Health Assessment Cumulative Final (Jarvis/Evolve)
The reservoirs for storing milk in the breast are:
a. Lobules
b. Alveoli
c. Montgomery glands
d. Lactiferous sinuses - correct answer d (lactiferous sinuses)
What is the most common site of breast tumors?
a. Upper inner quadrant
b. Upper outer quadrant
c. Lower inner quadrant
d. Lower outer quadrant - correct answer b (upper outer quadrant)
During a visit for a school physical, the 13 year old girl being examined questions the
asymmetry of her breasts. What is the nurse's best response?
a. "One breast normally may grow faster than the other during development."
b. "I will give you a referral for a mammogram."
c. "You will probably have fibrocystic disease when you are older."
d. "This may be an indication of hormonal imbalance. We will check again in 6 months." -
correct answer a ("One breast normally may grow faster than the other during development")
When teaching the breast self-examination, you would inform the woman that the best time to
conduct breast self-examination is:
a. At the onset of the menstrual period
b. On the 14th day of the menstrual cycle
c. On the 4th to 7th day of the cycle
d. Just before the menstrual period - correct answer c (on the 4th to 7th day of the cycle)
,You are providing health promotion teaching for a 40 year old woman. What is the current
recommendation for women 40 years of age and older for breast cancer screening with
mammography?
a. Every year
b. Every 2 years
c. Twice a year
d. Only baseline examination needed unless the woman has symptoms - correct answer a
(every year)
You are going to inspect a female patient's breasts for retraction. The best position for this part
of the examination is:
a. Lying supine with arms at the sides
b. Leaning forward with hands outstretched
c. Sitting with hand pushing onto hips
d. One arm at the side, the other arm elevated - correct answer c (Sitting with hand pushing
onto hips)
A bi-manual technique may be the preferred approach for a woman:
a. Who is pregnant
b. Who is having the first breast examination by a health care provider
c. With pendulous breasts
d. Who has felt a change in the breast during self-examination - correct answer c (with
pendulous breasts)
During the examination of a 70 year old man, you note gynecomastia. You would:
a. Refer for a biopsy
b. Refer for a mammogram
c. Review the medications for drugs that have gynecomastia as a side effect
,d. Proceed with the examination. This is a normal part of the aging process - correct answer c
(Review the medications for drugs that have gynecomastia as a side effect)
During a breast examination you detect a mass. Which of the following is most consistent with
cancer rather than benign breast disease?
a. Round, firm, well demarcated
b. Irregular, poorly defined, fixed
c. Rubbery, mobile, tender
d. Lobular, clear margins, negative skin retraction - correct answer b (irregular, poorly defined,
fixed)
During the examination of the breasts of a pregnant woman, you would expect to find:
a. Peau d' orange
b. Nipple retraction
c. Unilateral, obvious venous pattern
d. Blue vascular pattern over both breasts - correct answer d (Blue vascular pattern over both
breasts)
Which woman should not be referred to a physician for further evaluation?
a. A 26 year old with multiple nodules palpated in each breast
b. A 48 year old who has a 6 month history of reddened and sore left nipple and areolar area
c. A 25 year old with asymmetric breasts and inversion of nipples since adolescence
d. A 64 year old with ulcerated area at tip of right nipple; no masses, tenderness, or lymph
nodes palpated - correct answer c (A 25 year old with asymmetric breasts and inversion of
nipples since adolescence)
Any lump found in the breast should be referred for further evaluation. A benign lesion will
usually have 3 of the following characteristics. Which one is characteristic of a malignant lesion?
a. Soft
, b. Well-defined margins
c. Freely movable
d. Irregular shape - correct answer d (irregular shape)
Gynecomastia is:
a. Enlargement of the male breast
b. Presence of mast cells in the male breast
c. Cancer of the male breast
d. Presence of supernumerary breast on the male chest - correct answer a (Enlargement of the
male breast)
Which is the first physical change associated with puberty in girls?
a. Areolar elevation
b. Breast bud development
c. Height spurt
d. Pubic hair development - correct answer b (Breast bud development)
During the examination of a 30 year old woman, she asks about "the 2 large moles" that are
below her left breast. After examining the area, how do you respond?
a. "I think you should be examined by a dermatologist"
b. "This is a normal finding of supernumerary nipples that are not developed"
c. "These are Montgomery's glands, which are common"
d. "Is there a possibility that you are pregnant?" - correct answer b ("This is a normal finding of
supernumerary nipples that are not developed")
The manubriosternal angle is:
a. The articulation of the manubrium and the body of the sternum
b. A hollow, U-shaped depression just above the sternum
The reservoirs for storing milk in the breast are:
a. Lobules
b. Alveoli
c. Montgomery glands
d. Lactiferous sinuses - correct answer d (lactiferous sinuses)
What is the most common site of breast tumors?
