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NR 304 EXAM 3 (CHAMBERLAIN) NEWEST 2026 ACTUAL EXAM TEST
BANK| NR304 HEALTH ASSESSMENT II EXAM 3 REVIEW WITH 75 REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
SECTION 1: BREAST AND AXILLAE (Questions 1–15)
Q1. A nurse becomes suspicious that a patient might have breast cancer based on
which abnormal finding?
A. Small, bilateral, non-tender nodes close to the surface
B. Multiple rubbery-feeling lumps with well-defined borders
C. A mobile, firm lump located in the upper quadrant of the breast
D. Irregular, hard mass on one breast
<details> <summary>✅ **Answer & Rationale**</summary>
Correct : Answer : D – Irregular, hard mass on one breast.
Malignant breast tumors are typically unilateral, irregular, hard, and immobile
(fixed to surrounding tissue). They are often painless initially.
❌ Why others are wrong:
• A – Small, bilateral, non-tender nodes are often benign reactive nodes.
• B – Multiple rubbery lumps with defined borders describe fibrocystic
changes (benign).
• C – A mobile, firm lump may be a fibroadenoma (benign), especially in
young women.
</details>
Q2. In teaching a client about breast self-examination, why does the nurse
emphasize palpation of the axillary areas?
pg. 1
,2
A. Because deep muscles in that area can mask changes
B. Because some patients avoid this area because of tenderness
C. Because most lymph draining from the breast flows through this area
D. Because supporting ligaments in this area may present tissue changes
<details> <summary>✅ **Answer & Rationale**</summary>
Correct : Answer : C – Because most lymph draining from the breast flows
through this area.
The axillary (armpit) region contains the axillary lymph nodes, which receive
lymphatic drainage from the breast. Palpation of this area is essential to detect
lymphadenopathy that may indicate breast pathology, including metastasis.
❌ Why others are wrong:
• A – Deep muscles do not mask changes in a way that would exclude
palpation.
• B – Tenderness is not the primary rationale for examination.
• D – Supporting ligaments (Cooper‘s ligaments) are in the breast tissue, not
primarily in the axilla.
</details>
Q3. A client comes to the clinic because she found a mass in her left breast that is
present during and after her menstrual periods. On palpation the nurse finds a
mass in the left breast that is round, rubbery, mobile, and non-tender. This finding
is consistent with which breast disorder?
A. Fibrocystic breast disease
B. Invasive breast cancer
C. Mastitis
D. Fibroadenoma
<details> <summary>✅ **Answer & Rationale**</summary>
Correct : Answer : D – Fibroadenoma.
Fibroadenomas are benign breast tumors most common in women aged 18–25.
They are typically round, rubbery, mobile, well-defined, and non-tender. They do
pg. 2
,3
not change with the menstrual cycle.
❌ Why others are wrong:
• A – Fibrocystic breast disease causes multiple lumps that change with the
menstrual cycle, often painful; not a single, persistent rubbery mass.
• B – Cancerous masses are irregular, hard, and often fixed.
• C – Mastitis is an infection with redness, warmth, and tenderness, usually
seen in lactating women.
</details>
Q4. What is the purpose of asking a female to lean forward during the breast
examination?
A. To accentuate the Montgomery gland
B. To observe for symmetry of the suspensory ligaments
C. To compare nipple symmetry
D. To identify any breast masses in the subcutaneous tissue
<details> <summary>✅ **Answer & Rationale**</summary>
Correct : Answer : B – To observe for symmetry of the suspensory ligaments.
Leaning forward allows breast tissue to fall away from the chest wall,
accentuating any asymmetry, dimpling, or retraction caused by involvement of
Cooper‘s ligaments. This maneuver helps detect tethering or pulling of the skin.
❌ Why others are wrong:
• A – Montgomery glands are visible without leaning forward.
• C – Nipple symmetry is assessed with arms at sides and arms overhead, not
specifically leaning forward.
• D – Subcutaneous masses are detected by palpation, not by leaning
forward.
</details>
pg. 3
, 4
Q5. Based on the history, a nurse determines that the client with which finding
requires further assessment?
A. Occasional discharge from nipples
B. Supernumerary nipples along the milk line
C. Nipple retraction that is unilateral and new-onset
D. Breast pain that occurs cyclically with menses
<details> <summary>✅ **Answer & Rationale**</summary>
Correct : Answer : C – Nipple retraction that is unilateral and new-onset.
New-onset, unilateral nipple retraction is a red flag and warrants further
evaluation. It can be a sign of an underlying malignancy (e.g., invasive carcinoma
or Paget’s disease).
❌ Why others are wrong:
• A – Occasional discharge is common; persistent, bloody, or unilateral
discharge is abnormal.
• B – Supernumerary nipples are a normal variant.
• D – Cyclic breast pain is common in fibrocystic changes.
</details>
Q6. The nurse is assessing a male client for gynecomastia. Which finding would be
consistent with this condition?
A. Unilateral, hard, fixed mass in the upper outer quadrant
B. Bilateral, smooth, symmetrical enlargement of breast tissue
C. Nipple discharge that is bloody
D. Peau d‘orange (orange-peel) appearance of the skin
<details> <summary>✅ **Answer & Rationale**</summary>
Correct : Answer : B – Bilateral, smooth, symmetrical enlargement of breast
tissue.
