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Health Assessment Cumulative Final (Jarvis-Evolve) Exam Questions and Answers
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Health Assessment Cumulative Final (Jarvis-Evolve) Exam Questions and Answers
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Health Assessment Cumulative Final(Jarvis/Evolve) Exam Questions and
Answers
The reservoirs for storing milk in the breast are:
a. Lobules
b. Alveoli
c. Montgomery glands
d. Lactiferous sinuses - Answers -d (lactiferous sinuses)
What is the most common site of breast tumors?
a. Upper inner quadrant
b. Upper outer quadrant
c. Lower inner quadrant
d. Lower outer quadrant - Answers -b (upper outer quadrant)
During a visit for a school physical, the 13 year old girl being examined questions the
asymmetry of her breasts. What is the nurse's best response?
a. "One breast normally may grow faster than the other during development."
b. "I will give you a referral for a mammogram."
c. "You will probably have fibrocystic disease when you are older."
d. "This may be an indication of hormonal imbalance. We will check again in 6 months."
- Answers -a ("One breast normally may grow faster than the other during
development")
When teaching the breast self-examination, you would inform the woman that the best
time to conduct breast self-examination is:
a. At the onset of the menstrual period
b. On the 14th day of the menstrual cycle
c. On the 4th to 7th day of the cycle
d. Just before the menstrual period - Answers -c (on the 4th to 7th day of the cycle)
You are providing health promotion teaching for a 40 year old woman. What is the
current recommendation for women 40 years of age and older for breast cancer
screening with mammography?
,a. Every year
b. Every 2 years
c. Twice a year
d. Only baseline examination needed unless the woman has symptoms - Answers -a
(every year)
You are going to inspect a female patient's breasts for retraction. The best position for
this part of the examination is:
a. Lying supine with arms at the sides
b. Leaning forward with hands outstretched
c. Sitting with hand pushing onto hips
d. One arm at the side, the other arm elevated - Answers -c (Sitting with hand pushing
onto hips)
A bi-manual technique may be the preferred approach for a woman:
a. Who is pregnant
b. Who is having the first breast examination by a health care provider
c. With pendulous breasts
d. Who has felt a change in the breast during self-examination - Answers -c (with
pendulous breasts)
During the examination of a 70 year old man, you note gynecomastia. You would:
a. Refer for a biopsy
b. Refer for a mammogram
c. Review the medications for drugs that have gynecomastia as a side effect
d. Proceed with the examination. This is a normal part of the aging process - Answers -c
(Review the medications for drugs that have gynecomastia as a side effect)
During a breast examination you detect a mass. Which of the following is most
consistent with cancer rather than benign breast disease?
a. Round, firm, well demarcated
b. Irregular, poorly defined, fixed
c. Rubbery, mobile, tender
d. Lobular, clear margins, negative skin retraction - Answers -b (irregular, poorly
defined, fixed)
During the examination of the breasts of a pregnant woman, you would expect to find:
a. Peau d' orange
b. Nipple retraction
c. Unilateral, obvious venous pattern
,d. Blue vascular pattern over both breasts - Answers -d (Blue vascular pattern over both
breasts)
Which woman should not be referred to a physician for further evaluation?
a. A 26 year old with multiple nodules palpated in each breast
b. A 48 year old who has a 6 month history of reddened and sore left nipple and areolar
area
c. A 25 year old with asymmetric breasts and inversion of nipples since adolescence
d. A 64 year old with ulcerated area at tip of right nipple; no masses, tenderness, or
lymph nodes palpated - Answers -c (A 25 year old with asymmetric breasts and
inversion of nipples since adolescence)
Any lump found in the breast should be referred for further evaluation. A benign lesion
will usually have 3 of the following characteristics. Which one is characteristic of a
malignant lesion?
a. Soft
b. Well-defined margins
c. Freely movable
d. Irregular shape - Answers -d (irregular shape)
Gynecomastia is:
a. Enlargement of the male breast
b. Presence of mast cells in the male breast
c. Cancer of the male breast
d. Presence of supernumerary breast on the male chest - Answers -a (Enlargement of
the male breast)
Which is the first physical change associated with puberty in girls?
a. Areolar elevation
b. Breast bud development
c. Height spurt
d. Pubic hair development - Answers -b (Breast bud development)
During the examination of a 30 year old woman, she asks about "the 2 large moles" that
are below her left breast. After examining the area, how do you respond?
a. "I think you should be examined by a dermatologist"
b. "This is a normal finding of supernumerary nipples that are not developed"
c. "These are Montgomery's glands, which are common"
d. "Is there a possibility that you are pregnant?" - Answers -b ("This is a normal finding
of supernumerary nipples that are not developed")
, The manubriosternal angle is:
a. The articulation of the manubrium and the body of the sternum
b. A hollow, U-shaped depression just above the sternum
c. Also known as the breastbone
d. A term synonymous with costochondral junction - Answers -a (The articulation of the
manubrium and the body of the sternum)
Select the correct description of the left lung.
a. Narrower than the right lung with three lobes
b. Narrower than the right lung with two lobes
c. Wider than the right lung with two lobes
d. Shorter than the right lung with three lobes - Answers -b (Narrower than the right lung
with two lobes)
You assess a patient who reports a cough. The characteristic timing of the cough of
chronic bronchitis is described as:
a. Continuous throughout the day
b. Productive cough for at least 3 months of the year for 2 consecutive years
c. Occurring in the afternoon or evening because of exposure to irritants at work
d. Occurring in the early morning - Answers -b (Productive cough for at least 3 months
of the year for 2 consecutive years)
Which of the following assessments best confirms symmetric chest expansion?
a. Placing hands on the posterolateral chest wall with thumbs at the level of T9 or T10
and then sliding the hands up to pinch a small fold of skin between the thumbs
b. Inspection of the shape and configuration of the chest wall
c. Placing the palmar surface of the fingers of one hand against the chest and having
the person repeat the words "ninety-nine"
d. Percussion of the posterior chest - Answers -a (Placing hands on the posterolateral
chest wall with thumbs at the level of T9 or T10 and then sliding the hands up to pinch a
small fold of skin between the thumbs)
Absence of diaphragmatic excursion occurs with:
a. Asthma
b. An unusually thick chest wall
c. Pleural effusion or atelectasis of the lower lobes
d. Age-related changes in the chest wall - Answers -c (Pleural effusion or atelectasis of
the lower lobes)
You are auscultating breath sounds on a patient. Which of the following best describes
how to proceed?
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