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Exam (elaborations)

NSG 3160 EXAM 2 QUESTIONS AND ANSWERS

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NSG 3160 EXAM 2 QUESTIONS AND ANSWERS

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NSG 3160 EXAM 2 QUESTIONS
AND ANSWERS 2026 - 2027

13-year-old girl being examined questions the asymmetry of her
breasts. The best response from the nurse is:
- "This may be an indication of hormonal imbalance. Re-check in 6
months"
- "One breast normally may grow faster than the other during
development"
- "You will probably have fibrocystic disease when you are older"
- "I will give you a referral for a mammogram" - ANSWERS-"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-exam is
- at the onset of the menstrual period
- on the 14th day of the menstrual period
- on the 4th-7th day of the cycle
- just before the menstrual period - ANSWERS-On the 4th-7th day of
the cycle


What is the current recommendation for women 40-44 years and older
for breast cancer screening w/mammography
- May begin every year
- Only baseline examination needed unless the woman has symptoms

,- Twice a year
- Every 2 years - ANSWERS-May begin every year


The best position to inspect a female patient's breasts for retraction is:
- sitting w/hand pushing onto hips
- lying supine w/arms at the sides
- one arm at the side, the other arm elevated
- leaning forward w/hands outstretched - ANSWERS-sitting w/hand
pushing onto hips


A bimanual technique may be the preferred approach for a woman
- Who is having the first breast examination by a health care provider
- Who has felt a change in the breast during self-examination
- With pendulous breasts
- Who is pregnant - ANSWERS-With pendulous breasts


During the examination of a 70 year old man, you note gynecomastia.
You would:
- Refer for a biopsy
- Review the medications for drugs that have gynecomastia as a side
effect
- Proceed with examination. This is a normal part of the aging process
- Refer for a mammogram - ANSWERS-Review the medications for
drugs that have gynecomastia as a side effect

,Which of the following typically describes malignant breast disease?
- Irregular, poorly defined, fixed
- Rubbery, mobile, tender
- Lobular, clear margins, negative skin reaction
- Round, firm, well demarcated - ANSWERS-Irregular, poorly
defined, fixed


During the examination of the breasts of a pregnant woman, you
would expect to find:
- Nipple retraction
- Peau d'orange
- Blue vascular pattern over both breasts
- Unilateral, obvious venous pattern - ANSWERS-Blue vascular
pattern over both breasts


Which woman should not be referred to a provider for further
evaluation?
- 48 y/o has a 6-month history of reddened, sore left nipple and
areolar area
- A 25 y/o with asymmetric breasts and inversion of nipples since
adolescence
- 64 y/o with ulcerated area at tip of right nipple; no masses,
tenderness
- A 26 y/o with multiple nodules palpated in each breast -
ANSWERS-A 25 y/o with asymmetric breasts and inversion of
nipples since adolescence

, Which one is characteristic of a malignant lesion in the breast?
- Irregular shape
- Soft
- Freely movable
- Well-defined margins - ANSWERS-Irregular shape


Gynecomastia is:
- Enlargement of the male breast
- Presence of supernumerary breast on the male chest
- Presence of mast cells in the male breast
- Cancer of the male breast - ANSWERS-Enlargement of the male
breast


Which is the first physical change associated with puberty in girls:
- Pubic hair development
- Height spur
- Areolar elevation
- Breast bud development - ANSWERS-Breast bud development


30 y/o woman reports 2 large moles below left breast. The nurse
responds
- "I think you should be examined by a dermatologist"
- "Is there a possibility you are pregnant?"

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