2024 NR 509 Week 7 Exam With 190 Questions & Correct
Answers
The nurse is teaching a pregnant woman about breast milk. Which statement by the
nurse is correct?
a. "Your breast milk is immediately present after the delivery of your baby."
b. "Breast milk is rich in protein and sugars (lactose) but has very little fat."
c. "The colostrum, which is present right after birth, does not contain the same
nutrients as breast milk."
d. "You may notice a thick, yellow fluid expressed from your breasts as early as
the fourth month of pregnancy." - ANSWER-d. "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 cannot believe that her breasts "sag so
much." She states it must be from a lack of exercise. What explanation should the
nurse offer her? After menopause:
a. Only women with large breasts experience sagging.
b. Sagging is usually due to decreased muscle mass within the breast.
c. A diet that is high in protein will help maintain muscle mass, which keeps the
breasts from sagging.
d. The glandular and fat tissue atrophies, causing breast size and elasticity to
diminish, resulting in breasts that sag. - ANSWER-d. 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, the nurse notices that he has bilateral
gynecomastia. Which of the following describes the nurse's best course of action?
a. Recommend that he make an appointment with his physician for a mammogram.
b. Ignore it. Benign breast enlargement in men is not unusual.
,c. Explain that this condition may be the result of hormonal changes, and
recommend that he see his physician.
d. Explain that gynecomastia in men is usually associated with prostate
enlargement and recommend that he be thoroughly screened. - ANSWER-c.
Explain that this condition may be the result of hormonal changes, and recommend
that he see his physician.
During an examination of a 7-year-old girl, the nurse notices that the girl is
showing breast budding. What should the nurse do next?
a. Ask the young girl if her periods have started.
b. Assess the girl's weight and body mass index (BMI).
c. Ask the girl's mother at what age she started to develop breasts.
d. Nothing; breast budding is a normal finding. - ANSWER-b. Assess the girl's
weight and body mass index (BMI).
The nurse is reviewing statistics regarding breast cancer. Which woman, aged 40
years in the United States, has the highest risk for developing breast cancer?
a. Black
b. White
c. Asian
d. American Indian - ANSWER-a. Black
The nurse is preparing for a class in early detection of breast cancer. Which
statement is true with regard to breast cancer in black women in the United States?
a. Breast cancer is not a threat to black women.
b. Black women have a lower incidence of regional or distant breast cancer than
white women.
c. Black women are more likely to die of breast cancer at any age.
,d. Breast cancer incidence in black women is higher than that of white women after
age 45. - ANSWER-c. Black women are more likely to die of breast cancer at any
age.
During a breast health interview, a patient states that she has noticed pain in her
left breast. The nurse's most appropriate response to this would be:
a. "Don't worry about the pain; breast cancer is not painful."
b. "I would like some more information about the pain in your left breast."
c. "Oh, I had pain like that after my son was born; it turned out to be a blocked
milk duct."
d. "Breast pain is almost always the result of benign breast disease." - ANSWER-b.
"I would like some more information about the pain in your left breast."
During a health history interview, a female patient states that she has noticed a few
drops of clear discharge from her right nipple. What should the nurse do next?
a. Immediately contact the physician to report the discharge.
b. Ask her if she is possibly pregnant.
c. Ask the patient some additional questions about the medications she is taking.
d. Immediately obtain a sample for culture and sensitivity testing. - ANSWER-c.
Ask the patient 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 approximately 2 weeks. In trying to find the
cause of the rash, which question would be important for the nurse to ask?
a. "Is the rash raised and red?"
b. "Does it appear to be cyclic?"
c. "Where did the rash first appear—on the nipple, the areola, or the surrounding
skin?"
, d. "What was she doing when she first noticed the rash, and do her actions make it
worse?" - ANSWER-c. "Where did the rash first appear—on the nipple, the areola,
or the surrounding skin?
A patient is newly diagnosed with benign breast disease. The nurse recognizes
which statement about benign breast disease to be true? The presence of benign
breast disease:
a. Makes it hard to examine the breasts.
b. Frequently turns into cancer in a woman's later years.
c. Is easily reduced with hormone replacement therapy.
d. Is usually diagnosed before a woman reaches childbearing age. - ANSWER-a.
Makes it hard to examine the breasts.
During an annual physical examination, a 43-year-old patient states that she does
not perform monthly breast self-examinations (BSEs). She tells the nurse that she
believes that mammograms "do a much better job than I ever could to find a lump."
The nurse should explain to her that:
a. BSEs may detect lumps that appear between mammograms.
b. BSEs are unnecessary until the age of 50 years.
c. She is correct—mammography is a good replacement for BSE.
d. She does not need to perform BSEs as long as a physician checks her breasts
annually. - ANSWER-a. BSEs may detect lumps that appear between
mammograms.
During an interview, a patient reveals that she is pregnant. She states that she is not
sure whether she will breastfeed her baby and asks for some information about
this. Which of these statements by the nurse is accurate?
a. "Breastfed babies tend to be more colicky."
b. "Breastfeeding provides the perfect food and antibodies for your baby."
Answers
The nurse is teaching a pregnant woman about breast milk. Which statement by the
nurse is correct?
a. "Your breast milk is immediately present after the delivery of your baby."
b. "Breast milk is rich in protein and sugars (lactose) but has very little fat."
c. "The colostrum, which is present right after birth, does not contain the same
nutrients as breast milk."
d. "You may notice a thick, yellow fluid expressed from your breasts as early as
the fourth month of pregnancy." - ANSWER-d. "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 cannot believe that her breasts "sag so
much." She states it must be from a lack of exercise. What explanation should the
nurse offer her? After menopause:
a. Only women with large breasts experience sagging.
b. Sagging is usually due to decreased muscle mass within the breast.
c. A diet that is high in protein will help maintain muscle mass, which keeps the
breasts from sagging.
d. The glandular and fat tissue atrophies, causing breast size and elasticity to
diminish, resulting in breasts that sag. - ANSWER-d. 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, the nurse notices that he has bilateral
gynecomastia. Which of the following describes the nurse's best course of action?
a. Recommend that he make an appointment with his physician for a mammogram.
b. Ignore it. Benign breast enlargement in men is not unusual.
,c. Explain that this condition may be the result of hormonal changes, and
recommend that he see his physician.
d. Explain that gynecomastia in men is usually associated with prostate
enlargement and recommend that he be thoroughly screened. - ANSWER-c.
Explain that this condition may be the result of hormonal changes, and recommend
that he see his physician.
During an examination of a 7-year-old girl, the nurse notices that the girl is
showing breast budding. What should the nurse do next?
a. Ask the young girl if her periods have started.
b. Assess the girl's weight and body mass index (BMI).
c. Ask the girl's mother at what age she started to develop breasts.
d. Nothing; breast budding is a normal finding. - ANSWER-b. Assess the girl's
weight and body mass index (BMI).
The nurse is reviewing statistics regarding breast cancer. Which woman, aged 40
years in the United States, has the highest risk for developing breast cancer?
a. Black
b. White
c. Asian
d. American Indian - ANSWER-a. Black
The nurse is preparing for a class in early detection of breast cancer. Which
statement is true with regard to breast cancer in black women in the United States?
a. Breast cancer is not a threat to black women.
b. Black women have a lower incidence of regional or distant breast cancer than
white women.
c. Black women are more likely to die of breast cancer at any age.
,d. Breast cancer incidence in black women is higher than that of white women after
age 45. - ANSWER-c. Black women are more likely to die of breast cancer at any
age.
During a breast health interview, a patient states that she has noticed pain in her
left breast. The nurse's most appropriate response to this would be:
a. "Don't worry about the pain; breast cancer is not painful."
b. "I would like some more information about the pain in your left breast."
c. "Oh, I had pain like that after my son was born; it turned out to be a blocked
milk duct."
d. "Breast pain is almost always the result of benign breast disease." - ANSWER-b.
"I would like some more information about the pain in your left breast."
During a health history interview, a female patient states that she has noticed a few
drops of clear discharge from her right nipple. What should the nurse do next?
a. Immediately contact the physician to report the discharge.
b. Ask her if she is possibly pregnant.
c. Ask the patient some additional questions about the medications she is taking.
d. Immediately obtain a sample for culture and sensitivity testing. - ANSWER-c.
Ask the patient 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 approximately 2 weeks. In trying to find the
cause of the rash, which question would be important for the nurse to ask?
a. "Is the rash raised and red?"
b. "Does it appear to be cyclic?"
c. "Where did the rash first appear—on the nipple, the areola, or the surrounding
skin?"
, d. "What was she doing when she first noticed the rash, and do her actions make it
worse?" - ANSWER-c. "Where did the rash first appear—on the nipple, the areola,
or the surrounding skin?
A patient is newly diagnosed with benign breast disease. The nurse recognizes
which statement about benign breast disease to be true? The presence of benign
breast disease:
a. Makes it hard to examine the breasts.
b. Frequently turns into cancer in a woman's later years.
c. Is easily reduced with hormone replacement therapy.
d. Is usually diagnosed before a woman reaches childbearing age. - ANSWER-a.
Makes it hard to examine the breasts.
During an annual physical examination, a 43-year-old patient states that she does
not perform monthly breast self-examinations (BSEs). She tells the nurse that she
believes that mammograms "do a much better job than I ever could to find a lump."
The nurse should explain to her that:
a. BSEs may detect lumps that appear between mammograms.
b. BSEs are unnecessary until the age of 50 years.
c. She is correct—mammography is a good replacement for BSE.
d. She does not need to perform BSEs as long as a physician checks her breasts
annually. - ANSWER-a. BSEs may detect lumps that appear between
mammograms.
During an interview, a patient reveals that she is pregnant. She states that she is not
sure whether she will breastfeed her baby and asks for some information about
this. Which of these statements by the nurse is accurate?
a. "Breastfed babies tend to be more colicky."
b. "Breastfeeding provides the perfect food and antibodies for your baby."
