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NR509 WEEK 7 EXAM|| ALL QUESTIONS AND
100% CORRECT ANSWERS|| LATEST AND
FULLY COVERED VERSION 2024-2025 WITH
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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. -
ANSWER: b. Fibrous, glandular, and adipose tissues.
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. -
ANSWER: b. The location of most breast tumors.
In performing an assessment of a woman's 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
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d. Lateral, pectoral, axillary, and suprascapular - ANSWER: c. Central, lateral,
pectoral, and subscapular
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 - ANSWER: b. Ipsilateral axillary
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 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:
a. "Don't 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." - ANSWER: d. "I understand that it is
hard to feel different from your friends. Breasts usually develop between 8 and 10
years of age."
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 nurse's best response? Tell the mother that:
a. Breast development is usually fairly symmetric and that the daughter should be
examined right away.
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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
haven't developed much fibrous tissue. - ANSWER: c. Although an examination
of her daughter would rule out a problem, her breast development is most likely
normal.
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. - ANSWER: a. The girl began to develop
breasts.
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 nurse's 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. - ANSWER: c. Because of the changing hormones during
the monthly menstrual cycle, cyclic breast changes are common.
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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. - ANSWER: a. She can expect her areolae to become larger
and darker in color.
The nurse is teaching a pregnant woman about breast milk. Which statement by the
nurse is correct?
a. "Your breast milk is immediately present after the delivery of your baby."
b. "Breast milk is rich in protein and sugars (lactose) but has very little fat."
c. "The colostrum, which is present right after birth, does not contain the same
nutrients as breast milk."
d. "You may notice a thick, yellow fluid expressed from your breasts as early as
the fourth month of pregnancy." - ANSWER: d. "You may notice a thick, yellow
fluid expressed from your breasts as early as the fourth month of pregnancy."
A 65-year-old patient remarks that she just cannot believe that her breasts "sag so
much." She states it must be from a lack of exercise. What explanation should the
nurse offer her? After menopause:
a. Only women with large breasts experience sagging.
b. Sagging is usually due to decreased muscle mass within the breast.
c. A diet that is high in protein will help maintain muscle mass, which keeps the
breasts from sagging.
d. The glandular and fat tissue atrophies, causing breast size and elasticity to
diminish, resulting in breasts that sag. - ANSWER: d. The glandular and fat tissue
atrophies, causing breast size and elasticity to diminish, resulting in breasts that
sag.
