NURS 5220 MODULES 3–4 EXAM REVIEW 2026/2027 | UTA
| ADVANCED HEALTH ASSESSMENT | MOST TESTED
CONCEPTS | PRACTICE Q&A | VERIFIED ANSWERS |
DETAILED EXPLANATIONS
1. What are 3 risk factors for developing breast cancer?
Genetic, race, income
Age, family hx, smoker
Social drinker, vegetarian, elevated TSH
Occupation, sex, BMI above 30
2. The nurse is assessing a client's breasts during an examination. Which of these
positions is most likely to make significant lumps more distinct during breast
palpation by displaying the breast against the chest wall?
Supine with the arms relaxed at her sides
Sitting with the arms relaxed at her sides
Sitting with the arms flexed and fingertips touching her shoulders
Supine with the arms raised over her head
3. Describe the significance of 'Witch's milk' in newborns and why it occurs.
Witch's milk indicates a serious health issue in newborns.
Witch's milk is a type of formula for infants.
Witch's milk is a sign of infection in the breast tissue.
Witch's milk is a normal physiological phenomenon in newborns
caused by maternal hormones.
4. What is the medical term for the condition characterized by enlarged breast
tissue in males?
, Lactation
Hyperplasia
Mastitis
Gynecomastia
5. Discuss how advancing age affects liver size and blood flow in the context of
hepatic function.
Advancing age increases liver size and blood flow, enhancing
metabolic function.
Advancing age has no effect on liver size or blood flow.
Advancing age only affects liver size but not blood flow.
Advancing age is associated with a decrease in liver size and
hepatic blood flow, which can impact metabolic processes.
6. If a patient is unable to turn their head toward the side being palpated due to
neck pain, what alternative instruction could you provide to facilitate the
examination?
Instruct the patient to keep their head neutral and focus on relaxing
their shoulders.
Instruct the patient to turn their head toward the opposite side and
drop both shoulders.
Ask the patient to turn their head away from the side being palpated
and raise their shoulder.
Tell the patient to lie down flat to avoid any neck movement.
7. Describe how fibrocystic changes in the breast can be influenced by
hormonal fluctuations.
, Fibrocystic changes only occur in postmenopausal women.
Fibrocystic changes are unrelated to hormonal levels.
Fibrocystic changes are caused by infections in the breast tissue.
Fibrocystic changes are influenced by hormonal fluctuations,
leading to the development of lumps that may become more
pronounced before menstruation.
8. What is the recommended position for a patient during breast palpation?
Supine with the arms over the head and small pillow under the
shoulder of the side being assessed
Sitting slightly forward with the breasts hanging away from the chest
with the hands on the hips
Supine with the arms at the side and a pillow under the neck
Left lateral position with the arm bent backward
9. During a BSE teaching session, a client asks about the best time in the
menstrual cycle to perform the examination. What is the nurse's most
accurate response?
There is no specific time in the menstrual cycle; you can do BSE at any
time.
It's best to perform BSE right before menstruation when the breasts
are least tender.
BSE should be done immediately after menstruation ends when
breast tissue is less dense.
Perform BSE during the middle of your menstrual cycle for optimal
accuracy.
, 10. Describe the clinical significance of the Romberg-Howship sign in relation to
hernias.
The Romberg-Howship sign is a test for balance and coordination.
The Romberg-Howship sign indicates pain radiating down the
medial thigh, which can suggest a strangulated hernia.
The Romberg-Howship sign indicates a normal abdominal
examination.
The Romberg-Howship sign is used to assess liver function.
11. In a case where a patient with unilateral breast tenderness is concerned
about breast cancer, how should a clinician address the patient's anxiety
while providing reassurance?
The clinician should immediately refer the patient for a biopsy to rule
out cancer.
The clinician should advise the patient to avoid any physical activity
until further tests are done.
The clinician should schedule a mammogram regardless of the
examination findings.
The clinician should explain that unilateral breast tenderness can be
a normal finding and discuss the importance of regular monitoring.
12. What is the term used to describe pain radiating down the medial thigh to
the knees that may indicate a strangulated hernia?