Gynecomastia is benign enlargement of male breast tissue, often bilateral and
symmetrical. It is commonly caused by hormonal imbalance (e.g., decreased
pg. 4
NR 304 EXAM 3 (CHAMBERLAIN) NEWEST 2026 ACTUAL EXAM TEST
BANK| NR304 HEALTH ASSESSMENT II EXAM 3 REVIEW WITH 75 REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
SECTION 1: BREAST AND AXILLAE (Questions 1–15)
Q1. A nurse becomes suspicious that a patient might have breast cancer based on
which abnormal finding?
A. Small, bilateral, non-tender nodes close to the surface
B. Multiple rubbery-feeling lumps with well-defined borders
C. A mobile, firm lump located in the upper quadrant of the breast
D. Irregular, hard mass on one breast
<details> <summary>✅ **Answer & Rationale**</summary>
Correct : Answer : D – Irregular, hard mass on one breast.
Malignant breast tumors are typically unilateral, irregular, hard, and immobile
(fixed to surrounding tissue). They are often painless initially.
❌ Why others are wrong:
• A – Small, bilateral, non-tender nodes are often benign reactive nodes.
• B – Multiple rubbery lumps with defined borders describe fibrocystic
changes (benign).
• C – A mobile, firm lump may be a fibroadenoma (benign), especially in
young women.
</details>
Q2. In teaching a client about breast self-examination, why does the nurse
emphasize palpation of the axillary areas?
pg. 1
,2
A. Because deep muscles in that area can mask changes
B. Because some patients avoid this area because of tenderness
C. Because most lymph draining from the breast flows through this area
D. Because supporting ligaments in this area may present tissue changes
<details> <summary>✅ **Answer & Rationale**</summary>
Correct : Answer : C – Because most lymph draining from the breast flows
through this area.
The axillary (armpit) region contains the axillary lymph nodes, which receive
lymphatic drainage from the breast. Palpation of this area is essential to detect
lymphadenopathy that may indicate breast pathology, including metastasis.
❌ Why others are wrong:
• A – Deep muscles do not mask changes in a way that would exclude
palpation.
• B – Tenderness is not the primary rationale for examination.
• D – Supporting ligaments (Cooper‘s ligaments) are in the breast tissue, not
primarily in the axilla.
</details>
Q3. A client comes to the clinic because she found a mass in her left breast that is
present during and after her menstrual periods. On palpation the nurse finds a
mass in the left breast that is round, rubbery, mobile, and non-tender. This finding
is consistent with which breast disorder?
A. Fibrocystic breast disease
B. Invasive breast cancer
C. Mastitis
D. Fibroadenoma
<details> <summary>✅ **Answer & Rationale**</summary>
Correct : Answer : D – Fibroadenoma.
Fibroadenomas are benign breast tumors most common in women aged 18–25.
They are typically round, rubbery, mobile, well-defined, and non-tender. They do
pg. 2
,3
not change with the menstrual cycle.
❌ Why others are wrong:
• A – Fibrocystic breast disease causes multiple lumps that change with the
menstrual cycle, often painful; not a single, persistent rubbery mass.
• B – Cancerous masses are irregular, hard, and often fixed.
• C – Mastitis is an infection with redness, warmth, and tenderness, usually
seen in lactating women.
</details>
Q4. What is the purpose of asking a female to lean forward during the breast
examination?
A. To accentuate the Montgomery gland
B. To observe for symmetry of the suspensory ligaments
C. To compare nipple symmetry
D. To identify any breast masses in the subcutaneous tissue
<details> <summary>✅ **Answer & Rationale**</summary>
Correct : Answer : B – To observe for symmetry of the suspensory ligaments.
Leaning forward allows breast tissue to fall away from the chest wall,
accentuating any asymmetry, dimpling, or retraction caused by involvement of
Cooper‘s ligaments. This maneuver helps detect tethering or pulling of the skin.
❌ Why others are wrong:
• A – Montgomery glands are visible without leaning forward.
• C – Nipple symmetry is assessed with arms at sides and arms overhead, not
specifically leaning forward.
• D – Subcutaneous masses are detected by palpation, not by leaning
forward.
</details>
pg. 3
, 4
Q5. Based on the history, a nurse determines that the client with which finding
requires further assessment?
A. Occasional discharge from nipples
B. Supernumerary nipples along the milk line
C. Nipple retraction that is unilateral and new-onset
D. Breast pain that occurs cyclically with menses
<details> <summary>✅ **Answer & Rationale**</summary>
Correct : Answer : C – Nipple retraction that is unilateral and new-onset.
New-onset, unilateral nipple retraction is a red flag and warrants further
evaluation. It can be a sign of an underlying malignancy (e.g., invasive carcinoma
or Paget’s disease).
❌ Why others are wrong:
• A – Occasional discharge is common; persistent, bloody, or unilateral
discharge is abnormal.
• B – Supernumerary nipples are a normal variant.
• D – Cyclic breast pain is common in fibrocystic changes.
</details>
Q6. The nurse is assessing a male client for gynecomastia. Which finding would be
consistent with this condition?
A. Unilateral, hard, fixed mass in the upper outer quadrant
B. Bilateral, smooth, symmetrical enlargement of breast tissue
C. Nipple discharge that is bloody
D. Peau d‘orange (orange-peel) appearance of the skin
<details> <summary>✅ **Answer & Rationale**</summary>
Correct : Answer : B – Bilateral, smooth, symmetrical enlargement of breast
tissue.
Gynecomastia is benign enlargement of male breast tissue, often bilateral and
symmetrical. It is commonly caused by hormonal imbalance (e.g., decreased
pg. 4
