TESTBANK FOR LEWIS MEDICAL SURGICAL NURSING 11TH EDITION
BY HARDING Questions & Answers satisfaction guaranteed success (
CHAPTERS 30-47) latest update
Chapter 30: Breast Disorders
Test Bank
MULTIPLE
CHOICE
1. The nurse teaching a young womens community service group about breast
self-examination (BSE) will include that
a. BSE will reduce the risk of dying from breast cancer.
b. BSE should be done daily while taking a bath or shower.
c. annual mammograms should be scheduled in addition to BSE.
d. performing BSE after the menstrual period is more comfortable.
ANS: D
Performing BSE at the end of the menstrual period will reduce the breast
tenderness associated with the procedure. The evidence is not clear that BSE
reduces mortality from breast cancer. BSE should be done monthly. Annual
mammograms are not routinely scheduled for women under age 40, and newer
guidelines suggest delaying them until age 50.
,DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
2. During a well woman physical exam, a 43-year-old patient asks about her
risk for breast cancer. Which question is most pertinent for the nurse to ask?
a. Do you currently smoke tobacco?
b. Have you ever had a breast injury?
c. At what age did you start having menstrual periods?
d. Is there a family history of fibrocystic breast changes?
ANS: C
Early menarche and late menopause are risk factors for breast cancer because of
the prolonged exposure to estrogen that occurs. Cigarette smoking, breast trauma,
and fibrocystic breast changes are not associated with increased breast cancer risk.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
3. A 51-year-old patient with a small immobile breast lump is considering
having a fine-needle aspiration (FNA) biopsy. The nurse explains that an
advantage to this procedure is that
,a. FNA is done in the outpatient clinic and results are available in 1 to 2 days.
b. only a small incision is needed, resulting in minimal breast pain and
scarring.
c. if the biopsy results are negative, no further diagnostic testing will be
needed.
d. FNA is guided by a mammogram, ensuring that cells are taken from the
lesion.
ANS: A
FNA is done in outpatient settings and results are available in 24 to 48 hours. No
incision is needed. FNA may be guided by ultrasound, but not by mammogram.
Because the immobility of the breast lump suggests cancer, further testing will be
done if the FNA is negative.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
4. Which assessment finding in a 36-year-old patient is most indicative of a need for
further evaluation?
a. Bilateral breast nodules that are tender with palpation
, b. A breast nodule that is 1 cm in size, nontender, and fixed
c. A breast lump that increases in size before the menstrual period
d. A breast lump that is small, mobile, with a
rubbery consistency ANS: B
Painless and fixed lumps suggest breast cancer. The other findings are more
suggestive of benign processes such as fibrocystic breasts and fibroadenoma.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
5. A 53-year-old woman at menopause is discussing the use of hormone therapy
(HT) with the nurse. Which information about the risk of breast cancer will the
nurse provide?
a. HT is a safe therapy for menopausal symptoms if there is no family history
of BRCA genes.
b. HT does not appear to increase the risk for breast cancer unless there are
other risk factors.
c. The patient and her health care provider must weigh the benefits of HT
against the risks of breast cancer.
d. Natural herbs are as effective as estrogen in relieving symptoms
without increasing the risk of breast cancer.
BY HARDING Questions & Answers satisfaction guaranteed success (
CHAPTERS 30-47) latest update
Chapter 30: Breast Disorders
Test Bank
MULTIPLE
CHOICE
1. The nurse teaching a young womens community service group about breast
self-examination (BSE) will include that
a. BSE will reduce the risk of dying from breast cancer.
b. BSE should be done daily while taking a bath or shower.
c. annual mammograms should be scheduled in addition to BSE.
d. performing BSE after the menstrual period is more comfortable.
ANS: D
Performing BSE at the end of the menstrual period will reduce the breast
tenderness associated with the procedure. The evidence is not clear that BSE
reduces mortality from breast cancer. BSE should be done monthly. Annual
mammograms are not routinely scheduled for women under age 40, and newer
guidelines suggest delaying them until age 50.
,DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
2. During a well woman physical exam, a 43-year-old patient asks about her
risk for breast cancer. Which question is most pertinent for the nurse to ask?
a. Do you currently smoke tobacco?
b. Have you ever had a breast injury?
c. At what age did you start having menstrual periods?
d. Is there a family history of fibrocystic breast changes?
ANS: C
Early menarche and late menopause are risk factors for breast cancer because of
the prolonged exposure to estrogen that occurs. Cigarette smoking, breast trauma,
and fibrocystic breast changes are not associated with increased breast cancer risk.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
3. A 51-year-old patient with a small immobile breast lump is considering
having a fine-needle aspiration (FNA) biopsy. The nurse explains that an
advantage to this procedure is that
,a. FNA is done in the outpatient clinic and results are available in 1 to 2 days.
b. only a small incision is needed, resulting in minimal breast pain and
scarring.
c. if the biopsy results are negative, no further diagnostic testing will be
needed.
d. FNA is guided by a mammogram, ensuring that cells are taken from the
lesion.
ANS: A
FNA is done in outpatient settings and results are available in 24 to 48 hours. No
incision is needed. FNA may be guided by ultrasound, but not by mammogram.
Because the immobility of the breast lump suggests cancer, further testing will be
done if the FNA is negative.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
4. Which assessment finding in a 36-year-old patient is most indicative of a need for
further evaluation?
a. Bilateral breast nodules that are tender with palpation
, b. A breast nodule that is 1 cm in size, nontender, and fixed
c. A breast lump that increases in size before the menstrual period
d. A breast lump that is small, mobile, with a
rubbery consistency ANS: B
Painless and fixed lumps suggest breast cancer. The other findings are more
suggestive of benign processes such as fibrocystic breasts and fibroadenoma.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
5. A 53-year-old woman at menopause is discussing the use of hormone therapy
(HT) with the nurse. Which information about the risk of breast cancer will the
nurse provide?
a. HT is a safe therapy for menopausal symptoms if there is no family history
of BRCA genes.
b. HT does not appear to increase the risk for breast cancer unless there are
other risk factors.
c. The patient and her health care provider must weigh the benefits of HT
against the risks of breast cancer.
d. Natural herbs are as effective as estrogen in relieving symptoms
without increasing the risk of breast cancer.
