NR 509 WEEK 7 QUIZ
Grade Details - All Questions
Question 1. Question : A 43-year-old woman is at the clinic for a routine examination. She
reports that she has had a breast lump in her right breast for years.
Recently, it has begun to change in consistency and is becoming
harder. She reports that 5 years ago, her physician evaluated the
lump and determined that it “was nothing to worry about.” The
examination validates the presence of a mass in the right upper
outer quadrant at 1 o’clock, approximately 5 cm from the nipple. It is
firm, mobile, nontender, with borders that are not well defined. The
nurse’s recommendation to her is
Student Answer:
“Because of the change in consistency of the lump, it should be
further evaluated by a physician.”
“The changes could be related to your menstrual cycles. Keep
track of changes in the mass each month.”
“This is probably nothing to worry about because it has been
present for years and was determined to be noncancerous at that
time.”
“Because you are experiencing no pain and the size has not
changed, continue to monitor the lump and return to the clinic in 3
months.”
Instructor A lump that has been present for years and is not exhibiting changes may
Explanation: not be serious but still should be explored. Any recent change or new
lump should be evaluated. The other responses are not correct.
Question 2. Question : During an examination of a woman, the nurse notices that her left
breast is slightly larger than her right breast. Which of these
statements is true about this finding?
Student Answer:
Breasts should always be symmetric.
This finding is probably due to breastfeeding and is nothing to
worry about.
This finding is not unusual, but the nurse should verify that this
change is not new.
This finding is very unusual and means she may have an
inflammation or growth.
Instructor The nurse should notice symmetry of size and shape. It is common to have a
Explanation: slight asymmetry in size; often the left breast is slightly larger than the right.
A sudden increase in the size of one breast signifies inflammation or new
growth.
, Question 3. Question : A 9-year-old girl is in the clinic for a sports physical. 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
Student Answer:
“Don’t worry, you still have plenty of time to develop.”
“I know just how you feel, I was a late bloomer myself. Just be
patient and they will grow.”
“You will probably get your period before you notice any
significant growth in your breasts.”
“I understand that it is hard to feel different from your friends.
Breasts usually develop between 8 and 10 years of age.”
Instructor Adolescent breast development usually begins between 8 and 10 years of
Explanation: age. The nurse should not belittle the girl’s feelings by using statements like
“don’t worry” or by sharing personal experiences. The beginning of breast
development precedes menarche by about 2 years.
Question 4. Question : A 65-year-old patient remarks that she just can’t believe that her
breasts sag so much. She states it must be from lack of exercise.
What explanation should the nurse offer her?
Student Answer:
After menopause, only women with large breasts experience
sagging.
After menopause, sagging is usually due to decreased muscle
mass within the breast.
After menopause, a diet that is high in protein will help maintain
muscle mass, which keeps the breasts from sagging.
After menopause, the glandular and fat tissue atrophies,
causing breast size and elasticity to diminish, resulting in breasts
that sag.
Instructor After menopause, the glandular tissue atrophies and is replaced with
Explanation: connective tissue. The fat envelope atrophies also, beginning in the middle
years and becoming marked in the eighth and ninth decades. These changes
decrease breast size and elasticity, so the breasts droop and sag, looking
flattened and flabby.
Question 5. Question : If a patient reports a recent breast infection, then the nurse should
expect to find _____ node enlargement.
Student
Answer: nonspecific
ipsilateral axillary
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