NURS 160 EXAM 4 2025 QUESTIONS AND
ANSWERS
The nurse is reinforcing the need to perform breast self-examinations. Which statement
regarding breast self-examination (BSE) is true? - ANS BSE is useful for the early detection of
abnormalities of the breast.
The nurse is teaching patient BSE and emphasizes the need to check________, where tumors
are commonly found. - ANS in the upper outer quadrant and the tail of Spence
The nurse assesses small raised bumps observed on the nipples of a patient. These are known
as: - ANS Montgomery's tubercles.
The nurse assesses that an older male has gynecomastia. The nurse suspects which cause? -
ANS A decrease in testosterone
The nurse observes a supernumerary nipple on a newborn. What significance does this have? -
ANS This is considered a normal variation
The nurse is preparing the patient for an axilla exam. Before the nurse palpates the axilla, it is
ideal to place the patient in which position? - ANS Sitting with her arms at her sides
Which statement is true regarding the examination of a patient who had a right-sided
mastectomy 2 years ago? - ANS If a malignancy recurs, it may occur in the scar.
1 @COPYRIGHT THEBRIGHT 2025/2026
, What type of nipple discharge would make the nurse suspect that the patient has an infection
in the breast? - ANS A purulent discharge
The nurse knows that these are risk factors for breast cancer. (Select all that apply.) -
ANS Menopause after age 50 Correct
Giving birth to a first child at age 38 Correct
A first-degree relative with breast cancer
The nurse is assessing a 5-month-old infant to determine if the infant is meeting typical
milestones. Which observation should be considered an expected finding for a 5-month-old
infant? - ANS Rolls over independently
The nurse notes that a child is having a great deal of difficulty adjusting to the new school year.
According to Erickson's theory, personality development depends on: - ANS resolving conflict
successfully within each stage
The nurse is assessing an infant. The nurse takes a toy and moves it from the infant's sight. The
nurse is assessing for which of the following? - ANS Object permanence
The nurse is performing an assessment on a newborn infant. The nurse will assess the infant's
weight, length, and ____________ as part of this routine assessment. - ANS head
circumference
A school nurse is developing a health seminar for the tenth grade student assembly. When
planning learning activities, the nurse should consider which developmental task of the
adolescent population? - ANS Developing mature peer relationships and accepting physical
changes
The nurse is performing a developmental assessment on a child in the outpatient setting. The
primary purpose focus of this assessment will be to - ANS identify children below the normal
developmental level for their age group.
2 @COPYRIGHT THEBRIGHT 2025/2026
ANSWERS
The nurse is reinforcing the need to perform breast self-examinations. Which statement
regarding breast self-examination (BSE) is true? - ANS BSE is useful for the early detection of
abnormalities of the breast.
The nurse is teaching patient BSE and emphasizes the need to check________, where tumors
are commonly found. - ANS in the upper outer quadrant and the tail of Spence
The nurse assesses small raised bumps observed on the nipples of a patient. These are known
as: - ANS Montgomery's tubercles.
The nurse assesses that an older male has gynecomastia. The nurse suspects which cause? -
ANS A decrease in testosterone
The nurse observes a supernumerary nipple on a newborn. What significance does this have? -
ANS This is considered a normal variation
The nurse is preparing the patient for an axilla exam. Before the nurse palpates the axilla, it is
ideal to place the patient in which position? - ANS Sitting with her arms at her sides
Which statement is true regarding the examination of a patient who had a right-sided
mastectomy 2 years ago? - ANS If a malignancy recurs, it may occur in the scar.
1 @COPYRIGHT THEBRIGHT 2025/2026
, What type of nipple discharge would make the nurse suspect that the patient has an infection
in the breast? - ANS A purulent discharge
The nurse knows that these are risk factors for breast cancer. (Select all that apply.) -
ANS Menopause after age 50 Correct
Giving birth to a first child at age 38 Correct
A first-degree relative with breast cancer
The nurse is assessing a 5-month-old infant to determine if the infant is meeting typical
milestones. Which observation should be considered an expected finding for a 5-month-old
infant? - ANS Rolls over independently
The nurse notes that a child is having a great deal of difficulty adjusting to the new school year.
According to Erickson's theory, personality development depends on: - ANS resolving conflict
successfully within each stage
The nurse is assessing an infant. The nurse takes a toy and moves it from the infant's sight. The
nurse is assessing for which of the following? - ANS Object permanence
The nurse is performing an assessment on a newborn infant. The nurse will assess the infant's
weight, length, and ____________ as part of this routine assessment. - ANS head
circumference
A school nurse is developing a health seminar for the tenth grade student assembly. When
planning learning activities, the nurse should consider which developmental task of the
adolescent population? - ANS Developing mature peer relationships and accepting physical
changes
The nurse is performing a developmental assessment on a child in the outpatient setting. The
primary purpose focus of this assessment will be to - ANS identify children below the normal
developmental level for their age group.
2 @COPYRIGHT THEBRIGHT 2025/2026
