TESTBANK FOR LEWIS MEDICAL SURGICAL NURSING
11TH EDITION BYHARDING Questions & Answers
satisfaction guaranteed success ( CHAPTERS 30-47)
latest update
Chapter 30: Breast Disorders
Test Bank
MULTIPLE
CHOICE
1. The nurse teaching a young womens community service group about
breast self-examination (BSE) will include that
a. BSE will reduce the risk of dying from breast cancer.
b. BSE should be done daily while taking a bath or shower.
c. annual mammograms should be scheduled in addition to BSE.
d. performing BSE after the menstrual period is more comfortable.
ANS: D
Performing BSE at the end of the menstrual period will reduce the breast
tenderness associated with the procedure. The evidence is not clear that BSE
reduces mortality from breast cancer. BSE should be done monthly. Annual
mammograms are not routinely scheduled for women under age 40, and newer
guidelines suggest delaying them until age 50.
,DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
2. During a well woman physical exam, a 43-year-old patient asks about
her risk for breast cancer. Which question is most pertinent for the nurse
to ask?
a. Do you currently smoke tobacco?
b. Have you ever had a breast injury?
c. At what age did you start having menstrual periods?
d. Is there a family history of fibrocystic breast changes?
ANS: C
Early menarche and late menopause are risk factors for breast cancer
because of the prolonged exposure to estrogen that occurs. Cigarette smoking,
breast trauma, and fibrocystic breast changes are not associated with increased
breast cancer risk.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
3. A 51-year-old patient with a small immobile breast lump is considering
,having a fine-needle aspiration (FNA) biopsy. The nurse explains that an
advantage to this procedure is that
a. FNA is done in the outpatient clinic and results are available in 1 to 2
days.
b. only sa ssmall sincision sis sneeded, sresulting sin sminimal sbreast spain sand
sscarring.
c. if sthe sbiopsy sresults sare snegative, sno sfurther sdiagnostic stesting swill sbe
sneeded.
d. FNA sis sguided sby sa smammogram, sensuring sthat scells sare staken sfrom
sthe slesion.
ANS: sA
FNA sis sdone sin soutpatient ssettings sand sresults sare savailable sin s24 sto s48
hours. sNo sincision sis sneeded. sFNA smaysbe sguided sby sultrasound, sbut snot sby
s
mammogram. sBecause sthe simmobility sof sthe sbreast slump ssuggests scancer,
s
s further stesting swill sbe sdone sif sthe sFNA sis snegative.
DIF: sCognitive sLevel: sApply s(application)
TOP: s Nursing s Process: s Implementation s MSC: s NCLEX: s Physiological
s Integrity
4. Which s assessment s finding s in s a s 36-year-old s patient s is smost s indicative s of s a
s need s for s further s evaluation?
, a. Bilateral sbreast snodules sthat sare stender swith spalpation
b. A sbreast snodule sthat sis s1 scm sin ssize, snontender, sand sfixed
c. A sbreast slump sthat sincreases sin ssize sbefore sthe smenstrual speriod
d. A sbreast slump sthat sis ssmall, smobile, swith sa
rubbery sconsistencysANS: sB
s
Painless sand sfixed slumps ssuggest sbreast scancer. sThe sother sfindings sare smore
suggestive sof sbenign sprocessesssuch sas sfibrocystic sbreasts sand
s
fibroadenoma.
s
DIF: sCognitive sLevel: sApply s(application)
TOP: sNursing sProcess: sAssessment sMSC: sNCLEX: sPhysiological sIntegrity
5. A s53-year-old swoman sat smenopause sis sdiscussing sthe suse sof shormone
therapy s(HT) swith sthe snurse. sWhichsinformation sabout sthe srisk sof sbreast
s
cancer swill sthe snurse sprovide?
s
a. HT s is s a s safe s therapy s for s menopausal s symptoms s if s there s is s no s family
s history s of sBRCA s genes.
b. HT sdoes snot sappear sto sincrease sthe srisk sfor sbreast scancer sunless
sthere sare sother srisk sfactors.
c. The spatient sand sher shealth scare sprovider smust sweigh sthe sbenefits
sof sHT sagainst sthe srisks sof sbreastscancer.
