast. This finding is most
likely associated with:
A. A benign fibroadenoma
B. Normal aging processes
C. A common skin infection
D. Lymphatic obstruction due to cancer
Answer: D
Rationale: Peau d’orange (orange-peel skin) results from edema caused by lymphatic
obstruction, which is often a sign of advanced breast cancer.
4. What is the primary purpose of the Montgomery glands located on the
areola?
A. To secrete a protective lubricant during lactation
B. To produce milk for lactation
C. To provide sensory stimulation
D. To regulate breast temperature
Answer: A
Rationale: Montgomery glands are small sebaceous glands that secrete a protective lipid
material during lactation.
5. In the TNM staging system for breast cancer, what does the ‘N’ represent?
A. Number of tumors
B. Nodes (regional lymph node involvement)
C. Neoplasm grade
D. Necrosis level
Answer: B
Rationale: TNM stands for Tumor size, regional lymph Node involvement, and distant
Metastasis.
, 6. Which finding is considered normal during an assessment of the male
genitalia?
A. Asymmetry of the scrotum with the left side lower
B. A small amount of clear discharge from the meatus
C. Tenderness upon palpation of the testes
D. A palpable mass in the inguinal canal
Answer: A
Rationale: It is normal for the left side of the scrotum to hang lower than the right because
the left spermatic cord is longer.
7. What is the term for an undescended testis?
A. Cryptorchidism
B. Varicocele
C. Hydrocele
D. Orchitis
Answer: A
Rationale: Cryptorchidism is the failure of one or both testes to descend into the scrotum.
8. A 65-year-old male reports a weak urinary stream and a feeling of incomplete
bladder emptying. These symptoms suggest:
A. Prostate cancer
B. Benign Prostatic Hyperplasia (BPH)
C. Urinary tract infection
D. Testicular torsion
Answer: B
Rationale: BPH is common in aging men and causes obstructive symptoms like a weak
stream and hesitancy due to prostate enlargement.
College
1. Which quadrant of the breast is the most common site for breast tumors?
A. Upper inner quadrant
B. Lower inner quadrant
C. Upper outer quadrant
D. Lower outer quadrant
Answer: C
Rationale: The upper outer quadrant, which includes the Tail of Spence, is the most
frequent site for breast tumors.
2. When is the best time for a woman to perform a breast self-examination
(BSE)?
A. On the first day of the menstrual cycle
B. Mid-cycle during ovulation
C. 4 to 7 days after the menstrual period begins
D. The day the menstrual period ends
Answer: C
Rationale: Breasts are smallest and least congested 4 to 7 days after the start of the
menstrual cycle, making it the ideal time for palpation.
,3. A client presents with ‘peau d’orange’ skin on the breast. This finding is most
likely associated with:
A. A benign fibroadenoma
B. Normal aging processes
C. A common skin infection
D. Lymphatic obstruction due to cancer
Answer: D
Rationale: Peau d’orange (orange-peel skin) results from edema caused by lymphatic
obstruction, which is often a sign of advanced breast cancer.
4. What is the primary purpose of the Montgomery glands located on the
areola?
A. To secrete a protective lubricant during lactation
B. To produce milk for lactation
C. To provide sensory stimulation
D. To regulate breast temperature
Answer: A
Rationale: Montgomery glands are small sebaceous glands that secrete a protective lipid
material during lactation.
5. In the TNM staging system for breast cancer, what does the ‘N’ represent?
A. Number of tumors
B. Nodes (regional lymph node involvement)
C. Neoplasm grade
D. Necrosis level
Answer: B
Rationale: TNM stands for Tumor size, regional lymph Node involvement, and distant
Metastasis.
, 6. Which finding is considered normal during an assessment of the male
genitalia?
A. Asymmetry of the scrotum with the left side lower
B. A small amount of clear discharge from the meatus
C. Tenderness upon palpation of the testes
D. A palpable mass in the inguinal canal
Answer: A
Rationale: It is normal for the left side of the scrotum to hang lower than the right because
the left spermatic cord is longer.
7. What is the term for an undescended testis?
A. Cryptorchidism
B. Varicocele
C. Hydrocele
D. Orchitis
Answer: A
Rationale: Cryptorchidism is the failure of one or both testes to descend into the scrotum.
8. A 65-year-old male reports a weak urinary stream and a feeling of incomplete
bladder emptying. These symptoms suggest:
A. Prostate cancer
B. Benign Prostatic Hyperplasia (BPH)
C. Urinary tract infection
D. Testicular torsion
Answer: B
Rationale: BPH is common in aging men and causes obstructive symptoms like a weak
stream and hesitancy due to prostate enlargement.
