NR 509 / NR509 W eek 7 Exam w ith |! |! |! |! |! |! |! |!
com plete solu tions |!
Which of the following statements is true regarding the internal structures of
|! |! |! |! |! |! |! |! |! |! |! |!
the breast? The breast is made up of:
|! |! |! |! |! |! |!
a. Primarily muscle with very little fibrous tissue.
|! |! |! |! |! |! |!
b. Fibrous, glandular, and adipose tissues.
|! |! |! |! |!
c. Primarily milk ducts, known as lactiferous ducts.
|! |! |! |! |! |! |!
d. Glandular tissue, which supports the breast by attaching to the chest wall. -
|! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔b. Fibrous, glandular, and adipose tissues.
|! |! |! |! |! |! |! |!
In performing a breast examination, 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:
|! |! |! |! |! |! |!
a. The largest quadrant of the breast.
|! |! |! |! |! |!
b. The location of most breast tumors.
|! |! |! |! |! |!
c. Where most of the suspensory ligaments attach.
|! |! |! |! |! |! |!
d. More prone to injury and calcifications than other locations in the breast. -
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔b. 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?
|! |! |! |! |!
a. Central, axillary, lateral, and sternal
|! |! |! |! |!
,b. Pectoral, lateral, anterior, and sternal
|! |! |! |! |!
c. Central, lateral, pectoral, and subscapular
|! |! |! |! |!
d. Lateral, pectoral, axillary, and suprascapular - Correct answer ✔c. Central,
|! |! |! |! |! |! |! |! |! |! |!
lateral, pectoral, and subscapular
|! |! |!
If a patient reports a recent breast infection, then the nurse should expect to
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
find ________ node enlargement.
|! |! |!
a. Nonspecific
|!
b. Ipsilateral axillary
|! |!
c. Contralateral axillary
|! |!
d. Inguinal and cervical - Correct answer ✔b. Ipsilateral axillary
|! |! |! |! |! |! |! |! |!
A 9-year-old girl is in the clinic for a sport physical examination. After some
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
initial shyness she finally asks, "Am I normal? I don't seem to need a bra yet,
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
but I have some friends who do. What if I never get breasts?" The nurse's best
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
response would be:
|! |! |!
a. "Don't worry, you still have plenty of time to develop."
|! |! |! |! |! |! |! |! |! |!
b. "I know just how you feel, I was a late bloomer myself. Just be patient, and
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
they will grow."
|! |! |!
c. "You will probably get your periods before you notice any significant
|! |! |! |! |! |! |! |! |! |! |! |!
growth in your breasts." |! |! |!
d. "I understand that it is hard to feel different from your friends. Breasts
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
usually develop between 8 and 10 years of age." - Correct answer ✔d. "I
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
understand that it is hard to feel different from your friends. Breasts usually
|! |! |! |! |! |! |! |! |! |! |! |! |!
develop between 8 and 10 years of age."
|! |! |! |! |! |! |!
,A patient contacts the office and tells the nurse that she is worried about her
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
10-year-old daughter having breast cancer. She describes a unilateral
|! |! |! |! |! |! |! |! |!
enlargement of the right breast with associated tenderness. She is worried|! |! |! |! |! |! |! |! |! |! |!
because the left breast is not enlarged. What would be the nurse's best
|! |! |! |! |! |! |! |! |! |! |! |! |!
response? Tell the mother that: |! |! |! |!
a. Breast development is usually fairly symmetric and that the daughter
|! |! |! |! |! |! |! |! |! |! |!
should be examined right away.
|! |! |! |!
b. She should bring in her daughter right away because breast cancer is fairly
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
common in preadolescent girls. |! |! |!
c. Although an examination of her daughter would rule out a problem, her
|! |! |! |! |! |! |! |! |! |! |! |! |!
breast development is most likely normal.
|! |! |! |! |!
d. It is unusual for breasts that are first developing to feel tender because they
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
haven't developed much fibrous tissue. - Correct answer ✔c. Although an
|! |! |! |! |! |! |! |! |! |! |! |!
examination of her daughter would rule out a problem, her breast |! |! |! |! |! |! |! |! |! |! |!
development is most likely normal. |! |! |! |!
