TESTBANK FOR LEWIS MEDICAL SURGICAL NURSING
11TH EDITION BYHARDING Questions & Answers
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Chapter 30: Breast Disorders
Test Bank
MULTIPLE
CHOICE
1. The nurse teaching a young womens community service group about
breast self-examination (BSE) will include that
a. BSE will reduce the risk of dying from breast cancer.
b. BSE should be done daily while taking a bath or shower.
c. annual mammograms should be scheduled in addition to BSE.
d. performing BSE after the menstrual period is more comfortable.
ANS: D
Performing BSE at the end of the menstrual period will reduce the breast
,tenderness associated with the procedure. The evidence is not clear that BSE
reduces mortality from breast cancer. BSE should be done monthly. Annual
mammograms are not routinely scheduled for women under age 40, and newer
guidelines suggest delaying them until age 50.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
2. During a well woman physical exam, a 43-year-old patient asks about
her risk for breast cancer. Which question is most pertinent for the nurse
to ask?
a. Do you currently smoke tobacco?
b. Have you ever had a breast injury?
c. At what age did you start having menstrual periods?
d. Is there a family history of fibrocystic breast changes?
ANS: C
Early menarche and late menopause are risk factors for breast cancer
because of the prolonged exposure to estrogen that occurs. Cigarette smoking,
breast trauma, and fibrocystic breast changes are not associated with increased
breast cancer risk.
3. A 51-year-old patient with a small immobile breast lump is considering
having a fine-needle aspiration (FNA) biopsy. The nurse explains that an
advantage to this procedure is that
, a. FNA is done in the outpatient clinic and results are available in 1 to 2
days.
b. only a small incision is needed, resulting in minimal breast pain and
scarring.
c. if the biopsy results are negative, no further diagnostic testing will be
needed.
d. FNA is guided by a mammogram, ensuring that cells are taken from
the lesion.
ANS: A
FNA is done in outpatient settings and results are available in 24 to 48 hours.
No incision is needed. FNA may be guided by ultrasound, but not by
mammogram. Because the immobility of the breast lump suggests cancer,
further testing will be done if the FNA is negative.
4. Which assessment finding in a 36-year-old patient is most indicative of a need
for further evaluation?
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