NR509 WEEK 7 ACTUAL EXAM TEST WITH
ACTUAL EXAM QUESTIONS GRADED A+
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. Correct 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. Correct 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. Correct 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 Correct 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. Correct 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." Correct 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.
Correct 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?" Correct Answer c. "Where did the
rash first appear—on the nipple, the areola, or the surrounding
skin?
ACTUAL EXAM QUESTIONS GRADED A+
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. Correct 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. Correct 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. Correct 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 Correct 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. Correct 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." Correct 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.
Correct 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?" Correct Answer c. "Where did the
rash first appear—on the nipple, the areola, or the surrounding
skin?