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:
|! |!
a. The girl began to develop breasts.
|! |! |! |! |! |!
b. Her mother developed breasts.
|! |! |! |!
c. She began to develop pubic hair.
|! |! |! |! |! |!
d. She began to develop axillary hair. - Correct answer ✔a. 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 that she is worried
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
, that this is unusual. What is the nurse's best response? The nurse should tell
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
her that: |!
a. Continual changes in her breasts are unusual. The breasts of nonpregnant
|! |! |! |! |! |! |! |! |! |! |! |!
women usually stay pretty much the same all month long.
|! |! |! |! |! |! |! |! |!
b. Breast changes in response to stress are very common and that she should
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
assess her life for stressful events.
|! |! |! |! |!
c. Because of the changing hormones during the monthly menstrual cycle,
|! |! |! |! |! |! |! |! |! |! |!
cyclic breast changes are common.
|! |! |! |!
d. Breast changes normally occur only during pregnancy and that a
|! |! |! |! |! |! |! |! |! |! |!
pregnancy test is needed at this time. - Correct answer ✔c. 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?
|! |! |! |! |! |!
a. She can expect her areolae to become larger and darker in color.
|! |! |! |! |! |! |! |! |! |! |! |!
b. Breasts may begin secreting milk after the fourth month of pregnancy.
|! |! |! |! |! |! |! |! |! |! |!
c. She should inspect her breasts for visible veins and immediately report
|! |! |! |! |! |! |! |! |! |! |! |!
these.
d. During pregnancy, breast changes are fairly uncommon; most of the
|! |! |! |! |! |! |! |! |! |! |!
changes occur after the birth. - Correct answer ✔a. 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?
|! |! |! |!
a. "Your breast milk is immediately present after the delivery of your baby."
|! |! |! |! |! |! |! |! |! |! |! |!
com plete solu tions |!
Which of the following statements is true regarding the internal structures of
|! |! |! |! |! |! |! |! |! |! |! |!
the breast? The breast is made up of:
|! |! |! |! |! |! |!
a. Primarily muscle with very little fibrous tissue.
|! |! |! |! |! |! |!
b. Fibrous, glandular, and adipose tissues.
|! |! |! |! |!
c. Primarily milk ducts, known as lactiferous ducts.
|! |! |! |! |! |! |!
d. Glandular tissue, which supports the breast by attaching to the chest wall. -
|! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔b. Fibrous, glandular, and adipose tissues.
|! |! |! |! |! |! |! |!
In performing a breast examination, 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:
|! |! |! |! |! |! |!
a. The largest quadrant of the breast.
|! |! |! |! |! |!
b. The location of most breast tumors.
|! |! |! |! |! |!
c. Where most of the suspensory ligaments attach.
|! |! |! |! |! |! |!
d. More prone to injury and calcifications than other locations in the breast. -
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔b. 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?
|! |! |! |! |!
a. Central, axillary, lateral, and sternal
|! |! |! |! |!
,b. Pectoral, lateral, anterior, and sternal
|! |! |! |! |!
c. Central, lateral, pectoral, and subscapular
|! |! |! |! |!
d. Lateral, pectoral, axillary, and suprascapular - Correct answer ✔c. Central,
|! |! |! |! |! |! |! |! |! |! |!
lateral, pectoral, and subscapular
|! |! |!
If a patient reports a recent breast infection, then the nurse should expect to
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
find ________ node enlargement.
|! |! |!
a. Nonspecific
|!
b. Ipsilateral axillary
|! |!
c. Contralateral axillary
|! |!
d. Inguinal and cervical - Correct answer ✔b. Ipsilateral axillary
|! |! |! |! |! |! |! |! |!
