NSG6020 Final Exam Review
, NSG6020 Final Exam Review
Breast and Lymphatics
Statement by the patient would indicate a need for further teaching?
A. "The best time to check my breasts is a week before my cycle."
B. "I will check my breasts in the shower one week after my cycle."
C. "I will exam my breast in a clock-like sequence so that I don't miss any surface area."
D. "I will be sure to check my arm pits."
A
The week before a woman's cycle is not the best time to check for lumps because the breasts
become sore and tender and may also be "lumpy" a week prior to the cycle.
Answer 2 is incorrect because the week after a woman's cycle is the best time to do the
examination, and the shower allows for ease of palpation.
Answer 3 in incorrect because a clock-like sequence is the proper way to perform a BSE.
Answer 4 is incorrect because under the arms houses lymph nodes and the axillary tail of
Spence, which is a common site for breast cancer.
A pregnant woman who has breast implants asks the nurse if she can still breastfeed. What is
the nurse's best response?
A. "You should not have any problems breast feeding because your implants do not affect milk
production."
B. "When the breast implants are inserted they usually affect the milk glands, and breastfeeding
is not possible."
C. "This would depend on which type of implants were placed and which procedure was used
by the surgeon. Check with your surgeon to see if your milk production will be affected."
C
Milk production may vary depending on the procedure. Many women can still breastfeed after
,breast augmentation. The surgeon would be able to determine this ability.
Answers 1 and 2 are incorrect because they may not be true. Only the surgeon can determine if
milk production will be affected.
Statement by the patient would indicate a need for further teaching?
A. "The best time to check my breasts is a week before my cycle."
B. "I will check my breasts in the shower one week after my cycle."
C. "I will exam my breast in a clock-like sequence so that I don't miss any surface area."
D. "I will be sure to check my arm pits."
A
The week before a woman's cycle is not the best time to check for lumps because the breasts
become sore and tender and may also be "lumpy" a week prior to the cycle.
Answer 2 is incorrect because the week after a woman's cycle is the best time to do the
examination, and the shower allows for ease of palpation.
Answer 3 in incorrect because a clock-like sequence is the proper way to perform a BSE.
Answer 4 is incorrect because under the arms houses lymph nodes and the axillary tail of
Spence, which is a common site for breast cancer.
A pregnant woman who has breast implants asks the nurse if she can still breastfeed. What is
the nurse's best response?
A. "You should not have any problems breast feeding because your implants do not affect milk
production."
B. "When the breast implants are inserted they usually affect the milk glands, and breastfeeding
is not possible."
C. "This would depend on which type of implants were placed and which procedure was used
by the surgeon. Check with your surgeon to see if your milk production will be affected."
C
Milk production may vary depending on the procedure. Many women can still breastfeed after
, breast augmentation. The surgeon would be able to determine this ability.
Answers 1 and 2 are incorrect because they may not be true. Only the surgeon can determine if
milk production will be affected.
Which of the following statements is true regarding the internal structures of the breast? The
breast is:
A)mainly muscle, with very little fibrous tissue.
B)composed of fibrous, glandular, and adipose tissue.
C)composed mostly of milk ducts, known as lactiferous ducts.
D)composed of glandular tissue, which supports the breast by attaching to the chest wall.
ANS: B
The breast is composed of glandular tissue, fibrous tissue (including the suspensory ligaments),
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:
A)the largest quadrant of the breast.
B)the location of most breast tumors.
C)where most of the suspensory ligaments attach.
D)more prone to injury and calcifications than other locations in the breast.
ANS: B
The upper outer quadrant is the site of most breast tumors. In the upper outer quadrant, the
nurse should notice the axillary tail of Spence, the cone-shaped breast tissue that projects up
into the axilla, close to the pectoral group of axillary lymph nodes.
In performing an assessment of a woman's axillary lymph system, the nurse should assess
which of these nodes?
