NURS 612 Maryville Exam 3 Questions and Correct
Verified Answers Latest Update 2025 A+ For Success
1. A mother brings her 18-month-old son to the clinic. She states that the child
rarely talks or smiles or makes eye contact. She has also noticed that he does
not like to be held. She says his motor development seems to be normal. These
symptoms are consistent with what condition?
A. dementia
B. autistic disorder
C. ADHD
D. delirium: B. autistic disorder
2. A patient with Alzheimer disease classically displays which of the follow-
ing?
A. alternating periods of mania and stupor
B. hallucinations and decorticate posturing
C. disintegration of personality
D. rapid onset of symptoms: C. disintegration of personality
3. Which characteristic suggest that a lesion on a patient's breast is Paget
disease and not eczema?
A. itchy predominantly at night
B. Erythematous and crusty
C. confined to the nipple and areola of one breast
D. does not respond to steroids: D. does not respond to steroids
4. How should a breast examination on a patient who had a lumpectomy for
breast cancer differ from a breast examination on a patient who has not had
breast cancer?
A. supraclavicular and infraclavicular lymph nodes are palpate
,B. the lateral position with hands over the head is used for palpation
C. the area of the scar is palpated with two fingers using a circular motion
D. the fingertips are used to palpate for intercostal breast tissue: C. the area of
the scar is palpated with two fingers using a circular motion
5. While palpating the axilla, it is best to place the patient in a...
A. sitting position with the arm flexed at the elbow
B. sitting position with the arm at the side
C. supine position with the arms on the hips
D. lateral position with the arms at the sides: A. sitting position with the arm flexed
at the elbow
6. Nipple compression should be included as part of the breast examination
for which of the following patients?
A. a 23-year-old woman concerned about "lumps and tenderness" premen-
strually
B. a 35-year-old lactating woman with "very sore nipples"
C. a 48-year-old woman reporting two episodes of bloody discharge from the
right nipple
D. a 60-year-old man with gynecomastia: C. a 48-year-old woman reporting two
episodes of bloody discharge from the right nipple
7. A supernumerary nipple is found on a white newborn infant girl. Which of
the following may accompany this finding?
A. increased risk for breast cancer as an adult
B. increased lactation volume as an adult
C. congenital renal or cardiac anomalies
D. mental retardation: C. congenital renal or cardiac anomalies
8. Which are typical descriptors of fibroadenoma?
A. bilateral, stellate, rubbery, non-tender
B. multiple, unilateral, tender, well defined
C. single, discoid, firm, non-tender
D. unilateral, hard, stellate, fixed: C. single, discoid, firm, non-tender
9. Which is the correct position in which to place a patient for breast palpa-
tion?
A. supine with the arms at the sides and a pillow under the neck
B. supine with the arms over the head and a small pillow under the shoulder
of the side of the being assessed
,C. left lateral position with the arm bent backward
D. sitting slightly forward with the breasts hanging away from the chest; the
hands on the hips: B. supine with the arm over the head and a small pillow under
the shoulder of the side being assessed
, 10. Which statement made by a 37-year-old woman would make the examiner
suspect fibrocystic disease?
A. I have a lump in my breast that is not tender
B. my right breast is larger than my left breast
C. my nipples are darker than before my baby was born
D. I feel a lump in my breast before my period: D. I feel a lump in my breast before
my period
11. A patient, 3 weeks postpartum, tells the examiner that she is currently
breastfeeding but might stop because her nipples are sore. The examiner
observes dry and cracked nipples. Which of the following questions would be
helpful in gaining information relevant to treating the problem?
A. do you pump your breasts
B. how do you clean your breasts
C. have you been able to bond with your infant
D. what medications have you been taking: B. how do you clean your breasts
12. A 68-year-old man presents with gynecomastia. Which factor is a potential
cause of the problem?
A. a decrease in physical activity
B. increased lactiferous duct glands
C. lymphatic engorgement
D. a decrease in testosterone: D. a decrease in testosterone
13. Symptoms consistent with underlying ductal malignancy include:
A. erythema, heat, and pain over and around one nipple
B. red, scaling, crusty patch on one nipple
C. bilateral inflammation; tenderness; and sticky, multicolored nipple dis-
charge
D. gynecomastia and a deepening color of the nipple: B. red, scaling, crusty
patch on one nipple
14. While examining the breast of a 52-year-old woman, the examiner notes
nipple discharge. Which of the following diagnostic tests would be appropri-
ate?