A 9-year-old girl is in the clinic for a sport physical examination. After some
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
initial shyness she finally asks, "Am I normal? I don't seem to need a bra yet,
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
but I have some friends who do. What if I never get breasts?" The nurse's best
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
response would be:
|! |! |!
a. "Don't worry, you still have plenty of time to develop."
|! |! |! |! |! |! |! |! |! |!
b. "I know just how you feel, I was a late bloomer myself. Just be patient, and
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
they will grow."
|! |! |!
c. "You will probably get your periods before you notice any significant
|! |! |! |! |! |! |! |! |! |! |! |!
growth in your breasts." |! |! |!
d. "I understand that it is hard to feel different from your friends. Breasts
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
usually develop between 8 and 10 years of age." - Correct answer ✔d. "I
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
understand that it is hard to feel different from your friends. Breasts usually
|! |! |! |! |! |! |! |! |! |! |! |! |!
develop between 8 and 10 years of age."
|! |! |! |! |! |! |!
,A patient contacts the office and tells the nurse that she is worried about her
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
10-year-old daughter having breast cancer. She describes a unilateral
|! |! |! |! |! |! |! |! |!
enlargement of the right breast with associated tenderness. She is worried|! |! |! |! |! |! |! |! |! |! |!
because the left breast is not enlarged. What would be the nurse's best
|! |! |! |! |! |! |! |! |! |! |! |! |!
response? Tell the mother that: |! |! |! |!
a. Breast development is usually fairly symmetric and that the daughter
|! |! |! |! |! |! |! |! |! |! |!
should be examined right away.
|! |! |! |!
b. She should bring in her daughter right away because breast cancer is fairly
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
common in preadolescent girls. |! |! |!
c. Although an examination of her daughter would rule out a problem, her
|! |! |! |! |! |! |! |! |! |! |! |! |!
breast development is most likely normal.
|! |! |! |! |!
d. It is unusual for breasts that are first developing to feel tender because they
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
haven't developed much fibrous tissue. - Correct answer ✔c. Although an
|! |! |! |! |! |! |! |! |! |! |! |!
examination of her daughter would rule out a problem, her breast |! |! |! |! |! |! |! |! |! |! |!
development is most likely normal. |! |! |! |!
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:
|! |!
a. The girl began to develop breasts.
|! |! |! |! |! |!
b. Her mother developed breasts.
|! |! |! |!
c. She began to develop pubic hair.
|! |! |! |! |! |!
d. She began to develop axillary hair. - Correct answer ✔a. 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 that she is worried
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
, that this is unusual. What is the nurse's best response? The nurse should tell
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
her that: |!
a. Continual changes in her breasts are unusual. The breasts of nonpregnant
|! |! |! |! |! |! |! |! |! |! |! |!
women usually stay pretty much the same all month long.
|! |! |! |! |! |! |! |! |!
b. Breast changes in response to stress are very common and that she should
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
assess her life for stressful events.
|! |! |! |! |!
c. Because of the changing hormones during the monthly menstrual cycle,
|! |! |! |! |! |! |! |! |! |! |!
cyclic breast changes are common.
|! |! |! |!
d. Breast changes normally occur only during pregnancy and that a
|! |! |! |! |! |! |! |! |! |! |!
pregnancy test is needed at this time. - Correct answer ✔c. 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?
|! |! |! |! |! |!
a. She can expect her areolae to become larger and darker in color.
|! |! |! |! |! |! |! |! |! |! |! |!
b. Breasts may begin secreting milk after the fourth month of pregnancy.
|! |! |! |! |! |! |! |! |! |! |!
c. She should inspect her breasts for visible veins and immediately report
|! |! |! |! |! |! |! |! |! |! |! |!
these.
d. During pregnancy, breast changes are fairly uncommon; most of the
|! |! |! |! |! |! |! |! |! |! |!
changes occur after the birth. - Correct answer ✔a. 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?
|! |! |! |!
a. "Your breast milk is immediately present after the delivery of your baby."
|! |! |! |! |! |! |! |! |! |! |! |!