11TH EDITION BYHARDING Questions & Answers
satisfaction guaranteed success ( CHAPTERS 30-47)
latest update
Chapter 30: Breast Disorders
Test Bank
MULTIPLE
CHOICE
1. The nurse teaching a young womens community service group about
breast self-examination (BSE) will include that
a. BSE will reduce the risk of dying from breast cancer.
b. BSE should be done daily while taking a bath or shower.
c. annual mammograms should be scheduled in addition to BSE.
d. performing BSE after the menstrual period is more comfortable.
ANS: D
Performing BSE at the end of the menstrual period will reduce the breast
tenderness associated with the procedure. The evidence is not clear that BSE
reduces mortality from breast cancer. BSE should be done monthly. Annual
mammograms are not routinely scheduled for women under age 40, and newer
guidelines suggest delaying them until age 50.
,DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
2. During a well woman physical exam, a 43-year-old patient asks about
her risk for breast cancer. Which question is most pertinent for the nurse
to ask?
a. Do you currently smoke tobacco?
b. Have you ever had a breast injury?
c. At what age did you start having menstrual periods?
d. Is there a family history of fibrocystic breast changes?
ANS: C
Early menarche and late menopause are risk factors for breast cancer
because of the prolonged exposure to estrogen that occurs. Cigarette smoking,
breast trauma, and fibrocystic breast changes are not associated with increased
breast cancer risk.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
3. A 51-year-old patient with a small immobile breast lump is considering
,having a fine-needle aspiration (FNA) biopsy. The nurse explains that an
advantage to this procedure is that
a. FNA is done in the outpatient clinic and results are available in 1 to 2
days.
b. only sa ssmall sincision sis sneeded, sresulting sin sminimal sbreast spain sand
sscarring.
c. if sthe sbiopsy sresults sare snegative, sno sfurther sdiagnostic stesting swill sbe
sneeded.
d. FNA sis sguided sby sa smammogram, sensuring sthat scells sare staken sfrom
sthe slesion.
ANS: sA
FNA sis sdone sin soutpatient ssettings sand sresults sare savailable sin s24 sto s48
hours. sNo sincision sis sneeded. sFNA smaysbe sguided sby sultrasound, sbut snot sby
s
mammogram. sBecause sthe simmobility sof sthe sbreast slump ssuggests scancer,
s
s further stesting swill sbe sdone sif sthe sFNA sis snegative.
DIF: sCognitive sLevel: sApply s(application)
TOP: s Nursing s Process: s Implementation s MSC: s NCLEX: s Physiological
s Integrity
4. Which s assessment s finding s in s a s 36-year-old s patient s is smost s indicative s of s a
s need s for s further s evaluation?
, a. Bilateral sbreast snodules sthat sare stender swith spalpation
b. A sbreast snodule sthat sis s1 scm sin ssize, snontender, sand sfixed
c. A sbreast slump sthat sincreases sin ssize sbefore sthe smenstrual speriod
d. A sbreast slump sthat sis ssmall, smobile, swith sa
rubbery sconsistencysANS: sB
s
Painless sand sfixed slumps ssuggest sbreast scancer. sThe sother sfindings sare smore
suggestive sof sbenign sprocessesssuch sas sfibrocystic sbreasts sand
s
fibroadenoma.
s
DIF: sCognitive sLevel: sApply s(application)
TOP: sNursing sProcess: sAssessment sMSC: sNCLEX: sPhysiological sIntegrity
5. A s53-year-old swoman sat smenopause sis sdiscussing sthe suse sof shormone
therapy s(HT) swith sthe snurse. sWhichsinformation sabout sthe srisk sof sbreast
s
cancer swill sthe snurse sprovide?
s
a. HT s is s a s safe s therapy s for s menopausal s symptoms s if s there s is s no s family
s history s of sBRCA s genes.
b. HT sdoes snot sappear sto sincrease sthe srisk sfor sbreast scancer sunless
sthere sare sother srisk sfactors.
c. The spatient sand sher shealth scare sprovider smust sweigh sthe sbenefits
sof sHT sagainst sthe srisks sof sbreastscancer.
