2026 HESI HEALTH ASSESSMENT EXAM 4
LATEST VERSIONS COMPLETE EXAMS
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES|AGRADE
Statement by the patient A
would indicate a need for The week before a woman's cycle is not the best time to
further teaching? check for lumps because the breasts become sore and tender
and may also be "lumpy" a week prior to the cycle.
A. "The best time to Answer 2 is incorrect because the week after a woman's
check my breasts is a week cycle is the best time to do the examination, and the shower
before my cycle." allows for ease of palpation.
B. "I will check my Answer 3 in incorrect because a clock-like sequence is the
breasts in the shower one proper way to perform a BSE.
week after my cycle." Answer 4 is incorrect because under the arms houses lymph
C. "I will exam my breast nodes and the axillary tail of Spence, which is a common site for
breast cancer.
in a clock-like sequence so
that I don't miss any surface
area."
D. "I will be sure to
check my arm pits."
,A pregnant woman who C
has breast implants asks Milk production may vary depending on the procedure.
the nurse if she can still Many women can still breastfeed after breast augmentation.
breastfeed. What is the The surgeon would be able to determine this ability.
nurse's best response? Answers 1 and 2 are incorrect because they may not be true.
Only the surgeon can determine if milk production will be
affected.
A. "You should not have
any problems breast feeding
because your implants do
not affect milk production."
B. "When the breast
implants are inserted, they
usually affect the milk glands,
and breastfeeding is not
possible."
C. "This would depend
on which type of implants
were placed and which
procedure was used by the
surgeon. Check with your
surgeon to see if your milk
production will be affected."
,Which of the following ANS: B
statements is true regarding The breast is composed of glandular tissue, fibrous tissue
the internal structures of the (including the suspensory ligaments), and adipose tissue.
breast?
The breast is: A) mainly
muscle, with very little
fibrous tissue. B)
composed of fibrous,
glandular, and adipose
tissue.
C) composed mostly of milk
ducts, known as lactiferous
ducts. D) composed of
glandular tissue, which
supports the breast by
attaching to the chest wall.
, In performing a breast ANS: B
examination, the nurse The upper outer quadrant is the site of most breast tumors.
knows that it is especially In the upper outer quadrant, the nurse should notice the
important to examine the axillary tail of Spence, the cone-shaped breast tissue that
upper outer quadrant of the projects up into the axilla, close to the pectoral group of
breast. The reason for this is axillary lymph nodes.
that the upper outer
quadrant is: A) the largest
quadrant of the breast. B) the
location of most breast
tumors. C) where most of the
suspensory ligaments attach.
D) more prone to injury and
calcifications than other
locations in the breast.
LATEST VERSIONS COMPLETE EXAMS
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES|AGRADE
Statement by the patient A
would indicate a need for The week before a woman's cycle is not the best time to
further teaching? check for lumps because the breasts become sore and tender
and may also be "lumpy" a week prior to the cycle.
A. "The best time to Answer 2 is incorrect because the week after a woman's
check my breasts is a week cycle is the best time to do the examination, and the shower
before my cycle." allows for ease of palpation.
B. "I will check my Answer 3 in incorrect because a clock-like sequence is the
breasts in the shower one proper way to perform a BSE.
week after my cycle." Answer 4 is incorrect because under the arms houses lymph
C. "I will exam my breast nodes and the axillary tail of Spence, which is a common site for
breast cancer.
in a clock-like sequence so
that I don't miss any surface
area."
D. "I will be sure to
check my arm pits."
,A pregnant woman who C
has breast implants asks Milk production may vary depending on the procedure.
the nurse if she can still Many women can still breastfeed after breast augmentation.
breastfeed. What is the The surgeon would be able to determine this ability.
nurse's best response? Answers 1 and 2 are incorrect because they may not be true.
Only the surgeon can determine if milk production will be
affected.
A. "You should not have
any problems breast feeding
because your implants do
not affect milk production."
B. "When the breast
implants are inserted, they
usually affect the milk glands,
and breastfeeding is not
possible."
C. "This would depend
on which type of implants
were placed and which
procedure was used by the
surgeon. Check with your
surgeon to see if your milk
production will be affected."
,Which of the following ANS: B
statements is true regarding The breast is composed of glandular tissue, fibrous tissue
the internal structures of the (including the suspensory ligaments), and adipose tissue.
breast?
The breast is: A) mainly
muscle, with very little
fibrous tissue. B)
composed of fibrous,
glandular, and adipose
tissue.
C) composed mostly of milk
ducts, known as lactiferous
ducts. D) composed of
glandular tissue, which
supports the breast by
attaching to the chest wall.
, In performing a breast ANS: B
examination, the nurse The upper outer quadrant is the site of most breast tumors.
knows that it is especially In the upper outer quadrant, the nurse should notice the
important to examine the axillary tail of Spence, the cone-shaped breast tissue that
upper outer quadrant of the projects up into the axilla, close to the pectoral group of
breast. The reason for this is axillary lymph nodes.
that the upper outer
quadrant is: A) the largest
quadrant of the breast. B) the
location of most breast
tumors. C) where most of the
suspensory ligaments attach.
D) more prone to injury and
calcifications than other
locations in the breast.
