NU 518 Exam 3 | 400+ Questions and
Correct Answers | Rated & Graded A+ |
2024/2025 Guide
Mrs. Patton, a 48-year-old woman, comes to your office with a complaint of a breast
mass. Without any other information, what is the risk of this mass being cancerous?
A) About 10%
B) About 20%
C) About 30%
D) About 40% - Correct Answer - A
How often, according to American Cancer Society recommendations, should a
woman undergo a screening breast examination by a skilled clinician?
A) Every year
B) Every 2 years
C) Every 3 years
D) Every 4 years - Correct Answer - C
Which of the following is most likely benign on breast examination?
A) Dimpling of the skin resembling that of an orange
B) One breast larger than the other
C) One nipple inverted
D) One breast with dimple when the patient leans forward - Correct Answer - B
Which is the most effective pattern of palpation for breast cancer?
A) Beginning at the nipple, make an ever-enlarging spiral.
B) Divide the breast into quadrants and inspect each systematically.
C) Examine in lines resembling the back and forth pattern of mowing a lawn.
,D) Beginning at the nipple, palpate outward in a stripe pattern. - Correct Answer - C
Which is true of women who have had a unilateral mastectomy?
A) They no longer require breast examination.
B) They should be examined carefully along the surgical scar for masses.
C) Lymphedema of the ipsilateral arm usually suggests recurrence of breast cancer.
D) Women with breast reconstruction over their mastectomy site no longer require
examination. - Correct Answer - B
Which of the following is true regarding breast self-examination?
A) It has been shown to reduce mortality from breast cancer.
B) It is recommended unanimously by organizations making screening
recommendations.
C) A high proportion of breast masses are detected by breast self-examination.
D) The undue fear caused by finding a mass justifies omitting instruction in breast
selfexamination. - Correct Answer - C
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. -
Correct Answer - B
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. - Correct
Answer - B
,In performing an assessment of a womans 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 - Correct Answer - C
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 - Correct Answer - B
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 dont seem to need a bra yet, but I have
some friends who do. What if I never get breasts? The nurses best response would
be:
A Dont 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. - Correct Answer - D
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 nurses 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
havent developed much fibrous tissue. - Correct Answer - C
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. - Correct Answer - A
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 nurses 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. - Correct Answer - C
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. - Correct Answer - A
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