NUR 216 EXAM 4
NUR 216 health assessment EXAM 4 |
COMPLETE VERIFIED QUESTIONS &
ANSWERS GRADED A+ GUARANTEED
PASS (100% VERIFIED SOLUTIONS)
2025/2026 UPDATED VERSION
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.
After menopause, the glandular tissue atrophies and is replaced with connective tissue. The
fat envelope also atrophies, beginning in the middle years and becoming significant in the
eighth and ninth decades of life. These changes decrease breast size and elasticity;
consequently, the breasts droop and sag, looking flattened and flabby.
In examining a 70-year-old male patient, the nurse notices that he has bilateral gynecomastia.
Which of the following describes the nurse's best course of action?
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, NUR 216 EXAM 4
a. Recommend that he make an appointment with his physician for a mammogram.
b. Ignore it. Benign breast enlargement in men is not unusual.
c. Explain that this condition may be the result of hormonal changes, and recommend that he
see his physician.
d. Explain that gynecomastia in men is usually associated with prostate enlargement and
recommend that he be thoroughly screened. - Answer ✓✓C. Explain that this condition may
be the result of hormonal changes, and recommend that he see his physician
Gynecomastia may reappear in the aging man and may be attributable to a testosterone
deficiency
During an examination of a 7-year-old girl, the nurse notices that the girl is showing breast
budding. What should the nurse do next?
a. Ask the young girl if her periods have started.
b. Assess the girl's weight and body mass index (BMI).
c. Ask the girl's mother at what age she started to develop breasts.
d. Nothing; breast budding is a normal finding. - Answer ✓✓B. Assess the girl's weight and
body mass index
Research has shown that girls with overweight or obese BMI levels have a higher occurrence
of early onset of breast budding (before age 8 years for black girls and age 10 years for white
girls) and early menarche.
The nurse is reviewing statistics regarding breast cancer. Which woman, aged 40 years in the
United States, has the highest risk for developing breast cancer?
a. Black
b. White
c. Asian
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, NUR 216 EXAM 4
d. American Indian - Answer ✓✓A. Black
The incidence of breast cancer varies within different cultural groups. White women have a
higher incidence of breast cancer than black women starting at age 45 years; but black
women have a higher incidence before age 45 years. Asian, Hispanic, and American Indian
women have a lower risk for development of breast cancer (American Cancer Society, 2009-
2010).
The nurse is preparing for a class in early detection of breast cancer. Which statement is true
with regard to breast cancer in black women in the United States?
a. Breast cancer is not a threat to black women.
b. Black women have a lower incidence of regional or distant breast cancer than white
women.
c. Black women are more likely to die of breast cancer at any age.
d. Breast cancer incidence in black women is higher than that of white women after age 45. -
Answer ✓✓C. Black women are more likely to die of breast cancer at any age
Black women have a higher incidence of breast cancer before age 45 years than white women
and are more likely to die of their disease. In addition, black women are significantly more
likely to be diagnosed with regional or distant breast cancer than are white women. These
racial differences in mortality rates may be related to an insufficient use of screening
measures and a lack of access to health care.
During a breast health interview, a patient states that she has noticed pain in her left breast.
The nurse's most appropriate response to this would be:
a. "Don't worry about the pain; breast cancer is not painful."
b. "I would like some more information about the pain in your left breast."
c. "Oh, I had pain like that after my son was born; it turned out to be a blocked milk duct."
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, NUR 216 EXAM 4
d. "Breast pain is almost always the result of benign breast disease." - Answer ✓✓B. "I would
like some more information about the pain in your left breast."
Breast pain occurs with trauma, inflammation, infection, or benign breast disease. The nurse
will need to gather more information about the patient's pain rather than make statements
that ignore the patient's concerns.
During a health history interview, a female patient states that she has noticed a few drops of
clear discharge from her right nipple. What should the nurse do next?
a. Immediately contact the physician to report the discharge.
b. Ask her if she is possibly pregnant.
c. Ask the patient some additional questions about the medications she is taking.
d. Immediately obtain a sample for culture and sensitivity testing. - Answer ✓✓C. Ask the
patient some additional questions about medications she is taking.
During a physical examination, a 45-year-old woman states that she has had a crusty, itchy
rash on her breast for approximately 2 weeks. In trying to find the cause of the rash, which
question would be important for the nurse to ask?
a. "Is the rash raised and red?"
b. "Does it appear to be cyclic?"
c. "Where did the rash first appear—on the nipple, the areola, or the surrounding skin?"
• d. "What was she doing when she first noticed the rash, and do her actions make it
worse?" - Answer ✓✓C. "Where did the rash first appear—on the nipple, the areola,
or the surrounding skin?"
