TESTBANK FOR LEWIS MEDICAL SURGICAL NURSING
11TH EDITION BYHARDING Questions & Answers
satisfaction guaranteed success ( CHAPTERS 30-47)
latest update
Chapter 30: Breast Disorders
Test Bank
MULTIPLE
CHOICE
1. The nurse teaching a young womens community service group about
breast self-examination (BSE) will include that
a. BSE will reduce the risk of dying from breast cancer.
b. BSE should be done daily while taking a bath or shower.
c. annual mammograms should be scheduled in addition to BSE.
d. performing BSE after the menstrual period is more comfortable.
ANS: D
Performing BSE at the end of the menstrual period will reduce the breast
tenderness associated with the procedure. The evidence is not clear that BSE
reduces mortality from breast cancer. BSE should be done monthly. Annual
mammograms are not routinely scheduled for women under age 40, and newer
guidelines suggest delaying them until age 50.
,DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
2. During a well woman physical exam, a 43-year-old patient asks about
her risk for breast cancer. Which question is most pertinent for the nurse
to ask?
a. Do you currently smoke tobacco?
b. Have you ever had a breast injury?
c. At what age did you start having menstrual periods?
d. Is there a family history of fibrocystic breast changes?
ANS: C
Early menarche and late menopause are risk factors for breast cancer
because of the prolonged exposure to estrogen that occurs. Cigarette smoking,
breast trauma, and fibrocystic breast changes are not associated with increased
breast cancer risk.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
3. A 51-year-old patient with a small immobile breast lump is considering
,having a fine-needle aspiration (FNA) biopsy. The nurse explains that an
advantage to this procedure is that
a. FNA is done in the outpatient clinic and results are available in 1 to 2
days.
b. only fa fsmall fincision fis fneeded, fresulting fin fminimal fbreast fpain fand
fscarring.
c. if fthe fbiopsy fresults fare fnegative, fno ffurther fdiagnostic ftesting fwill fbe
fneeded.
d. FNA fis fguided fby fa fmammogram, fensuring fthat fcells fare ftaken ffrom
fthe flesion.
ANS: fA
FNA fis fdone fin foutpatient fsettings fand fresults fare favailable fin f24 fto f48
hours. fNo fincision fis fneeded. fFNA fmay fbe fguided fby fultrasound, fbut fnot fby
f
mammogram. fBecause fthe fimmobility fof fthe fbreast flump fsuggests fcancer,
f
f further ftesting fwill fbe fdone fif fthe fFNA fis fnegative.
DIF: fCognitive fLevel: fApply f(application)
TOP: f Nursing f Process: f Implementation f MSC: f NCLEX: f Physiological
f Integrity
4. Which f assessment f finding f in f a f 36-year-old f patient f is fmost f indicative f of f a
f need f for f further f evaluation?
, a. Bilateral fbreast fnodules fthat fare ftender fwith fpalpation
b. A fbreast fnodule fthat fis f1 fcm fin fsize, fnontender, fand ffixed
c. A fbreast flump fthat fincreases fin fsize fbefore fthe fmenstrual fperiod
d. A fbreast flump fthat fis fsmall, fmobile, fwith fa
rubbery fconsistencyfANS: fB
f
Painless fand ffixed flumps fsuggest fbreast fcancer. fThe fother ffindings fare fmore
suggestive fof fbenign fprocessesfsuch fas ffibrocystic fbreasts fand
f
fibroadenoma.
f
DIF: fCognitive fLevel: fApply f(application)
TOP: fNursing fProcess: fAssessment fMSC: fNCLEX: fPhysiological fIntegrity
5. A f53-year-old fwoman fat fmenopause fis fdiscussing fthe fuse fof fhormone
therapy f(HT) fwith fthe fnurse. fWhichfinformation fabout fthe frisk fof fbreast
f
cancer fwill fthe fnurse fprovide?
f
a. HT f is f a f safe f therapy f for f menopausal f symptoms f if f there f is f no f family
f history f of fBRCA f genes.
b. HT fdoes fnot fappear fto fincrease fthe frisk ffor fbreast fcancer funless fthere
are fother frisk ffactors.
f
c. The fpatient fand fher fhealth fcare fprovider fmust fweigh fthe fbenefits
of fHT fagainst fthe frisks fof fbreastfcancer.
f
11TH EDITION BYHARDING Questions & Answers
satisfaction guaranteed success ( CHAPTERS 30-47)
latest update
Chapter 30: Breast Disorders
Test Bank
MULTIPLE
CHOICE
1. The nurse teaching a young womens community service group about
breast self-examination (BSE) will include that
a. BSE will reduce the risk of dying from breast cancer.
b. BSE should be done daily while taking a bath or shower.
c. annual mammograms should be scheduled in addition to BSE.
d. performing BSE after the menstrual period is more comfortable.
