ACE YOUR 2026/2027 NURS 6512N ADVANCED
HEALTH ASSESSMENT EXAMINATION:
COMPREHENSIVE QUESTIONS AND ANSWERS
GRADED A+
◉ The nurse is reviewing risk factors for breast cancer. Which of
these women have risk factors that place them at a higher risk for
breast cancer? Answer: ANS: 65 year old whose mother had breast
cancer
◉ During an examination of a woman, the nurse notices that her left
breast is slightly larger than her right breast. Which of these
statements is true about this finding? Answer: ANS: This finding is
not unusual, but the nurse should verify that this change is not new.
◉ The nurse is assisting with a self-breast examination clinic. Which
of these women reflect abnormal findings during the inspection
phase of breast examination? Answer: ANS: Woman whose nipples
are in different planes (deviated)
◉ During the physical examination, the nurse notices that a female
patient has an inverted left nipple. Which statement regarding this is
most accurate? Answer: ANS: It should be determined whether the
inversion is a recent change.
,◉ The nurse is performing a breast examination. Which of these
statements best describes the correct procedure to use when
screening for nipple and skin retraction during a breast
examination? Have the woman: Answer: ANS: slowly lift her arms
above her head and note any retraction or lag in movement
◉ Which of these positions is most likely to make significant lumps
more distinct during breast palpation? Answer: ANS: Supine with
arms raised over her head
◉ Which of these clinical situations would the nurse consider to be
outside normal limits? Answer: ANS: A patient has had two
pregnancies and she breastfed both of her children. Her youngest
child is now 10 years old. Her breast examination reveals breast
tissue that is somewhat soft and she has a small amount of thick
yellow discharge from both nipples.
◉ A patient states during the interview that she noticed a new lump
in the shower a few days ago. It was on her left breast near her
axilla. The nurse should plan to: Answer: ANS: palpate the
unaffected breast first.
◉ The nurse has palpated a lump in a female patient's right breast.
The nurse documents this as a small, round, firm, distinct, lump
located at 2 o'clock, 2 cm from the nipple. It is nontender and fixed.
It is missing information about: Answer: ANS: the size of the lump.
, ◉ The nurse is conducting a class about breast self-examination
(BSE). Which of these statements indicates proper BSE technique?
Answer: ANS: The best time to perform BSE is 4 to 7 days after the
first day of the menstrual period.
◉ The nurse is preparing to teach a woman about breast
selfexamination (BSE). Which statement by the nurse is correct?
Answer: ANS: "BSE on a monthly basis will help you feel familiar
with your own breasts and their normal variations."
◉ A 55-year-old postmenopausal woman is being seen in the clinic
for a yearly examination. She is concerned about changes in her
breasts that she has noticed over the past 5 years. She states that her
breasts have decreased in size and that the elasticity has changed so
that her breasts seem "flat and flabby." The nurse's best reply would
be: Answer: ANS: "Decreases in hormones after menopause causes
atrophy of the glandular tissue in the breast. This is a normal
process of aging."
◉ A 43-year-old woman is at the clinic for a routine examination.
She reports that she has had a breast lump in her right breast for
years. Recently, it has begun to change in consistency and is
becoming harder. She reports that 5 years ago her physician
evaluated the lump and determined that it "was nothing to worry
about." The examination validates the presence of a mass in the right
upper outer quadrant at 1 o'clock, approximately 5 cm from the
nipple. It is firm, mobile, nontender, with borders that are not well
defined. The nurse's recommendation to her is: Answer: ANS:
HEALTH ASSESSMENT EXAMINATION:
COMPREHENSIVE QUESTIONS AND ANSWERS
GRADED A+
◉ The nurse is reviewing risk factors for breast cancer. Which of
these women have risk factors that place them at a higher risk for
breast cancer? Answer: ANS: 65 year old whose mother had breast
cancer
◉ During an examination of a woman, the nurse notices that her left
breast is slightly larger than her right breast. Which of these
statements is true about this finding? Answer: ANS: This finding is
not unusual, but the nurse should verify that this change is not new.
◉ The nurse is assisting with a self-breast examination clinic. Which
of these women reflect abnormal findings during the inspection
phase of breast examination? Answer: ANS: Woman whose nipples
are in different planes (deviated)
◉ During the physical examination, the nurse notices that a female
patient has an inverted left nipple. Which statement regarding this is
most accurate? Answer: ANS: It should be determined whether the
inversion is a recent change.
,◉ The nurse is performing a breast examination. Which of these
statements best describes the correct procedure to use when
screening for nipple and skin retraction during a breast
examination? Have the woman: Answer: ANS: slowly lift her arms
above her head and note any retraction or lag in movement
◉ Which of these positions is most likely to make significant lumps
more distinct during breast palpation? Answer: ANS: Supine with
arms raised over her head
◉ Which of these clinical situations would the nurse consider to be
outside normal limits? Answer: ANS: A patient has had two
pregnancies and she breastfed both of her children. Her youngest
child is now 10 years old. Her breast examination reveals breast
tissue that is somewhat soft and she has a small amount of thick
yellow discharge from both nipples.
◉ A patient states during the interview that she noticed a new lump
in the shower a few days ago. It was on her left breast near her
axilla. The nurse should plan to: Answer: ANS: palpate the
unaffected breast first.
◉ The nurse has palpated a lump in a female patient's right breast.
The nurse documents this as a small, round, firm, distinct, lump
located at 2 o'clock, 2 cm from the nipple. It is nontender and fixed.
It is missing information about: Answer: ANS: the size of the lump.
, ◉ The nurse is conducting a class about breast self-examination
(BSE). Which of these statements indicates proper BSE technique?
Answer: ANS: The best time to perform BSE is 4 to 7 days after the
first day of the menstrual period.
◉ The nurse is preparing to teach a woman about breast
selfexamination (BSE). Which statement by the nurse is correct?
Answer: ANS: "BSE on a monthly basis will help you feel familiar
with your own breasts and their normal variations."
◉ A 55-year-old postmenopausal woman is being seen in the clinic
for a yearly examination. She is concerned about changes in her
breasts that she has noticed over the past 5 years. She states that her
breasts have decreased in size and that the elasticity has changed so
that her breasts seem "flat and flabby." The nurse's best reply would
be: Answer: ANS: "Decreases in hormones after menopause causes
atrophy of the glandular tissue in the breast. This is a normal
process of aging."
◉ A 43-year-old woman is at the clinic for a routine examination.
She reports that she has had a breast lump in her right breast for
years. Recently, it has begun to change in consistency and is
becoming harder. She reports that 5 years ago her physician
evaluated the lump and determined that it "was nothing to worry
about." The examination validates the presence of a mass in the right
upper outer quadrant at 1 o'clock, approximately 5 cm from the
nipple. It is firm, mobile, nontender, with borders that are not well
defined. The nurse's recommendation to her is: Answer: ANS:
