Health Assessment Exam 3 Test Bank
Which of the following statements is true regarding the internal structures of the breast? The
breast is made up of - correct answer Fibrous, glandular, and adipose tissues
The nurse knows that examining the upper outer quadrant of the breast is especially important.
The reason for this is that the upper outer quadrant is - correct answer The location of most
breast tumors
In performing an assessment of a woman's axillary lymph system, the nurse should assess which
of these nodes? - correct answer Central, lateral, pectoral, and sub-scapular
If a patient reports a recent breast infection, then the nurse should expect to find ____ node
enlargement - correct answer Ipsilateral axillary
A 14 year old girl is anxious about not having reached menarche. When taking the health
history, the nurse should ascertain which of the following? The age that: - correct answer The
girl began to develop breasts
A woman is in the family planning clinic seeking birth control information. She states that her
breasts change all month long and she is worried this is unusual. The nurse should tell her that:
- correct answer 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? - correct answer She can expect her areolae to become larger and darker
in color
The nurse is teaching a pregnant woman about breast milk. Which statement by the nurse is
correct? - correct answer You may notice a thick, yellow fluid expressed from your breasts as
early as the 4th month of pregnancy
,Health Assessment Exam 3 Test Bank
A 65 yr 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: - correct answer The glandular and dat 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 nurses best course of action? - correct answer Explain that
this condition may be the result of hormonal changes, and recommend that he sees a physician
During an examination of a 7 year old girl, the nurse notices the girl is showing breast budding.
What should the nurse do next? - correct answer Assess the girls weight and BMI
The nurse is reviewing statistics regarding breast cancer. Which woman, aged 40 in the US, has
the highest risk of developing breast cancer? - correct answer 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 US? - correct answer 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
nurses most appropriate response to this would be: - correct answer 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 in her right nipple. What should the nurse do next? - correct answer Ask the
patient some additional questions about the medications she is taking
During a physical exam, a 45 year old woman states that she has had a crusty, itchy rash on her
breast for two weeks. In trying to find the cause of the rash, which question would be important
for the nurse to ask? - correct answer LOCATION: where did the rash first appear: on the nipple,
the areola, or the surrounding skin?
, Health Assessment Exam 3 Test Bank
A patient is newly diagnosed with benign breast disease. The nurse recognizes which statement
about benign breast disease to be true? - correct answer Makes it hard to examine the breasts
During physical examination, the nurse notices that a female patient has an inverted left nipple.
Which statement regarding this is most accurate? - correct answer Whether the inversion is a
recent change should be determined
The nurse is performing a breast examination. Which of these statements best describes the
procedure to use when screening for nipple and skin retraction during a breast exam? Have the
woman: - correct answer Slowly lift her arms behind her head, and note any retraction or lag in
movement
Retraction = fibrosis in breast tissue caused by growing neoplasms, breasts should move up
symmetrically
A patient states 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: - correct answer Palpate the unaffected breast
first
The nurse is discussing BSEs with postmenopausal women. The best time to perform BSEs
postmenopause is: - correct answer On the same day every month
During an examination, the nurse notes a supernumerary nipple just under the patients left
breast. The patient tells the nurse that she always thought it was a mole. Which statement
about this finding is correct? - correct answer This variation is normal and not a significant
finding
While examining a 75 year old woman, the nurse notices that the skin over her right breast is
thick and the hair follicles are exaggerated. This condition is known as: - correct answer Peau
d'orange, suggests cancer!
Which of the following statements is true regarding the internal structures of the breast? The
breast is made up of - correct answer Fibrous, glandular, and adipose tissues
The nurse knows that examining the upper outer quadrant of the breast is especially important.
The reason for this is that the upper outer quadrant is - correct answer The location of most
breast tumors
In performing an assessment of a woman's axillary lymph system, the nurse should assess which
of these nodes? - correct answer Central, lateral, pectoral, and sub-scapular
If a patient reports a recent breast infection, then the nurse should expect to find ____ node
enlargement - correct answer Ipsilateral axillary
A 14 year old girl is anxious about not having reached menarche. When taking the health
history, the nurse should ascertain which of the following? The age that: - correct answer The
girl began to develop breasts
A woman is in the family planning clinic seeking birth control information. She states that her
breasts change all month long and she is worried this is unusual. The nurse should tell her that:
- correct answer 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? - correct answer She can expect her areolae to become larger and darker
in color
The nurse is teaching a pregnant woman about breast milk. Which statement by the nurse is
correct? - correct answer You may notice a thick, yellow fluid expressed from your breasts as
early as the 4th month of pregnancy
,Health Assessment Exam 3 Test Bank
A 65 yr 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: - correct answer The glandular and dat 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 nurses best course of action? - correct answer Explain that
this condition may be the result of hormonal changes, and recommend that he sees a physician
During an examination of a 7 year old girl, the nurse notices the girl is showing breast budding.
What should the nurse do next? - correct answer Assess the girls weight and BMI
The nurse is reviewing statistics regarding breast cancer. Which woman, aged 40 in the US, has
the highest risk of developing breast cancer? - correct answer 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 US? - correct answer 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
nurses most appropriate response to this would be: - correct answer 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 in her right nipple. What should the nurse do next? - correct answer Ask the
patient some additional questions about the medications she is taking
During a physical exam, a 45 year old woman states that she has had a crusty, itchy rash on her
breast for two weeks. In trying to find the cause of the rash, which question would be important
for the nurse to ask? - correct answer LOCATION: where did the rash first appear: on the nipple,
the areola, or the surrounding skin?
, Health Assessment Exam 3 Test Bank
A patient is newly diagnosed with benign breast disease. The nurse recognizes which statement
about benign breast disease to be true? - correct answer Makes it hard to examine the breasts
During physical examination, the nurse notices that a female patient has an inverted left nipple.
Which statement regarding this is most accurate? - correct answer Whether the inversion is a
recent change should be determined
The nurse is performing a breast examination. Which of these statements best describes the
procedure to use when screening for nipple and skin retraction during a breast exam? Have the
woman: - correct answer Slowly lift her arms behind her head, and note any retraction or lag in
movement
Retraction = fibrosis in breast tissue caused by growing neoplasms, breasts should move up
symmetrically
A patient states 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: - correct answer Palpate the unaffected breast
first
The nurse is discussing BSEs with postmenopausal women. The best time to perform BSEs
postmenopause is: - correct answer On the same day every month
During an examination, the nurse notes a supernumerary nipple just under the patients left
breast. The patient tells the nurse that she always thought it was a mole. Which statement
about this finding is correct? - correct answer This variation is normal and not a significant
finding
While examining a 75 year old woman, the nurse notices that the skin over her right breast is
thick and the hair follicles are exaggerated. This condition is known as: - correct answer Peau
d'orange, suggests cancer!
