TESTBANK FOR LEWIS MEDICAL SURGICAL NURSING
11TH EDITION BYHARDING 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 aa asmall aincision ais aneeded, aresulting ain aminimal abreast apain aand
ascarring.
c. if athe abiopsy aresults aare anegative, ano afurther adiagnostic atesting awill
abe aneeded.
d. FNA ais aguided aby aa amammogram, aensuring athat acells aare ataken
afrom athe alesion.
ANS: aA
FNA ais adone ain aoutpatient asettings aand aresults aare aavailable ain a24 ato a48
hours. aNo aincision ais aneeded. aFNA amay abe aguided aby aultrasound, abut anot
a
by amammogram. aBecause athe aimmobility aof athe abreast alump asuggests
a
cancer, afurther atesting awill abe adone aif athe aFNA ais anegative.
a
DIF: aCognitive aLevel: aApply a(application)
TOP: a Nursing a Process: a Implementation a MSC: a NCLEX: a Physiological
a Integrity
4. Which a assessment a finding a in a a a 36-year-old a patient a is amost a indicative a of a a
a need a for a further a evaluation?
, a. Bilateral abreast anodules athat aare atender awith apalpation
b. A abreast anodule athat ais a1 acm ain asize, anontender, aand afixed
c. A abreast alump athat aincreases ain asize abefore athe amenstrual aperiod
d. A abreast alump athat ais asmall, amobile, awith
a arubbery aconsistencyaANS: aB
a
Painless aand afixed alumps asuggest abreast acancer. aThe aother afindings aare
more asuggestive aof abenign aprocessesasuch aas afibrocystic abreasts aand
a
fibroadenoma.
a
DIF: aCognitive aLevel: aApply a(application)
TOP: aNursing aProcess: aAssessment aMSC: aNCLEX: aPhysiological aIntegrity
5. A a53-year-old awoman aat amenopause ais adiscussing athe ause aof ahormone
therapy a(HT) awith athe anurse. aWhichainformation aabout athe arisk aof
a
breast acancer awill athe anurse aprovide?
a
a. HT a is a a a safe a therapy a for a menopausal a symptoms a if a there a is a no
a family a history a of aBRCA agenes.
b. HT adoes anot aappear ato aincrease athe arisk afor abreast acancer aunless
athere aare aother arisk afactors.
c. The apatient aand aher ahealth acare aprovider amust aweigh athe
abenefits aof aHT aagainst athe arisks aof abreastacancer.
11TH EDITION BYHARDING 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 aa asmall aincision ais aneeded, aresulting ain aminimal abreast apain aand
ascarring.
c. if athe abiopsy aresults aare anegative, ano afurther adiagnostic atesting awill
abe aneeded.
d. FNA ais aguided aby aa amammogram, aensuring athat acells aare ataken
afrom athe alesion.
ANS: aA
FNA ais adone ain aoutpatient asettings aand aresults aare aavailable ain a24 ato a48
hours. aNo aincision ais aneeded. aFNA amay abe aguided aby aultrasound, abut anot
a
by amammogram. aBecause athe aimmobility aof athe abreast alump asuggests
a
cancer, afurther atesting awill abe adone aif athe aFNA ais anegative.
a
DIF: aCognitive aLevel: aApply a(application)
TOP: a Nursing a Process: a Implementation a MSC: a NCLEX: a Physiological
a Integrity
4. Which a assessment a finding a in a a a 36-year-old a patient a is amost a indicative a of a a
a need a for a further a evaluation?
, a. Bilateral abreast anodules athat aare atender awith apalpation
b. A abreast anodule athat ais a1 acm ain asize, anontender, aand afixed
c. A abreast alump athat aincreases ain asize abefore athe amenstrual aperiod
d. A abreast alump athat ais asmall, amobile, awith
a arubbery aconsistencyaANS: aB
a
Painless aand afixed alumps asuggest abreast acancer. aThe aother afindings aare
more asuggestive aof abenign aprocessesasuch aas afibrocystic abreasts aand
a
fibroadenoma.
a
DIF: aCognitive aLevel: aApply a(application)
TOP: aNursing aProcess: aAssessment aMSC: aNCLEX: aPhysiological aIntegrity
5. A a53-year-old awoman aat amenopause ais adiscussing athe ause aof ahormone
therapy a(HT) awith athe anurse. aWhichainformation aabout athe arisk aof
a
breast acancer awill athe anurse aprovide?
a
a. HT a is a a a safe a therapy a for a menopausal a symptoms a if a there a is a no
a family a history a of aBRCA agenes.
b. HT adoes anot aappear ato aincrease athe arisk afor abreast acancer aunless
athere aare aother arisk afactors.
c. The apatient aand aher ahealth acare aprovider amust aweigh athe
abenefits aof aHT aagainst athe arisks aof abreastacancer.
