WGU D117 GIM3 - GYNECOLOGICAL PLAN
TEMPLATE - BREAST CERTIFICATION
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ area of the breast where most tumors occur?.
Answer: upper outer quadrantThe upper outer quadrant is the area most
targeted by breast cancer.
◍ leiomyoma.
Answer: What uterine pathology
◍ A client asks why the nurse touches the area near the arm pit when
conducting a breast examination. What should the nurse respond to this
client?"The mammary ducts are in this region.""I'm checking the integrity of
your fibrous tissue.""The upper outer quadrant of the breast extends into the
axillae.""This is where most of the fatty breast tissue is located.".
Answer: "The upper outer quadrant of the breast extends into the
axillae."The upper outer quadrant extends into the axillary area and is
referred to as the tail of Spence. This is the location for most breast tumors.
The mammary ducts are located closer to the glandular tissue. The fibrous
tissue provides support for the glandular tissue. Fatty tissue provides most of
the substance of the breast.
◍ The lymph nodes that are responsible for drainage from the arms are
thecentral lymph nodes.lateral lymph nodes.anterior lymph nodes.posterior
lymph nodes..
Answer: lateral lymph nodes.The lateral nodes drain most of the arms.
◍ Proliferative.
, Answer: What physiologic change of endometrium
◍ Benign conditions of the breast includefibrocystic changesprecancerous
lesionsductal carcinomaPaget disease.
Answer: fibrocystic changesCysts (due to BBD) are common lumps that are
usually elliptical or round, soft, and mobile. Size may vary, and they often
occur in multiple numbers, usually in both breasts, and frequently in the
upper outer quadrants.
◍ At puberty, the female breasts enlarge in response to estrogen
andaldosterone.lactogen.progesterone.prolactin..
Answer: progesteroneThe male and female breasts are similar until puberty,
when female breast tissue enlarges in response to the hormones estrogen and
progesterone, which are released from the ovaries.
◍ A nurse is assessing a 60-year-old woman's risk for breast cancer. Which of
the following factors would tend to increase her risk for developing this
disease? Select all that apply.Birth of first child at age 25Menses at age
11Menopause at age 58Having given birth to five children.
Answer: Menses at age 11Menopause at age 58Early menses (before age 13)
or delayed menopause (after age 52) increases the risk for breast cancer. The
risk of breast cancer is greater for women who have never given birth or for
those who had their first child after age 30. Having given birth to five
children would not increase the client's risk.
◍ Which of the following assessment findings is most likely benign on breast
examination?One breast with dimple when the client leans forwardOne
nipple invertedDimpling of the skin resembling that of an orangeOne breast
larger than the other.
Answer: One breast larger than the otherAsymmetry in size of the breasts is
a common benign finding. The others are concerning for underlying
malignancy.
◍ Which characteristic would support the determination that a client is at high
risk for breast cancer?first degree relative with a history of either BRCA1 or
BRCA2 mutationextremely dense breast tissuehistory of atypical ductal
, hyperplasiahistory of lobular hyperplasia.
Answer: first degree relative with a history of either BRCA1 or BRCA2
mutationA known first-degree relative, including a father or brother, with
BRCA1 or BRCA2 mutation is considered a high risk factor for the
development of breast cancer. The remaining options are associated with a
moderate risk.
◍ During the physical examination of a client's breast, which finding should
the nurse recognize as a possible indication of a malignant tumor?Retraction
of nipplesWell-defined lumpStretch marks on breastTenderness of breast.
Answer: Retraction of nipplesRetracted nipples are indicative of a malignant
tumor. A malignant tumor has fibrous strands attached to the breast tissue
and the fascia of the muscles. As the muscle contracts, it draws the breast
tissue and skin with it, causing dimpling or retraction. Lumps are ill-defined
and non-tender in breast cancer. Linear stretch marks may be seen during
and after pregnancy or with significant weight gain or loss. A generalized
increase in nodularity and tenderness may be a normal finding associated
with the menstrual cycle or hormonal medications.
◍ The size and shape of the breasts in females are related to the amount
ofglandular tissue.fibrous tissue.fatty tissue.lactiferous ducts..
Answer: fatty tissue.Fatty tissue is the third component of the breast. The
glandular tissue is embedded in the fatty tissue. This subcutaneous and
retromammary fat provides most of the substance to the breast, determining
the size and shape of the breasts.
◍ Which of the following are the four major axillary node groups?Pectoral,
subscapular, lateral, centralPectoral, epitrochlear, subscapular,
supraclavicularCentral, medial, posterior, infraclavicularInfraclavicular,
epitrochlear, lateral, pectoral.
Answer: Pectoral, subscapular, lateral, centralThe four groups of lymph
nodes consist of the central nodes, which are palpable, and the pectoral,
subscapular, and lateral nodes, which are seldom palpable.
