NR509 Week 7 Advanced Physical
Assessment 194 quizzes & Answers
100% correct.
NR509 Week 7 Advanced Physical
Assessment 194 quizzes & Answers
100% correct.
Which of the following statements is true regarding the internal structures of the breast?
The breast is made up of:
a. Primarily muscle with very little fibrous tissue.
b. Fibrous, glandular, and adipose tissues.
c. Primarily milk ducts, known as lactiferous ducts.
d. Glandular tissue, which supports the breast by attaching to the chest wall. -
ANSWER- b. Fibrous, glandular, and adipose tissues.
In performing a breast examination, the nurse knows that examining the upper outer
quadrant of the breast is especially important. The reason for this is that the upper outer
quadrant is:
a. The largest quadrant of the breast.
b. The location of most breast tumors.
c. Where most of the suspensory ligaments attach.
d. More prone to injury and calcifications than other locations in the breast. - ANSWER-
b. The location of most breast tumors.
In performing an assessment of a woman's axillary lymph system, the nurse should
assess which of these nodes?
a. Central, axillary, lateral, and sternal
b. Pectoral, lateral, anterior, and sternal
c. Central, lateral, pectoral, and subscapular
d. Lateral, pectoral, axillary, and suprascapular - ANSWER- c. Central, lateral, pectoral,
and subscapular
If a patient reports a recent breast infection, then the nurse should expect to find
________ node enlargement.
a. Nonspecific
b. Ipsilateral axillary
c. Contralateral axillary
d. Inguinal and cervical - ANSWER- b. Ipsilateral axillary
A 9-year-old girl is in the clinic for a sport physical examination. After some initial
shyness she finally asks, "Am I normal? I don't seem to need a bra yet, but I have some
friends who do. What if I never get breasts?" The nurse's best response would be:
,NR509 Week 7 Advanced Physical
Assessment 194 quizzes & Answers
100% correct.
a. "Don't worry, you still have plenty of time to develop."
b. "I know just how you feel, I was a late bloomer myself. Just be patient, and they will
grow."
c. "You will probably get your periods before you notice any significant growth in your
breasts."
d. "I understand that it is hard to feel different from your friends. Breasts usually develop
between 8 and 10 years of age." - ANSWER- d. "I understand that it is hard to feel
different from your friends. Breasts usually develop between 8 and 10 years of age."
A patient contacts the office and tells the nurse that she is worried about her 10-year-old
daughter having breast cancer. She describes a unilateral enlargement of the right
breast with associated tenderness. She is worried because the left breast is not
enlarged. What would be the nurse's best response? Tell the mother that:
a. Breast development is usually fairly symmetric and that the daughter should be
examined right away.
b. She should bring in her daughter right away because breast cancer is fairly common
in preadolescent girls.
c. Although an examination of her daughter would rule out a problem, her breast
development is most likely normal.
d. It is unusual for breasts that are first developing to feel tender because they haven't
developed much fibrous tissue. - ANSWER- c. Although an examination of her daughter
would rule out a problem, her breast development is most likely normal.
A 14-year-old girl is anxious about not having reached menarche. When taking the
health history, the nurse should ascertain which of the following? The age that:
a. The girl began to develop breasts.
b. Her mother developed breasts.
c. She began to develop pubic hair.
d. She began to develop axillary hair. - ANSWER- a. 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 nurse's best response? The nurse should tell her that:
a. Continual changes in her breasts are unusual. The breasts of nonpregnant women
usually stay pretty much the same all month long.
b. Breast changes in response to stress are very common and that she should assess
her life for stressful events.
c. Because of the changing hormones during the monthly menstrual cycle, cyclic breast
changes are common.
d. Breast changes normally occur only during pregnancy and that a pregnancy test is
needed at this time. - ANSWER- c. Because of the changing hormones during the
monthly menstrual cycle, cyclic breast changes are common.
,NR509 Week 7 Advanced Physical
Assessment 194 quizzes & Answers
100% correct.
