Chapter 17: Breasts and Axillae
MULTIPLE CHOICE
1. Montgomery tubercles are most prominent in the breasts of:
a. adult males.
b. patients with lung disease.
c. pregnant women.
d. pubertal females.
ANS: C
Montgomery tubercles undergo hypertrophy and become more prominent in the breasts of pregnant
and lactating women.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Reduction of Risk Potential
2. Most women with breast cancer:
a. possess the BRCA1 or BRCA2 gene.
b. risk increases with aging.
c. have a mother who had breast cancer.
d. continue to menstruate after age 52.
ANS: B
Of all breast cancers, 77% occur in women older than 50 years. Most women with breast
cancer do not possess the BRCA1NUR or SIBRCA2NGTB gene. Only 5% to 10% of women
with breast cancer are known to have either gene. Most women with breast cancer do not have a
mother who had breast cancer. Familial breast cancers occur in 10% to 20% of
breast cancer populations. Most women with breast cancer do not continue to menstruate after
age 52. Having a later start of menopause does not overshadow the 77% of all breast cancers that occur
in women older than 50 years.
DIF: Cognitive Level: Analyzing (Analysis)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. A 50-year-old woman presents as a new patient. Which finding in her personal and social
history would increase her risk profile for developing breast cancer? a. Drinking three glasses of wine
per week
b. Early menopause
c. Nulliparity
d. Late menarche
ANS: C
Nulliparity, or late age at the birth of the first child (after 30 years old), is a risk factor for breast
cancer. Other risk factors include late menopause, early menarche, and drinking more than one
alcoholic drink daily.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Reduction of Risk Potential
, 4. If your patient has nipple discharge, you will most likely need a:
a. Vacutainer tube.
b. glass slide and fixative.
MULTIPLE CHOICE
1. Montgomery tubercles are most prominent in the breasts of:
a. adult males.
b. patients with lung disease.
c. pregnant women.
d. pubertal females.
ANS: C
Montgomery tubercles undergo hypertrophy and become more prominent in the breasts of pregnant
and lactating women.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Reduction of Risk Potential
2. Most women with breast cancer:
a. possess the BRCA1 or BRCA2 gene.
b. risk increases with aging.
c. have a mother who had breast cancer.
d. continue to menstruate after age 52.
ANS: B
Of all breast cancers, 77% occur in women older than 50 years. Most women with breast
cancer do not possess the BRCA1NUR or SIBRCA2NGTB gene. Only 5% to 10% of women
with breast cancer are known to have either gene. Most women with breast cancer do not have a
mother who had breast cancer. Familial breast cancers occur in 10% to 20% of
breast cancer populations. Most women with breast cancer do not continue to menstruate after
age 52. Having a later start of menopause does not overshadow the 77% of all breast cancers that occur
in women older than 50 years.
DIF: Cognitive Level: Analyzing (Analysis)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. A 50-year-old woman presents as a new patient. Which finding in her personal and social
history would increase her risk profile for developing breast cancer? a. Drinking three glasses of wine
per week
b. Early menopause
c. Nulliparity
d. Late menarche
ANS: C
Nulliparity, or late age at the birth of the first child (after 30 years old), is a risk factor for breast
cancer. Other risk factors include late menopause, early menarche, and drinking more than one
alcoholic drink daily.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Reduction of Risk Potential
, 4. If your patient has nipple discharge, you will most likely need a:
a. Vacutainer tube.
b. glass slide and fixative.
