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NURS 6512 Final Exam Review – Advanced Health Assessment Q&A (Breast & Respiratory) | 2026/2027 Update

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Prepare for your NURS 6512 Advanced Health Assessment final exam with this detailed, question-and-answer study guide covering breast and respiratory system assessment. Breast topics include normal anatomy and lifespan changes (adolescent development, pregnancy, lactation, menopause), breast self-examination (BSE) technique and timing, breast cancer risk factors and warning signs, benign versus malignant mass characteristics, mastitis, gynecomastia, nipple abnormalities, and cultural/demographic risk disparities. Respiratory topics include thoracic landmarks, lung anatomy, auscultation and percussion techniques, normal versus adventitious breath sounds (wheezes, crackles, friction rub), tactile fremitus, pneumothorax, asthma, COPD, pulmonary edema, tuberculosis, pulmonary embolism, and age-related respiratory changes across pediatric, adult, and geriatric populations. This graded A resource is ideal for graduate nursing students, FNP/APRN candidates, and anyone preparing for physical assessment exams, clinicals, or board review.

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NURS6512 Final Exam | [Latest 2026/2027 Update] Questions & Answers | Grade A | 100% Correct

Which of the following statements is true regarding the internal structures of the breast? The breast is: ✔️ANS: composed of fibrous, glandular,
and adipose tissue.

In performing a breast examination, the nurse knows that it is especially important to examine the upper outer quadrant of the breast. The
reason for this is that the upper outer quadrant is: ✔️ANS: the location of most breast tumors.

The upper outer quadrant is the site of most breast tumors. In the upper outer quadrant

In performing an assessment of a woman's axillary lymph system, the nurse should assess which of these nodes? ✔️ANS: Central, lateral,
pectoral, and subscapular nodes

If a patient reports a recent breast infection, then the nurse should expect to find _____ node enlargement. ✔️ANS: ipsilateral axillary.

A 9-year-old girl is in the clinic for a sports physical. After some initial shyness she finally asks, "Am I normal? ✔️ANS: "I understand that it is hard
to feel different from your friends. Breasts usually develop between 8 and 10 years of age."

Adolescent breast development usually begins 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. What would be the
nurse's best response? ✔️it is most likely normal breast development.

A 14-year-old girl is anxious about not having reached menarche. The age: ✔️ANS: she began to develop breasts



Full development from stage 2 to stage 5 takes an average of 3 years, although the range is 1.5 to 6 years.

A woman is in the family planning clinic seeking birth control information. She states that her breasts "change all month long" ✔️ANS: Tell her
that, 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? ✔️ANS: She can expect her
areolae to become larger and darker in color.

The nurse is teaching a pregnant woman about breast milk. Which is correct? ✔️ANS: "You may notice a thick, yellow fluid expressed from your
breasts as early as the fourth month of pregnancy."

A 65-year-old patient remarks that she just can't believe that her breasts sag so much. ✔️ANS: After menopause, the glandular and fat tissue
atrophies, causing breast size and elasticity to diminish, resulting in breasts that sag.

In examining a 70-year-old male patient, he has bilateral gynecomastia. nurse's best course of action? ✔️ANS: Explain that this condition may be
the result of hormonal changes

During an examination of a 7-year-old girl, the nurse notices that the girl is showing breast budding. ✔️ANS: Assess the girl's weight and body
mass index (BMI).

The nurse is reviewing statistics regarding breast cancer. Which woman, aged 40 years in the United States, has the highest risk for
development of breast cancer? ✔️ANS: African-American

Which statement is true with regard to breast cancer in African-American women in the United States? ✔️ANS: African-American women are
more likely to die of breast cancer at any age.

During a breast health interview, a patient states that she has noticed pain in her left breast. ✔️ANS: "I would like some more information about
the pain in your left breast."

a female patient states that she has noticed a few drops of clear discharge from her right nipple. ✔️ANS: Ask her some additional questions
about the medications she is taking.

During a physical examination, a 45-year-old woman states that she has had a crusty, itchy rash on her breast for about 2 weeks. ✔️ANS: Where
did it first appear—on the nipple, the areola, or the surrounding skin?

A patient is newly diagnosed with benign breast disease. The presence of benign breast disease: ✔️ANS: makes it harder to examine the breasts.

