NSG 121 Exam New updated Edition 2026Questions And Correct
Verified Answers Herzing University-Minneapolis / NSG 121
26
Which instruction is given to the patient during a screening for retraction of the breasts? Select all that
apply.
a. push the palms together
20
b. put both hands on the hips
c. rotate the hips to the opposite side
d. lift both arms slowly over the head
e. lie down and raise an arm over the head
-ANSWER- a. push the palms together
am
b. put both hands on the hips
Ex
d. lift both the arms slowly over the head
Rationale Growing neoplasms cause fibrosis in the breast, and the breast tissue shows signs
of retraction. When the arms are lifted, the nurse observes for symmetric upward
movements. A lag in movement is a sign of reraction. Hands on hips followed by
s
pushing the palms together contract the pectoralis major muscles, causing a slight
rt
lifting of both the breasts. A dimpling or pucker indicates skin retraction.
pe
The largest amount of glandular breast tissue lies in the:
a. upper inner quadrant.
Ex
b. lower inner.
c. tail of Spence.
d. upper outer quadrant.
e. lower outer.
ANS: D
The greatest amount of glandular tissue in the breast lies in the upper outer quadrant. Tail of Spence, the cone shape of breast tissue that projects up into
the axilla, close to the pectoral group of axillary lymph nodes, is part of the upper outer quadrant.
Montgomery tubercles are most prominent in the breasts of:
,A. patients with lung disease.
B. adolescent girls.
C. prepubertal girls.
D. pregnant women.
-ANSWER- D. pregnant women
Rationale - Montgomery tubercles undergo hypertrophy and become more prominent in the
breast of pregnant and lactating women
26
Around 75% of women are menstruating by which Tanner
20
stage of breast development?
a. Stage 1
b. Stage 2
c. Stage 3
d. Stage 4
e. Stage 5
am
-ANSWER- d. Stage 4
Ex
Rationale - About one-fourth of women begin menstruation at stage 4. Around 75% are
menstruating at stage 4, the stage at which the areola forms a second mound.
Some 10% of young women do not begin to menstruate until stage 5
s
rt
pe
Ex
, Around 75% of women are menstruating by which Tanner d. Stage 4
stage of breast development?
a. Stage 1 About one-fourth of women begin menstruation at stage 4. Around 75% are
b. Stage 2 menstruating at stage 4, the stage at which the areola forms a second mound.
c. Stage 3 Some 10% of young women do not begin to menstruate until stage 5.
d. Stage 4
e. Stage 5 pg 386
2 6
20
Which breast change is typical after menopause? a. Thickening of the inframammary ridge
a. Thickening of the inframammary ridge
b. Hypertrophy of glandular tissue c. Increase After menopause, the breast tissue atrophies and is replaced by fat deposit, the
in number of lactiferous ducts
d. Reduction of fat deposits
e. Shortening of Cooper's ligaments
am inframammary ridge at the lower edge of the breast thickens, and the breast
hangs more loosely as Cooper's ligaments relax.
In a woman complaining of a breast lump it is most a. its relationship to menses.
important to ask about:
Ex
a. its relationship to menses. Hormonal changes of menstruation can result in breast tenderness, swelling, and
b. weight gain. enlarged nodes that can be felt on palpation.
c. sleep patterns.
d. immunization status.
e. alcohol consumption.
ts
A 50-year-old woman presents as a new patient. Which finding c. Nulliparity
r
in her personal and social history would increase
her risk profile for developing breast cancer? Nulliparity or late age at birth of first child (after 30 years old) is a risk factor for
pe
a. Drinking three glasses of wine per week breast cancer. Other risk factors include late menopause, early menarche, and
b. Early menopause drinking more than one alcoholic drink daily.
c. Nulliparity
d. Late menarche Table 18.2 pg 391
Ex
e. Young age at birth of first child
Inspection of the breasts usually begins with the patient in b. Sitting
which position?
a. Lateral Inspection begins with the patient in a sitting position with arms hanging loosely
b. Sitting at the sides.
