QUESTIONS AND CORRECT ANSWERS
HEALTH ASSESSMENT REVIEW A+ STUDY
GUIDE
What is the most common site of breast tumors?
- Upper inner quadrant
- Lower inner quadrant
- Lower outer quadrant
- Upper outer quadrant - CORRECT ANSWERUpper outer quadrant
13-year-old girl being examined questions the asymmetry of her breasts.
The best response from the nurse is:
- "This may be an indication of hormonal imbalance. Re-check in 6 months"
- "One breast normally may grow faster than the other during
development"
- "You will probably have fibrocystic disease when you are older"
- "I will give you a referral for a mammogram" - CORRECT
ANSWER"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-exam is
- at the onset of the menstrual period
,- on the 14th day of the menstrual period
- on the 4th-7th day of the cycle
- just before the menstrual period - CORRECT ANSWEROn the 4th-
7th day of the cycle
What is the current recommendation for women 40-44 years and older for
breast cancer screening w/mammography
- May begin every year
- Only baseline examination needed unless the woman has symptoms
- Twice a year
- Every 2 years - CORRECT ANSWERMay begin every year
The best position to inspect a female patient's breasts for retraction is:
- sitting w/hand pushing onto hips
- lying supine w/arms at the sides
- one arm at the side, the other arm elevated
- leaning forward w/hands outstretched - CORRECT ANSWERsitting
w/hand pushing onto hips
A bimanual technique may be the preferred approach for a woman
- Who is having the first breast examination by a health care provider
- Who has felt a change in the breast during self-examination
- With pendulous breasts
- Who is pregnant - CORRECT ANSWERWith pendulous breasts
,During the examination of a 70 year old man, you note gynecomastia. You
would:
- Refer for a biopsy
- Review the medications for drugs that have gynecomastia as a side effect
- Proceed with examination. This is a normal part of the aging process
- Refer for a mammogram - CORRECT ANSWERReview the
medications for drugs that have gynecomastia as a side effect
Which of the following typically describes malignant breast disease?
- Irregular, poorly defined, fixed
- Rubbery, mobile, tender
- Lobular, clear margins, negative skin reaction
- Round, firm, well demarcated - CORRECT ANSWERIrregular,
poorly defined, fixed
During the examination of the breasts of a pregnant woman, you would
expect to find:
- Nipple retraction
- Peau d'orange
- Blue vascular pattern over both breasts
- Unilateral, obvious venous pattern - CORRECT ANSWERBlue
vascular pattern over both breasts
Which woman should not be referred to a provider for further evaluation?
- 48 y/o has a 6-month history of reddened, sore left nipple and areolar
area
, - A 25 y/o with asymmetric breasts and inversion of nipples since
adolescence
- 64 y/o with ulcerated area at tip of right nipple; no masses, tenderness
- A 26 y/o with multiple nodules palpated in each breast - CORRECT
ANSWERA 25 y/o with asymmetric breasts and inversion of nipples
since adolescence
Which one is characteristic of a malignant lesion in the breast?
- Irregular shape
- Soft
- Freely movable
- Well-defined margins - CORRECT ANSWERIrregular shape
Gynecomastia is:
- Enlargement of the male breast
- Presence of supernumerary breast on the male chest
- Presence of mast cells in the male breast
- Cancer of the male breast - CORRECT ANSWEREnlargement of the
male breast
Which is the first physical change associated with puberty in girls:
- Pubic hair development
- Height spur
- Areolar elevation