ANS: D
Performing BSE at the end of the menstrual period will reduce the breast
tenderness associated with the procedure. The evidence is not clear that BSE
reduces mortality from breast cancer. BSE should be done monthly. Annual
mammograms are not routinely scheduled for women under age 40, and newer
guidelines suggest delaying them until age 50.
,DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
2. During a well woman physical exam, a 43-year-old patient asks about
her risk for breast cancer. Which question is most pertinent for the nurse
to ask?
a. Do you currently smoke tobacco?
b. Have you ever had a breast injury?
c. At what age did you start having menstrual periods?
d. Is there a family history of fibrocystic breast changes?
ANS: C
Early menarche and late menopause are risk factors for breast cancer
because of the prolonged exposure to estrogen that occurs. Cigarette smoking,
breast trauma, and fibrocystic breast changes are not associated with increased
breast cancer risk.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
3. A 51-year-old patient with a small immobile breast lump is considering
,having a fine-needle aspiration (FNA) biopsy. The nurse explains that an
advantage to this procedure is that
a. FNA is done in the outpatient clinic and results are available in 1 to 2
days.
b. only fa fsmall fincision fis fneeded, fresulting fin fminimal fbreast fpain fand
fscarring.
c. if fthe fbiopsy fresults fare fnegative, fno ffurther fdiagnostic ftesting fwill fbe
fneeded.
d. FNA fis fguided fby fa fmammogram, fensuring fthat fcells fare ftaken ffrom
fthe flesion.
ANS: fA
FNA fis fdone fin foutpatient fsettings fand fresults fare favailable fin f24 fto f48
hours. fNo fincision fis fneeded. fFNA fmay fbe fguided fby fultrasound, fbut fnot fby
f
mammogram. fBecause fthe fimmobility fof fthe fbreast flump fsuggests fcancer,
f
f further ftesting fwill fbe fdone fif fthe fFNA fis fnegative.
DIF: fCognitive fLevel: fApply f(application)
TOP: f Nursing f Process: f Implementation f MSC: f NCLEX: f Physiological
f Integrity
4. Which f assessment f finding f in f a f 36-year-old f patient f is fmost f indicative f of f a
f need f for f further f evaluation?
, a. Bilateral fbreast fnodules fthat fare ftender fwith fpalpation
b. A fbreast fnodule fthat fis f1 fcm fin fsize, fnontender, fand ffixed
c. A fbreast flump fthat fincreases fin fsize fbefore fthe fmenstrual fperiod
d. A fbreast flump fthat fis fsmall, fmobile, fwith fa
rubbery fconsistencyfANS: fB
f
Painless fand ffixed flumps fsuggest fbreast fcancer. fThe fother ffindings fare fmore
suggestive fof fbenign fprocessesfsuch fas ffibrocystic fbreasts fand
f
fibroadenoma.
f
DIF: fCognitive fLevel: fApply f(application)
TOP: fNursing fProcess: fAssessment fMSC: fNCLEX: fPhysiological fIntegrity
5. A f53-year-old fwoman fat fmenopause fis fdiscussing fthe fuse fof fhormone
therapy f(HT) fwith fthe fnurse. fWhichfinformation fabout fthe frisk fof fbreast
f
cancer fwill fthe fnurse fprovide?
f
a. HT f is f a f safe f therapy f for f menopausal f symptoms f if f there f is f no f family
f history f of fBRCA f genes.
b. HT fdoes fnot fappear fto fincrease fthe frisk ffor fbreast fcancer funless fthere
are fother frisk ffactors.
f
c. The fpatient fand fher fhealth fcare fprovider fmust fweigh fthe fbenefits
of fHT fagainst fthe frisks fof fbreastfcancer.
f
