HEALTH ASSESSMENT EXAMINATION:
COMPREHENSIVE QUESTIONS AND ANSWERS
GRADED A+
◉ a female patient states that she has noticed a few drops of clear
discharge from her right nipple. Answer: ANS: Ask her some
additional questions about the medications she is taking.
◉ During a physical examination, a 45-year-old woman states that
she has had a crusty, itchy rash on her breast for about 2 weeks.
Answer: ANS: Where did it first appear—on the nipple, the areola, or
the surrounding skin?
◉ A patient is newly diagnosed with benign breast disease. The
presence of benign breast disease: Answer: ANS: makes it harder to
examine the breasts.
◉ During an annual physical exam, a 43-year-old patient states that
she doesn't perform monthly breast self-examinations (BSE).
Answer: ANS: BSEs may detect lumps that appear between
mammograms.
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◉ During an interview, a patient reveals that she is pregnant. will
breastfeed her baby and asks for some information about this.
Answer: ANS: "Breastfeeding provides the perfect food and
antibodies for your baby."
The nurse is reviewing risk factors for breast cancer. Which of
these women have risk factors that place them at a higher risk for
breast cancer? Answer: ANS: 65 year old whose mother had breast
cancer
◉ During an examination of a woman, the nurse notices that her left
breast is slightly larger than her right breast. Which of these
statements is true about this finding? Answer: ANS: This finding is
not unusual, but the nurse should verify that this change is not new.
◉ The nurse is assisting with a self-breast examination clinic. Which
of these women reflect abnormal findings during the inspection
phase of breast examination? Answer: ANS: Woman whose nipples
are in different planes (deviated)
◉ During the physical examination, the nurse notices that a female
patient has an inverted left nipple. Which statement regarding this is
most accurate? Answer: ANS: It should be determined whether the
inversion is a recent change.
◉ The nurse is performing a breast examination. Which of these
statements best describes the correct procedure to use when
, ◉
screening for nipple and skin retraction during a breast
examination? Have the woman: Answer: ANS: slowly lift her arms
above her head and note any retraction or lag in movement Which of
these positions is most likely to make significant lumps more
distinct during breast palpation? Answer: ANS: Supine with arms
raised over her head
◉ Which of these clinical situations would the nurse consider to be
outside normal limits? Answer: ANS: A patient has had two
pregnancies and she breastfed both of her children. Her youngest
child is now 10 years old. Her breast examination reveals breast
tissue that is somewhat soft and she has a small amount of thick
yellow discharge from both nipples.
◉ A patient states during the interview that she noticed a new lump
in the shower a few days ago. It was on her left breast near her
axilla. The nurse should plan to: Answer: ANS: palpate the
unaffected breast first.
◉ The nurse has palpated a lump in a female patient's right breast.
The nurse documents this as a small, round, firm, distinct, lump
located at 2 o'clock, 2 cm from the nipple. It is nontender and fixed.
It is missing information about: Answer: ANS: the size of the lump.
◉ The nurse is conducting a class about breast self-examination
(BSE). Which of these statements indicates proper BSE technique?