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Ch 20 Breasts and Lymphatic System Exam Questions and Answers
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Ch 20 Breasts and Lymphatic System Exam Questions and Answers
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Ch 20 Breasts and Lymphatic SystemExam Questions and Answers
1. The nurse is assessing a client's breasts. When assessing the area of the
breast most vulnerable to breast cancer, where should the nurse to assess?
A) Upper inner quadrant
B) Lower inner quadrant
C) Upper outer quadrant
D) Lower outer quadrant - -C) Upper outer quadrant
-2. During a prenatal class, a participant says that she was told that her
breasts are not large enough to breastfeed. When responding to this client,
the nurse should understand that the functional capacity of the breast is
primarily determined by which of the following variables?
A) Amount of glandular tissue
B) Breast size and weight
C) Amount of fatty tissue
D) Depth of the subcutaneous fat layer - -A) Amount of glandular tissue
-3. The nurse has asked a female client if she has noticed any lumps or
swelling in her breasts. After the client responds "yes," which question
should the nurse ask next?
A) "Have any of the other women in your family had this happen?"
B) "Has there been any corresponding change in your breast size?"
C) "Does the lump change over the course of your menstrual cycle?"
D) "What do you think is causing this change?" - -C) "Does the lump change
over the course of your menstrual cycle?"
-4. When taking a health history for a female client, which factor should the
nurse identify as placing the client at increased risk for breast cancer?
A) The client smokes six to eight cigarettes per day
B) The client had her first child at age 38
C) The client breast-fed her child for a full year
D) The client has a low body mass index - -B) The client had her first child at
age 38
-5. Which of the following factors should a nurse include when discussing
risk factors about breast cancer for a group of women?
A) Early menarche
B) One or more pregnancies before age 20
C) Consumption of a high-protein diet
D) Early menopause - -A) Early menarche
, -6. While assessing a woman's breasts, the nurse notes a pronounced and
asymmetric pattern of veins on the client's breasts. Follow-up care is ordered
because the nurse should suspect which of the following?
A) Pregnancy
B) Fibrocystic changes
C) Malignancy
D) A low platelet count - -C) Malignancy
-7. A 42-year-old female client says she does not perform breast self-
examination because she believes that mammograms are more thorough.
Which response by the nurse would be most appropriate?
A) "You should do the exam. It's the best way to detect breast cancer early."
B) "Be sure to have your breasts checked by a doctor and have a
mammogram every year."
C) "Mammograms don't always detect the lumps that you might feel."
D) "Once you hit age 50, you really won't have a choice about doing them." -
-B) "Be sure to have your breasts checked by a doctor and have a
mammogram every year."
-8. An 18-year-old woman complains because one breast is larger than the
other. What additional interview data would suggest a need for referral?
A) The client states that she is sexually active.
B) The client states that she does not perform breast self-examination.
C) The client states that her problem affects her body image.
D) The client states that this represents a sudden change in her breast size. -
-D) The client states that this represents a sudden change in her breast size.
-9. The nurse is assessing the breasts of a Caucasian woman who has just
been diagnosed with Paget disease. Which of the following would the nurse
expect to find?
A) Orange-peel skin
B) Nipple retraction
C) Dark pink areola
D) Red and scaling on the areola - -D) Red and scaling on the areola
-10. A woman reports a sudden onset of spontaneous nipple discharge.
Which of the following would be the nurse's most appropriate action?
A) Refer the client for cytologic study of the discharge.
B) Observe the breast for eversion of the nipples.
C) Reassure the woman that this is a result of hormonal fluctuations.
D) Collect a sample for culture and sensitivity testing. - -A) Refer the client
for cytologic study of the discharge.
-11. The nurse is preparing to inspect a woman's breasts for retraction and
dimpling. Which position would be most appropriate?
A) Standing
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