a. Upper inner quadrant
b. Upper outer quadrant
c. Lower inner quadrant
d. Lower outer quadrant - correct answer b (upper outer quadrant)
During a visit for a school physical, the 13 year old girl being examined questions the
asymmetry of her breasts. What is the nurse's best response?
a. "One breast normally may grow faster than the other during development."
b. "I will give you a referral for a mammogram."
c. "You will probably have fibrocystic disease when you are older."
d. "This may be an indication of hormonal imbalance. We will check again in 6 months." -
correct answer a ("One breast normally may grow faster than the other during development")
When teaching the breast self-examination, you would inform the woman that the best time to
conduct breast self-examination is:
a. At the onset of the menstrual period
b. On the 14th day of the menstrual cycle
c. On the 4th to 7th day of the cycle
d. Just before the menstrual period - correct answer c (on the 4th to 7th day of the cycle)
,You are providing health promotion teaching for a 40 year old woman. What is the current
recommendation for women 40 years of age and older for breast cancer screening with
mammography?
a. Every year
b. Every 2 years
c. Twice a year
d. Only baseline examination needed unless the woman has symptoms - correct answer a
(every year)
You are going to inspect a female patient's breasts for retraction. The best position for this part
of the examination is:
a. Lying supine with arms at the sides
b. Leaning forward with hands outstretched
c. Sitting with hand pushing onto hips
d. One arm at the side, the other arm elevated - correct answer c (Sitting with hand pushing
onto hips)
A bi-manual technique may be the preferred approach for a woman:
a. Who is pregnant
b. Who is having the first breast examination by a health care provider
c. With pendulous breasts
d. Who has felt a change in the breast during self-examination - correct answer c (with
pendulous breasts)
During the examination of a 70 year old man, you note gynecomastia. You would:
a. Refer for a biopsy
b. Refer for a mammogram
c. Review the medications for drugs that have gynecomastia as a side effect
,d. Proceed with the examination. This is a normal part of the aging process - correct answer c
(Review the medications for drugs that have gynecomastia as a side effect)
During a breast examination you detect a mass. Which of the following is most consistent with
cancer rather than benign breast disease?
a. Round, firm, well demarcated
b. Irregular, poorly defined, fixed
c. Rubbery, mobile, tender
d. Lobular, clear margins, negative skin retraction - correct answer b (irregular, poorly defined,
fixed)
During the examination of the breasts of a pregnant woman, you would expect to find:
a. Peau d' orange
b. Nipple retraction
c. Unilateral, obvious venous pattern
d. Blue vascular pattern over both breasts - correct answer d (Blue vascular pattern over both
breasts)
Which woman should not be referred to a physician for further evaluation?
a. A 26 year old with multiple nodules palpated in each breast
b. A 48 year old who has a 6 month history of reddened and sore left nipple and areolar area
c. A 25 year old with asymmetric breasts and inversion of nipples since adolescence
d. A 64 year old with ulcerated area at tip of right nipple; no masses, tenderness, or lymph
nodes palpated - correct answer c (A 25 year old with asymmetric breasts and inversion of
nipples since adolescence)
Any lump found in the breast should be referred for further evaluation. A benign lesion will
usually have 3 of the following characteristics. Which one is characteristic of a malignant lesion?
a. Soft
, b. Well-defined margins
c. Freely movable
d. Irregular shape - correct answer d (irregular shape)
Gynecomastia is:
a. Enlargement of the male breast
b. Presence of mast cells in the male breast
c. Cancer of the male breast
d. Presence of supernumerary breast on the male chest - correct answer a (Enlargement of the
male breast)
Which is the first physical change associated with puberty in girls?
a. Areolar elevation
b. Breast bud development
c. Height spurt
d. Pubic hair development - correct answer b (Breast bud development)
During the examination of a 30 year old woman, she asks about "the 2 large moles" that are
below her left breast. After examining the area, how do you respond?
a. "I think you should be examined by a dermatologist"
b. "This is a normal finding of supernumerary nipples that are not developed"
c. "These are Montgomery's glands, which are common"
d. "Is there a possibility that you are pregnant?" - correct answer b ("This is a normal finding of
supernumerary nipples that are not developed")
The manubriosternal angle is:
a. The articulation of the manubrium and the body of the sternum
b. A hollow, U-shaped depression just above the sternum