◍ Which technique is appropriate for the nurse to use to palpate a client's
TEMPLATE - BREAST CERTIFICATION
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ area of the breast where most tumors occur?.
Answer: upper outer quadrantThe upper outer quadrant is the area most
targeted by breast cancer.
◍ leiomyoma.
Answer: What uterine pathology
◍ A client asks why the nurse touches the area near the arm pit when
conducting a breast examination. What should the nurse respond to this
client?"The mammary ducts are in this region.""I'm checking the integrity of
your fibrous tissue.""The upper outer quadrant of the breast extends into the
axillae.""This is where most of the fatty breast tissue is located.".
Answer: "The upper outer quadrant of the breast extends into the
axillae."The upper outer quadrant extends into the axillary area and is
referred to as the tail of Spence. This is the location for most breast tumors.
The mammary ducts are located closer to the glandular tissue. The fibrous
tissue provides support for the glandular tissue. Fatty tissue provides most of
the substance of the breast.
◍ The lymph nodes that are responsible for drainage from the arms are
thecentral lymph nodes.lateral lymph nodes.anterior lymph nodes.posterior
lymph nodes..
Answer: lateral lymph nodes.The lateral nodes drain most of the arms.
◍ Proliferative.
, Answer: What physiologic change of endometrium
◍ Benign conditions of the breast includefibrocystic changesprecancerous
lesionsductal carcinomaPaget disease.
Answer: fibrocystic changesCysts (due to BBD) are common lumps that are
usually elliptical or round, soft, and mobile. Size may vary, and they often
occur in multiple numbers, usually in both breasts, and frequently in the
upper outer quadrants.
◍ At puberty, the female breasts enlarge in response to estrogen
andaldosterone.lactogen.progesterone.prolactin..
Answer: progesteroneThe male and female breasts are similar until puberty,
when female breast tissue enlarges in response to the hormones estrogen and
progesterone, which are released from the ovaries.
◍ A nurse is assessing a 60-year-old woman's risk for breast cancer. Which of
the following factors would tend to increase her risk for developing this
disease? Select all that apply.Birth of first child at age 25Menses at age
11Menopause at age 58Having given birth to five children.
Answer: Menses at age 11Menopause at age 58Early menses (before age 13)
or delayed menopause (after age 52) increases the risk for breast cancer. The
risk of breast cancer is greater for women who have never given birth or for
those who had their first child after age 30. Having given birth to five
children would not increase the client's risk.
◍ Which of the following assessment findings is most likely benign on breast
examination?One breast with dimple when the client leans forwardOne
nipple invertedDimpling of the skin resembling that of an orangeOne breast
larger than the other.
Answer: One breast larger than the otherAsymmetry in size of the breasts is
a common benign finding. The others are concerning for underlying
malignancy.
◍ Which characteristic would support the determination that a client is at high
risk for breast cancer?first degree relative with a history of either BRCA1 or
BRCA2 mutationextremely dense breast tissuehistory of atypical ductal
, hyperplasiahistory of lobular hyperplasia.
Answer: first degree relative with a history of either BRCA1 or BRCA2
mutationA known first-degree relative, including a father or brother, with
BRCA1 or BRCA2 mutation is considered a high risk factor for the
development of breast cancer. The remaining options are associated with a
moderate risk.
◍ During the physical examination of a client's breast, which finding should
the nurse recognize as a possible indication of a malignant tumor?Retraction
of nipplesWell-defined lumpStretch marks on breastTenderness of breast.
Answer: Retraction of nipplesRetracted nipples are indicative of a malignant
tumor. A malignant tumor has fibrous strands attached to the breast tissue
and the fascia of the muscles. As the muscle contracts, it draws the breast
tissue and skin with it, causing dimpling or retraction. Lumps are ill-defined
and non-tender in breast cancer. Linear stretch marks may be seen during
and after pregnancy or with significant weight gain or loss. A generalized
increase in nodularity and tenderness may be a normal finding associated
with the menstrual cycle or hormonal medications.
◍ The size and shape of the breasts in females are related to the amount
ofglandular tissue.fibrous tissue.fatty tissue.lactiferous ducts..
Answer: fatty tissue.Fatty tissue is the third component of the breast. The
glandular tissue is embedded in the fatty tissue. This subcutaneous and
retromammary fat provides most of the substance to the breast, determining
the size and shape of the breasts.
◍ Which of the following are the four major axillary node groups?Pectoral,
subscapular, lateral, centralPectoral, epitrochlear, subscapular,
supraclavicularCentral, medial, posterior, infraclavicularInfraclavicular,
epitrochlear, lateral, pectoral.
Answer: Pectoral, subscapular, lateral, centralThe four groups of lymph
nodes consist of the central nodes, which are palpable, and the pectoral,
subscapular, and lateral nodes, which are seldom palpable.
◍ Which technique is appropriate for the nurse to use to palpate a client's