A woman has just learned that she is pregnant. What are some things the nurse should
teach her about her breasts?
a. She can expect her areolae to become larger and darker in color.
b. Breasts may begin secreting milk after the fourth month of pregnancy.
c. She should inspect her breasts for visible veins and immediately report these.
d. During pregnancy, breast changes are fairly uncommon; most of the changes occur
after the birth. - ANSWER- a. 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?
a. "Your breast milk is immediately present after the delivery of your baby."
b. "Breast milk is rich in protein and sugars (lactose) but has very little fat."
c. "The colostrum, which is present right after birth, does not contain the same nutrients
as breast milk."
d. "You may notice a thick, yellow fluid expressed from your breasts as early as the
fourth month of pregnancy." - ANSWER- d. "You may notice a thick, yellow fluid
expressed from your breasts as early as the fourth month of pregnancy."
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 should the nurse
offer her? After menopause:
a. Only women with large breasts experience sagging.
b. Sagging is usually due to decreased muscle mass within the breast.
c. A diet that is high in protein will help maintain muscle mass, which keeps the breasts
from sagging.
d. The glandular and fat tissue atrophies, causing breast size and elasticity to diminish,
resulting in breasts that sag. - ANSWER- d. The glandular and fat tissue atrophies,
causing breast size and elasticity to diminish, resulting in breasts that sag.
In examining a 70-year-old male patient, the nurse notices that he has bilateral
gynecomastia. Which of the following describes the nurse's best course of action?
a. Recommend that he make an appointment with his physician for a mammogram.
b. Ignore it. Benign breast enlargement in men is not unusual.
c. Explain that this condition may be the result of hormonal changes, and recommend
that he see his physician.
d. Explain that gynecomastia in men is usually associated with prostate enlargement
and recommend that he be thoroughly screened. - ANSWER- c. Explain that this
condition may be the result of hormonal changes, and recommend that he see his
physician.
, NR509 Week 7 Advanced Physical
Assessment 194 quizzes & Answers
100% correct.
During an examination of a 7-year-old girl, the nurse notices that the girl is showing
breast budding. What should the nurse do next?
a. Ask the young girl if her periods have started.
b. Assess the girl's weight and body mass index (BMI).
c. Ask the girl's mother at what age she started to develop breasts.
d. Nothing; breast budding is a normal finding. - ANSWER- b. Assess the girl's weight
and body mass index (BMI).
The nurse is reviewing statistics regarding breast cancer. Which woman, aged 40 years
in the United States, has the highest risk for developing breast cancer?
a. Black
b. White
c. Asian
d. American Indian - ANSWER- a. Black
The nurse is preparing for a class in early detection of breast cancer. Which statement
is true with regard to breast cancer in black women in the United States?
a. Breast cancer is not a threat to black women.
b. Black women have a lower incidence of regional or distant breast cancer than white
women.
c. Black women are more likely to die of breast cancer at any age.
d. Breast cancer incidence in black women is higher than that of white women after age
45. - ANSWER- c. Black women are more likely to die of breast cancer at any age.
During a breast health interview, a patient states that she has noticed pain in her left
breast. The nurse's most appropriate response to this would be:
a. "Don't worry about the pain; breast cancer is not painful."
b. "I would like some more information about the pain in your left breast."
c. "Oh, I had pain like that after my son was born; it turned out to be a blocked milk
duct."
d. "Breast pain is almost always the result of benign breast disease." - ANSWER- b. "I
would like some more information about the pain in your left breast."
During a health history interview, a female patient states that she has noticed a few
drops of clear discharge from her right nipple. What should the nurse do next?
a. Immediately contact the physician to report the discharge.
b. Ask her if she is possibly pregnant.
c. Ask the patient some additional questions about the medications she is taking.
d. Immediately obtain a sample for culture and sensitivity testing. - ANSWER- c. Ask the
patient some additional questions about the medications she is taking.
