NURS 6512 FINAL EXAM LEARNING
WORKBOOK 2026 SYSTEMS BASED PHYSICAL
ASSESSMENT AND HISTORY TAKING SKILLS
◉ In performing a breast examination, the nurse knows that it is
especially important to examine the upper outer quadrant of the
breast. The reason for this is that the upper outer quadrant is:
Answer: ANS: the location of most breast tumors.
The upper outer quadrant is the site of most breast tumors. In the
upper outer quadrant
◉ In performing an assessment of a woman's axillary lymph system,
the nurse should assess which of these nodes?
Answer: ANS: Central, lateral, pectoral, and subscapular nodes
◉ If a patient reports a recent breast infection, then the nurse
should expect to find _____ node enlargement.
Answer: ANS: ipsilateral axillary.
◉ A 9-year-old girl is in the clinic for a sports physical. After some
initial shyness she finally asks, "Am I normal?
Answer: ANS: "I understand that it is hard to feel different from your
friends. Breasts usually develop between 8 and 10 years of age."
,Adolescent breast development usually begins between 8 and 10
years of age
◉ A patient contacts the office and tells the nurse that she is worried
about her 10-year-old daughter having breast cancer. What would be
the nurse's best response?
Answer: it is most likely normal breast development.
◉ A 14-year-old girl is anxious about not having reached menarche.
The age:
Answer: ANS: she began to develop breasts
Full development from stage 2 to stage 5 takes an average of 3 years,
although the range is 1.5 to 6 years.
◉ A woman is in the family planning clinic seeking birth control
information. She states that her breasts "change all month long"
Answer: ANS: Tell her that, because of the changing hormones
during the monthly menstrual cycle, cyclic breast changes are
common.
◉ A woman has just learned that she is pregnant. What are some
things the nurse should teach her about her breasts?
, Answer: ANS: She can expect her areolae to become larger and
darker in color.
◉ The nurse is teaching a pregnant woman about breast milk. Which
is correct?
Answer: ANS: "You may notice a thick, yellow fluid expressed from
your breasts as early as the fourth month of pregnancy."
◉ A 65-year-old patient remarks that she just can't believe that her
breasts sag so much.
Answer: ANS: After menopause, the glandular and fat tissue
atrophies, causing breast size and elasticity to diminish, resulting in
breasts that sag.
◉ In examining a 70-year-old male patient, he has bilateral
gynecomastia. nurse's best course of action?
Answer: ANS: Explain that this condition may be the result of
hormonal changes
◉ During an examination of a 7-year-old girl, the nurse notices that
the girl is showing breast budding.
Answer: ANS: Assess the girl's weight and body mass index (BMI).
WORKBOOK 2026 SYSTEMS BASED PHYSICAL
ASSESSMENT AND HISTORY TAKING SKILLS
◉ In performing a breast examination, the nurse knows that it is
especially important to examine the upper outer quadrant of the
breast. The reason for this is that the upper outer quadrant is:
Answer: ANS: the location of most breast tumors.
The upper outer quadrant is the site of most breast tumors. In the
upper outer quadrant
◉ In performing an assessment of a woman's axillary lymph system,
the nurse should assess which of these nodes?
Answer: ANS: Central, lateral, pectoral, and subscapular nodes
◉ If a patient reports a recent breast infection, then the nurse
should expect to find _____ node enlargement.
Answer: ANS: ipsilateral axillary.
◉ A 9-year-old girl is in the clinic for a sports physical. After some
initial shyness she finally asks, "Am I normal?
Answer: ANS: "I understand that it is hard to feel different from your
friends. Breasts usually develop between 8 and 10 years of age."
,Adolescent breast development usually begins between 8 and 10
years of age
◉ A patient contacts the office and tells the nurse that she is worried
about her 10-year-old daughter having breast cancer. What would be
the nurse's best response?
Answer: it is most likely normal breast development.
◉ A 14-year-old girl is anxious about not having reached menarche.
The age:
Answer: ANS: she began to develop breasts
Full development from stage 2 to stage 5 takes an average of 3 years,
although the range is 1.5 to 6 years.
◉ A woman is in the family planning clinic seeking birth control
information. She states that her breasts "change all month long"
Answer: ANS: Tell her that, because of the changing hormones
during the monthly menstrual cycle, cyclic breast changes are
common.
◉ A woman has just learned that she is pregnant. What are some
things the nurse should teach her about her breasts?
, Answer: ANS: She can expect her areolae to become larger and
darker in color.
◉ The nurse is teaching a pregnant woman about breast milk. Which
is correct?
Answer: ANS: "You may notice a thick, yellow fluid expressed from
your breasts as early as the fourth month of pregnancy."
◉ A 65-year-old patient remarks that she just can't believe that her
breasts sag so much.
Answer: ANS: After menopause, the glandular and fat tissue
atrophies, causing breast size and elasticity to diminish, resulting in
breasts that sag.
◉ In examining a 70-year-old male patient, he has bilateral
gynecomastia. nurse's best course of action?
Answer: ANS: Explain that this condition may be the result of
hormonal changes
◉ During an examination of a 7-year-old girl, the nurse notices that
the girl is showing breast budding.
Answer: ANS: Assess the girl's weight and body mass index (BMI).
