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NUR 201 MEDICAL-SURGICAL NURSING I EXAM 3 NEWEST
2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
The nurse is teaching a 45-year-old woman about her fibrocystic
breast changes. Which statement by the client indicates a lack of
understanding?
a. "This condition will become malignant over time."
b. "I understand that hormone-based drugs have serious adverse
effects."
c. "One cup of coffee in the morning should be enough for me."
d. "This condition makes it more difficult to examine my breasts." -
ANSWER-ANS: A
Fibrocystic breast changes do not increase a woman's chance of
developing breast cancer. Hormone-based drugs can be used in
severe cases to suppress the over-secretion of estrogen. Serious
adverse effects include thrombotic events and an increased risk
for uterine cancer. Limiting caffeine intake may give relief for
tender breasts. The fibrocystic changes to the breasts make it
more
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difficult to examine the breasts because of fibrotic changes and
lumps.
. The nurse is examining a woman's breast and notes multiple
small mobile lumps. Which question would be most appropriate
for
the nurse to ask?
a. "When was your last mammogram at the clinic?"
b. "How many cans of caffeinated soda do you drink in a day?"
c. "Do the small lumps seem to change with your menstrual
period?"
d. "Do you have a first-degree relative who has breast cancer? -
ANSWER-ANS: C
The most appropriate question would be one that relates to
benign lesions that usually change in response to hormonal
changes within a menstrual cycle. Reduction of caffeine in the diet
has been shown to give relief in fibrocystic breast changes, but
research has not found that it has a significant impact. Questions
related to the client's last mammogram or breast cancer history
are not
related to the nurse's assessment
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The nurse is working with a male client who has gynecomastia.
What action by the nurse is most appropriate?
a. Teach the client to perform self-breast examination.
b. Review the plan for chemotherapy after surgery.
c. Educate him on the side effects of tamoxifen.
d. Assess his usual daily alcohol intake. - ANSWER-ANS: C
Gynecomastia is enlarged breast tissue in men. It is from an
enlarged ridge of glandular breast tissue and is benign. The client
does
not need to perform SBE nor will he undergo chemotherapy.
Tamoxifen is one drug used to treat the condition, so the nurse
would
educate the client on the medication. Alcohol is not related.
Which finding in a female client by the nurse would receive the
highest priority for further diagnostics?
a. Tender moveable masses throughout the breast tissue
b. Nipple discharge without a palpable mass
c. Nontender fixed mass in the upper outer quadrant of the breast
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d. Small, painful mass under warm reddened skin and nipple
discharge - ANSWER-ANS: C
Malignant lesions are fixed, hard and irregularly shaped and this
lesion would be the priority for further diagnostic study. The other
lesions are benign breast disorders. The client with nipple
discharge but no palpable mass most likely has intraductal
papilloma.
The client who has nipple discharge but also has a mass under
warm, red, edematous skin most likely has ductal ectasia.
A nurse has taught a female client about the modifiable risk
factors for breast cancer. Which statement made by the client
indicates
that more teaching is needed?
a. "I am fortunate that I breast-fed each of my three children for
12 months."
b. "It looks as though I need to start working out at the gym more
often."
c. "I am glad that we can still have wine with every evening meal."
NUR 201 MEDICAL-SURGICAL NURSING I EXAM 3 NEWEST
2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
The nurse is teaching a 45-year-old woman about her fibrocystic
breast changes. Which statement by the client indicates a lack of
understanding?
a. "This condition will become malignant over time."
b. "I understand that hormone-based drugs have serious adverse
effects."
c. "One cup of coffee in the morning should be enough for me."
d. "This condition makes it more difficult to examine my breasts." -
ANSWER-ANS: A
Fibrocystic breast changes do not increase a woman's chance of
developing breast cancer. Hormone-based drugs can be used in
severe cases to suppress the over-secretion of estrogen. Serious
adverse effects include thrombotic events and an increased risk
for uterine cancer. Limiting caffeine intake may give relief for
tender breasts. The fibrocystic changes to the breasts make it
more
,2|Page
difficult to examine the breasts because of fibrotic changes and
lumps.
. The nurse is examining a woman's breast and notes multiple
small mobile lumps. Which question would be most appropriate
for
the nurse to ask?
a. "When was your last mammogram at the clinic?"
b. "How many cans of caffeinated soda do you drink in a day?"
c. "Do the small lumps seem to change with your menstrual
period?"
d. "Do you have a first-degree relative who has breast cancer? -
ANSWER-ANS: C
The most appropriate question would be one that relates to
benign lesions that usually change in response to hormonal
changes within a menstrual cycle. Reduction of caffeine in the diet
has been shown to give relief in fibrocystic breast changes, but
research has not found that it has a significant impact. Questions
related to the client's last mammogram or breast cancer history
are not
related to the nurse's assessment
,3|Page
The nurse is working with a male client who has gynecomastia.
What action by the nurse is most appropriate?
a. Teach the client to perform self-breast examination.
b. Review the plan for chemotherapy after surgery.
c. Educate him on the side effects of tamoxifen.
d. Assess his usual daily alcohol intake. - ANSWER-ANS: C
Gynecomastia is enlarged breast tissue in men. It is from an
enlarged ridge of glandular breast tissue and is benign. The client
does
not need to perform SBE nor will he undergo chemotherapy.
Tamoxifen is one drug used to treat the condition, so the nurse
would
educate the client on the medication. Alcohol is not related.
Which finding in a female client by the nurse would receive the
highest priority for further diagnostics?
a. Tender moveable masses throughout the breast tissue
b. Nipple discharge without a palpable mass
c. Nontender fixed mass in the upper outer quadrant of the breast
, 4|Page
d. Small, painful mass under warm reddened skin and nipple
discharge - ANSWER-ANS: C
Malignant lesions are fixed, hard and irregularly shaped and this
lesion would be the priority for further diagnostic study. The other
lesions are benign breast disorders. The client with nipple
discharge but no palpable mass most likely has intraductal
papilloma.
The client who has nipple discharge but also has a mass under
warm, red, edematous skin most likely has ductal ectasia.
A nurse has taught a female client about the modifiable risk
factors for breast cancer. Which statement made by the client
indicates
that more teaching is needed?
a. "I am fortunate that I breast-fed each of my three children for
12 months."
b. "It looks as though I need to start working out at the gym more
often."
c. "I am glad that we can still have wine with every evening meal."