, During an annual physical exam, a 43-year-old patient states that she doesn't perform monthly breast self-examinations (BSE). ✔️ANS: BSEs may
detect lumps that appear between mammograms.

During an interview, a patient reveals that she is pregnant. will breastfeed her baby and asks for some information about this. ✔️ANS:
"Breastfeeding provides the perfect food and antibodies for your baby."

The nurse is reviewing risk factors for breast cancer. Which of these women have risk factors that place them at a higher risk for breast cancer?
✔️ANS: 65 year old whose mother had breast cancer

During an examination of a woman, the nurse notices that her left breast is slightly larger than her right breast. Which of these statements is
true about this finding? ✔️ANS: This finding is not unusual, but the nurse should verify that this change is not new.

The nurse is assisting with a self-breast examination clinic. Which of these women reflect abnormal findings during the inspection phase of
breast examination? ✔️ANS: Woman whose nipples are in different planes (deviated)

During the physical examination, the nurse notices that a female patient has an inverted left nipple. Which statement regarding this is most
accurate? ✔️ANS: It should be determined whether the inversion is a recent change.

The nurse is performing a breast examination. Which of these statements best describes the correct procedure to use when screening for
nipple and skin retraction during a breast examination? Have the woman: ✔️ANS: slowly lift her arms above her head and note any retraction or
lag in movement

Which of these positions is most likely to make significant lumps more distinct during breast palpation? ✔️ANS: Supine with arms raised over her
head

Which of these clinical situations would the nurse consider to be outside normal limits? ✔️ANS: A patient has had two pregnancies and she
breastfed both of her children. Her youngest child is now 10 years old. Her breast examination reveals breast tissue that is somewhat soft and
she has a small amount of thick yellow discharge from both nipples.

A patient states during the interview that she noticed a new lump in the shower a few days ago. It was on her left breast near her axilla. The
nurse should plan to: ✔️ANS: palpate the unaffected breast first.

The nurse has palpated a lump in a female patient's right breast. The nurse documents this as a small, round, firm, distinct, lump located at 2
o'clock, 2 cm from the nipple. It is nontender and fixed. It is missing information about: ✔️ANS: the size of the lump.

The nurse is conducting a class about breast self-examination (BSE). Which of these statements indicates proper BSE technique? ✔️ANS: The
best time to perform BSE is 4 to 7 days after the first day of the menstrual period.

The nurse is preparing to teach a woman about breast self-examination (BSE). Which statement by the nurse is correct? ✔️ANS: "BSE on a
monthly basis will help you feel familiar with your own breasts and their normal variations."

A 55-year-old postmenopausal woman is being seen in the clinic for a yearly examination. She is concerned about changes in her breasts that
she has noticed over the past 5 years. She states that her breasts have decreased in size and that the elasticity has changed so that her breasts
seem "flat and flabby." The nurse's best reply would be: ✔️ANS: "Decreases in hormones after menopause causes atrophy of the glandular
tissue in the breast. This is a normal process of aging."

A 43-year-old woman is at the clinic for a routine examination. She reports that she has had a breast lump in her right breast for years.
Recently, it has begun to change in consistency and is becoming harder. She reports that 5 years ago her physician evaluated the lump and
determined that it "was nothing to worry about." The examination validates the presence of a mass in the right upper outer quadrant at 1
o'clock, approximately 5 cm from the nipple. It is firm, mobile, nontender, with borders that are not well defined. The nurse's recommendation
to her is: ✔️ANS: "Because of the change in consistency of the lump, it should be further evaluated by a physician."

During a discussion about breast self-examination with a 30-year-old woman, which of these statements by the nurse is most appropriate?
✔️ANS: "Examine your breasts shortly after your menstrual period each month."

The nurse is discussing breast self-examination with a postmenopausal woman. The best time for postmenopausal women to perform breast
self-examination is: ✔️ANS: the same day every month.

While inspecting a patient's breasts, the nurse finds that the left breast is slightly larger than the right with the presence of Montgomery's
glands bilaterally. The nurse should: ✔️ANS: consider these normal findings and proceed with the examination.

During an examination, the nurse notes a supernumerary nipple just under the patient's left breast. The patient tells the nurse that she always
thought it was a mole. Which statement about this finding is correct? ✔️ANS: It is a normal variation and not a significant finding.

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Subido en
8 de julio de 2026
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2025/2026
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