A. cytologic examination of the discharge
B. culture and sensitivity examination of the discharge
C. white blood cell count
D. estrogen level: A. cytologic examination of the discharge
Verified Answers Latest Update 2025 A+ For Success
1. A mother brings her 18-month-old son to the clinic. She states that the child
rarely talks or smiles or makes eye contact. She has also noticed that he does
not like to be held. She says his motor development seems to be normal. These
symptoms are consistent with what condition?
A. dementia
B. autistic disorder
C. ADHD
D. delirium: B. autistic disorder
2. A patient with Alzheimer disease classically displays which of the follow-
ing?
A. alternating periods of mania and stupor
B. hallucinations and decorticate posturing
C. disintegration of personality
D. rapid onset of symptoms: C. disintegration of personality
3. Which characteristic suggest that a lesion on a patient's breast is Paget
disease and not eczema?
A. itchy predominantly at night
B. Erythematous and crusty
C. confined to the nipple and areola of one breast
D. does not respond to steroids: D. does not respond to steroids
4. How should a breast examination on a patient who had a lumpectomy for
breast cancer differ from a breast examination on a patient who has not had
breast cancer?
A. supraclavicular and infraclavicular lymph nodes are palpate
,B. the lateral position with hands over the head is used for palpation
C. the area of the scar is palpated with two fingers using a circular motion
D. the fingertips are used to palpate for intercostal breast tissue: C. the area of
the scar is palpated with two fingers using a circular motion
5. While palpating the axilla, it is best to place the patient in a...
A. sitting position with the arm flexed at the elbow
B. sitting position with the arm at the side
C. supine position with the arms on the hips
D. lateral position with the arms at the sides: A. sitting position with the arm flexed
at the elbow
6. Nipple compression should be included as part of the breast examination
for which of the following patients?
A. a 23-year-old woman concerned about "lumps and tenderness" premen-
strually
B. a 35-year-old lactating woman with "very sore nipples"
C. a 48-year-old woman reporting two episodes of bloody discharge from the
right nipple
D. a 60-year-old man with gynecomastia: C. a 48-year-old woman reporting two
episodes of bloody discharge from the right nipple
7. A supernumerary nipple is found on a white newborn infant girl. Which of
the following may accompany this finding?
A. increased risk for breast cancer as an adult
B. increased lactation volume as an adult
C. congenital renal or cardiac anomalies
D. mental retardation: C. congenital renal or cardiac anomalies
8. Which are typical descriptors of fibroadenoma?
A. bilateral, stellate, rubbery, non-tender
B. multiple, unilateral, tender, well defined
C. single, discoid, firm, non-tender
D. unilateral, hard, stellate, fixed: C. single, discoid, firm, non-tender
9. Which is the correct position in which to place a patient for breast palpa-
tion?
A. supine with the arms at the sides and a pillow under the neck
B. supine with the arms over the head and a small pillow under the shoulder
of the side of the being assessed
,C. left lateral position with the arm bent backward
D. sitting slightly forward with the breasts hanging away from the chest; the
hands on the hips: B. supine with the arm over the head and a small pillow under
the shoulder of the side being assessed
, 10. Which statement made by a 37-year-old woman would make the examiner
suspect fibrocystic disease?
A. I have a lump in my breast that is not tender
B. my right breast is larger than my left breast
C. my nipples are darker than before my baby was born
D. I feel a lump in my breast before my period: D. I feel a lump in my breast before
my period
11. A patient, 3 weeks postpartum, tells the examiner that she is currently
breastfeeding but might stop because her nipples are sore. The examiner
observes dry and cracked nipples. Which of the following questions would be
helpful in gaining information relevant to treating the problem?
A. do you pump your breasts
B. how do you clean your breasts
C. have you been able to bond with your infant
D. what medications have you been taking: B. how do you clean your breasts
12. A 68-year-old man presents with gynecomastia. Which factor is a potential
cause of the problem?
A. a decrease in physical activity
B. increased lactiferous duct glands
C. lymphatic engorgement
D. a decrease in testosterone: D. a decrease in testosterone
13. Symptoms consistent with underlying ductal malignancy include:
A. erythema, heat, and pain over and around one nipple
B. red, scaling, crusty patch on one nipple
C. bilateral inflammation; tenderness; and sticky, multicolored nipple dis-
charge
D. gynecomastia and a deepening color of the nipple: B. red, scaling, crusty
patch on one nipple
14. While examining the breast of a 52-year-old woman, the examiner notes
nipple discharge. Which of the following diagnostic tests would be appropri-
ate?
A. cytologic examination of the discharge
B. culture and sensitivity examination of the discharge
C. white blood cell count
D. estrogen level: A. cytologic examination of the discharge