The location where the rash first appeared is important for the nurse to determine. Paget
disease starts with a small crust on the nipple apex and then spreads to the areola. Eczema or
A+ 4
NUR 216 health assessment EXAM 4 |
COMPLETE VERIFIED QUESTIONS &
ANSWERS GRADED A+ GUARANTEED
PASS (100% VERIFIED SOLUTIONS)
2025/2026 UPDATED VERSION
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.
After menopause, the glandular tissue atrophies and is replaced with connective tissue. The
fat envelope also atrophies, beginning in the middle years and becoming significant in the
eighth and ninth decades of life. These changes decrease breast size and elasticity;
consequently, the breasts droop and sag, looking flattened and flabby.
In examining a 70-year-old male patient, the nurse notices that he has bilateral gynecomastia.
Which of the following describes the nurse's best course of action?
A+ 1
, NUR 216 EXAM 4
a. Recommend that he make an appointment with his physician for a mammogram.
b. Ignore it. Benign breast enlargement in men is not unusual.
c. Explain that this condition may be the result of hormonal changes, and recommend that he
see his physician.
d. Explain that gynecomastia in men is usually associated with prostate enlargement and
recommend that he be thoroughly screened. - Answer ✓✓C. Explain that this condition may
be the result of hormonal changes, and recommend that he see his physician
Gynecomastia may reappear in the aging man and may be attributable to a testosterone
deficiency
During an examination of a 7-year-old girl, the nurse notices that the girl is showing breast
budding. What should the nurse do next?
a. Ask the young girl if her periods have started.
b. Assess the girl's weight and body mass index (BMI).
c. Ask the girl's mother at what age she started to develop breasts.
d. Nothing; breast budding is a normal finding. - Answer ✓✓B. Assess the girl's weight and
body mass index
Research has shown that girls with overweight or obese BMI levels have a higher occurrence
of early onset of breast budding (before age 8 years for black girls and age 10 years for white
girls) and early menarche.
The nurse is reviewing statistics regarding breast cancer. Which woman, aged 40 years in the
United States, has the highest risk for developing breast cancer?
a. Black
b. White
c. Asian
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, NUR 216 EXAM 4
d. American Indian - Answer ✓✓A. Black
The incidence of breast cancer varies within different cultural groups. White women have a
higher incidence of breast cancer than black women starting at age 45 years; but black
women have a higher incidence before age 45 years. Asian, Hispanic, and American Indian
women have a lower risk for development of breast cancer (American Cancer Society, 2009-
2010).
The nurse is preparing for a class in early detection of breast cancer. Which statement is true
with regard to breast cancer in black women in the United States?
a. Breast cancer is not a threat to black women.
b. Black women have a lower incidence of regional or distant breast cancer than white
women.
c. Black women are more likely to die of breast cancer at any age.
d. Breast cancer incidence in black women is higher than that of white women after age 45. -
Answer ✓✓C. Black women are more likely to die of breast cancer at any age
Black women have a higher incidence of breast cancer before age 45 years than white women
and are more likely to die of their disease. In addition, black women are significantly more
likely to be diagnosed with regional or distant breast cancer than are white women. These
racial differences in mortality rates may be related to an insufficient use of screening
measures and a lack of access to health care.
During a breast health interview, a patient states that she has noticed pain in her left breast.
The nurse's most appropriate response to this would be:
a. "Don't worry about the pain; breast cancer is not painful."
b. "I would like some more information about the pain in your left breast."
c. "Oh, I had pain like that after my son was born; it turned out to be a blocked milk duct."
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, NUR 216 EXAM 4
d. "Breast pain is almost always the result of benign breast disease." - Answer ✓✓B. "I would
like some more information about the pain in your left breast."
Breast pain occurs with trauma, inflammation, infection, or benign breast disease. The nurse
will need to gather more information about the patient's pain rather than make statements
that ignore the patient's concerns.
During a health history interview, a female patient states that she has noticed a few drops of
clear discharge from her right nipple. What should the nurse do next?
a. Immediately contact the physician to report the discharge.
b. Ask her if she is possibly pregnant.
c. Ask the patient some additional questions about the medications she is taking.
d. Immediately obtain a sample for culture and sensitivity testing. - Answer ✓✓C. Ask the
patient some additional questions about medications she is taking.
During a physical examination, a 45-year-old woman states that she has had a crusty, itchy
rash on her breast for approximately 2 weeks. In trying to find the cause of the rash, which
question would be important for the nurse to ask?
a. "Is the rash raised and red?"
b. "Does it appear to be cyclic?"
c. "Where did the rash first appear—on the nipple, the areola, or the surrounding skin?"
• d. "What was she doing when she first noticed the rash, and do her actions make it
worse?" - Answer ✓✓C. "Where did the rash first appear—on the nipple, the areola,
or the surrounding skin?"
The location where the rash first appeared is important for the nurse to determine. Paget
disease starts with a small crust on the nipple apex and then spreads to the areola. Eczema or
A+ 4