A)Central, axillary, lateral, and sternal nodes
B)Pectoral, lateral, anterior, and sternal nodes
, NSG6020 Final Exam Review
Breast and Lymphatics
Statement by the patient would indicate a need for further teaching?
A. "The best time to check my breasts is a week before my cycle."
B. "I will check my breasts in the shower one week after my cycle."
C. "I will exam my breast in a clock-like sequence so that I don't miss any surface area."
D. "I will be sure to check my arm pits."
A
The week before a woman's cycle is not the best time to check for lumps because the breasts
become sore and tender and may also be "lumpy" a week prior to the cycle.
Answer 2 is incorrect because the week after a woman's cycle is the best time to do the
examination, and the shower allows for ease of palpation.
Answer 3 in incorrect because a clock-like sequence is the proper way to perform a BSE.
Answer 4 is incorrect because under the arms houses lymph nodes and the axillary tail of
Spence, which is a common site for breast cancer.
A pregnant woman who has breast implants asks the nurse if she can still breastfeed. What is
the nurse's best response?
A. "You should not have any problems breast feeding because your implants do not affect milk
production."
B. "When the breast implants are inserted they usually affect the milk glands, and breastfeeding
is not possible."
C. "This would depend on which type of implants were placed and which procedure was used
by the surgeon. Check with your surgeon to see if your milk production will be affected."
C
Milk production may vary depending on the procedure. Many women can still breastfeed after
,breast augmentation. The surgeon would be able to determine this ability.
Answers 1 and 2 are incorrect because they may not be true. Only the surgeon can determine if
milk production will be affected.
Statement by the patient would indicate a need for further teaching?
A. "The best time to check my breasts is a week before my cycle."
B. "I will check my breasts in the shower one week after my cycle."
C. "I will exam my breast in a clock-like sequence so that I don't miss any surface area."
D. "I will be sure to check my arm pits."
A
The week before a woman's cycle is not the best time to check for lumps because the breasts
become sore and tender and may also be "lumpy" a week prior to the cycle.
Answer 2 is incorrect because the week after a woman's cycle is the best time to do the
examination, and the shower allows for ease of palpation.
Answer 3 in incorrect because a clock-like sequence is the proper way to perform a BSE.
Answer 4 is incorrect because under the arms houses lymph nodes and the axillary tail of
Spence, which is a common site for breast cancer.
A pregnant woman who has breast implants asks the nurse if she can still breastfeed. What is
the nurse's best response?
A. "You should not have any problems breast feeding because your implants do not affect milk
production."
B. "When the breast implants are inserted they usually affect the milk glands, and breastfeeding
is not possible."
C. "This would depend on which type of implants were placed and which procedure was used
by the surgeon. Check with your surgeon to see if your milk production will be affected."
C
Milk production may vary depending on the procedure. Many women can still breastfeed after
, breast augmentation. The surgeon would be able to determine this ability.
Answers 1 and 2 are incorrect because they may not be true. Only the surgeon can determine if
milk production will be affected.
Which of the following statements is true regarding the internal structures of the breast? The
breast is:
A)mainly muscle, with very little fibrous tissue.
B)composed of fibrous, glandular, and adipose tissue.
C)composed mostly of milk ducts, known as lactiferous ducts.
D)composed of glandular tissue, which supports the breast by attaching to the chest wall.
ANS: B
The breast is composed of glandular tissue, fibrous tissue (including the suspensory ligaments),
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:
A)the largest quadrant of the breast.
B)the location of most breast tumors.
C)where most of the suspensory ligaments attach.
D)more prone to injury and calcifications than other locations in the breast.
ANS: B
The upper outer quadrant is the site of most breast tumors. In the upper outer quadrant, the
nurse should notice the axillary tail of Spence, the cone-shaped breast tissue that projects up
into the axilla, close to the pectoral group of axillary lymph nodes.
In performing an assessment of a woman's axillary lymph system, the nurse should assess
which of these nodes?
A)Central, axillary, lateral, and sternal nodes
B)Pectoral, lateral, anterior, and sternal nodes