c. Standing
d. Supine pg 392
e.Prone
Verified Answers Herzing University-Minneapolis / NSG 121
26
Which instruction is given to the patient during a screening for retraction of the breasts? Select all that
apply.
a. push the palms together
20
b. put both hands on the hips
c. rotate the hips to the opposite side
d. lift both arms slowly over the head
e. lie down and raise an arm over the head
-ANSWER- a. push the palms together
am
b. put both hands on the hips
Ex
d. lift both the arms slowly over the head
Rationale Growing neoplasms cause fibrosis in the breast, and the breast tissue shows signs
of retraction. When the arms are lifted, the nurse observes for symmetric upward
movements. A lag in movement is a sign of reraction. Hands on hips followed by
s
pushing the palms together contract the pectoralis major muscles, causing a slight
rt
lifting of both the breasts. A dimpling or pucker indicates skin retraction.
pe
The largest amount of glandular breast tissue lies in the:
a. upper inner quadrant.
Ex
b. lower inner.
c. tail of Spence.
d. upper outer quadrant.
e. lower outer.
ANS: D
The greatest amount of glandular tissue in the breast lies in the upper outer quadrant. Tail of Spence, the cone shape of breast tissue that projects up into
the axilla, close to the pectoral group of axillary lymph nodes, is part of the upper outer quadrant.
Montgomery tubercles are most prominent in the breasts of:
,A. patients with lung disease.
B. adolescent girls.
C. prepubertal girls.
D. pregnant women.
-ANSWER- D. pregnant women
Rationale - Montgomery tubercles undergo hypertrophy and become more prominent in the
breast of pregnant and lactating women
26
Around 75% of women are menstruating by which Tanner
20
stage of breast development?
a. Stage 1
b. Stage 2
c. Stage 3
d. Stage 4
e. Stage 5
am
-ANSWER- d. Stage 4
Ex
Rationale - About one-fourth of women begin menstruation at stage 4. Around 75% are
menstruating at stage 4, the stage at which the areola forms a second mound.
Some 10% of young women do not begin to menstruate until stage 5
s
rt
pe
Ex
, Around 75% of women are menstruating by which Tanner d. Stage 4
stage of breast development?
a. Stage 1 About one-fourth of women begin menstruation at stage 4. Around 75% are
b. Stage 2 menstruating at stage 4, the stage at which the areola forms a second mound.
c. Stage 3 Some 10% of young women do not begin to menstruate until stage 5.
d. Stage 4
e. Stage 5 pg 386
2 6
20
Which breast change is typical after menopause? a. Thickening of the inframammary ridge
a. Thickening of the inframammary ridge
b. Hypertrophy of glandular tissue c. Increase After menopause, the breast tissue atrophies and is replaced by fat deposit, the
in number of lactiferous ducts
d. Reduction of fat deposits
e. Shortening of Cooper's ligaments
am inframammary ridge at the lower edge of the breast thickens, and the breast
hangs more loosely as Cooper's ligaments relax.
In a woman complaining of a breast lump it is most a. its relationship to menses.
important to ask about:
Ex
a. its relationship to menses. Hormonal changes of menstruation can result in breast tenderness, swelling, and
b. weight gain. enlarged nodes that can be felt on palpation.
c. sleep patterns.
d. immunization status.
e. alcohol consumption.
ts
A 50-year-old woman presents as a new patient. Which finding c. Nulliparity
r
in her personal and social history would increase
her risk profile for developing breast cancer? Nulliparity or late age at birth of first child (after 30 years old) is a risk factor for
pe
a. Drinking three glasses of wine per week breast cancer. Other risk factors include late menopause, early menarche, and
b. Early menopause drinking more than one alcoholic drink daily.
c. Nulliparity
d. Late menarche Table 18.2 pg 391
Ex
e. Young age at birth of first child
Inspection of the breasts usually begins with the patient in b. Sitting
which position?
a. Lateral Inspection begins with the patient in a sitting position with arms hanging loosely
b. Sitting at the sides.
c. Standing
d. Supine pg 392
e.Prone