Romberg-Howship sign
Cullen sign
Apley sign
Balance sign
| ADVANCED HEALTH ASSESSMENT | MOST TESTED
CONCEPTS | PRACTICE Q&A | VERIFIED ANSWERS |
DETAILED EXPLANATIONS
1. What are 3 risk factors for developing breast cancer?
Genetic, race, income
Age, family hx, smoker
Social drinker, vegetarian, elevated TSH
Occupation, sex, BMI above 30
2. The nurse is assessing a client's breasts during an examination. Which of these
positions is most likely to make significant lumps more distinct during breast
palpation by displaying the breast against the chest wall?
Supine with the arms relaxed at her sides
Sitting with the arms relaxed at her sides
Sitting with the arms flexed and fingertips touching her shoulders
Supine with the arms raised over her head
3. Describe the significance of 'Witch's milk' in newborns and why it occurs.
Witch's milk indicates a serious health issue in newborns.
Witch's milk is a type of formula for infants.
Witch's milk is a sign of infection in the breast tissue.
Witch's milk is a normal physiological phenomenon in newborns
caused by maternal hormones.
4. What is the medical term for the condition characterized by enlarged breast
tissue in males?
, Lactation
Hyperplasia
Mastitis
Gynecomastia
5. Discuss how advancing age affects liver size and blood flow in the context of
hepatic function.
Advancing age increases liver size and blood flow, enhancing
metabolic function.
Advancing age has no effect on liver size or blood flow.
Advancing age only affects liver size but not blood flow.
Advancing age is associated with a decrease in liver size and
hepatic blood flow, which can impact metabolic processes.
6. If a patient is unable to turn their head toward the side being palpated due to
neck pain, what alternative instruction could you provide to facilitate the
examination?
Instruct the patient to keep their head neutral and focus on relaxing
their shoulders.
Instruct the patient to turn their head toward the opposite side and
drop both shoulders.
Ask the patient to turn their head away from the side being palpated
and raise their shoulder.
Tell the patient to lie down flat to avoid any neck movement.
7. Describe how fibrocystic changes in the breast can be influenced by
hormonal fluctuations.
, Fibrocystic changes only occur in postmenopausal women.
Fibrocystic changes are unrelated to hormonal levels.
Fibrocystic changes are caused by infections in the breast tissue.
Fibrocystic changes are influenced by hormonal fluctuations,
leading to the development of lumps that may become more
pronounced before menstruation.
8. What is the recommended position for a patient during breast palpation?
Supine with the arms over the head and small pillow under the
shoulder of the side being assessed
Sitting slightly forward with the breasts hanging away from the chest
with the hands on the hips
Supine with the arms at the side and a pillow under the neck
Left lateral position with the arm bent backward
9. During a BSE teaching session, a client asks about the best time in the
menstrual cycle to perform the examination. What is the nurse's most
accurate response?
There is no specific time in the menstrual cycle; you can do BSE at any
time.
It's best to perform BSE right before menstruation when the breasts
are least tender.
BSE should be done immediately after menstruation ends when
breast tissue is less dense.
Perform BSE during the middle of your menstrual cycle for optimal
accuracy.
, 10. Describe the clinical significance of the Romberg-Howship sign in relation to
hernias.
The Romberg-Howship sign is a test for balance and coordination.
The Romberg-Howship sign indicates pain radiating down the
medial thigh, which can suggest a strangulated hernia.
The Romberg-Howship sign indicates a normal abdominal
examination.
The Romberg-Howship sign is used to assess liver function.
11. In a case where a patient with unilateral breast tenderness is concerned
about breast cancer, how should a clinician address the patient's anxiety
while providing reassurance?
The clinician should immediately refer the patient for a biopsy to rule
out cancer.
The clinician should advise the patient to avoid any physical activity
until further tests are done.
The clinician should schedule a mammogram regardless of the
examination findings.
The clinician should explain that unilateral breast tenderness can be
a normal finding and discuss the importance of regular monitoring.
12. What is the term used to describe pain radiating down the medial thigh to
the knees that may indicate a strangulated hernia?
Romberg-Howship sign
Cullen sign
Apley sign
Balance sign
