NSG 3160 REVIEW TIPS QUESTIONS AND
ANSWERS SET A+
✔✔The best position to inspect a female patient's breasts for retraction is:
- sitting w/hand pushing onto hips
- lying supine w/arms at the sides
- one arm at the side, the other arm elevated
- leaning forward w/hands outstretched - ✔✔sitting w/hand pushing onto hips
✔✔A bimanual technique may be the preferred approach for a woman
- Who is having the first breast examination by a health care provider
- Who has felt a change in the breast during self-examination
- With pendulous breasts
- Who is pregnant - ✔✔With pendulous breasts
✔✔During the examination of a 70 year old man, you note gynecomastia. You would:
- Refer for a biopsy
- Review the medications for drugs that have gynecomastia as a side effect
- Proceed with examination. This is a normal part of the aging process
- Refer for a mammogram - ✔✔Review the medications for drugs that have
gynecomastia as a side effect
✔✔Which of the following typically describes malignant breast disease?
- Irregular, poorly defined, fixed
- Rubbery, mobile, tender
- Lobular, clear margins, negative skin reaction
- Round, firm, well demarcated - ✔✔Irregular, poorly defined, fixed
✔✔During the examination of the breasts of a pregnant woman, you would expect to
find:
- Nipple retraction
- Peau d'orange
- Blue vascular pattern over both breasts
, - Unilateral, obvious venous pattern - ✔✔Blue vascular pattern over both breasts
✔✔Which woman should not be referred to a provider for further evaluation?
- 48 y/o has a 6-month history of reddened, sore left nipple and areolar area
- A 25 y/o with asymmetric breasts and inversion of nipples since adolescence
- 64 y/o with ulcerated area at tip of right nipple; no masses, tenderness
- A 26 y/o with multiple nodules palpated in each breast - ✔✔A 25 y/o with asymmetric
breasts and inversion of nipples since adolescence
✔✔Which one is characteristic of a malignant lesion in the breast?
- Irregular shape
- Soft
- Freely movable
- Well-defined margins - ✔✔Irregular shape
✔✔Gynecomastia is:
- Enlargement of the male breast
- Presence of supernumerary breast on the male chest
- Presence of mast cells in the male breast
- Cancer of the male breast - ✔✔Enlargement of the male breast
✔✔Which is the first physical change associated with puberty in girls:
- Pubic hair development
- Height spur
- Areolar elevation
- Breast bud development - ✔✔Breast bud development
✔✔30 y/o woman reports 2 large moles below left breast. The nurse responds
- "I think you should be examined by a dermatologist"
- "Is there a possibility you are pregnant?"
- "This is a normal finding of supernumerary nipples that are not developed"
- "These are Montgomery glands, which are common" - ✔✔"This is a normal finding of
supernumerary nipples that are not developed"
✔✔Patient w/seizure disorder wants to be an airline pilot. A nurse may question
patient's:
- Recent memory
- Judgment
- Thought processes
- Attention span - ✔✔Judgment
✔✔Pt's 2nd day in acute care, patient complains about the "bugs" on clean bed.
Example of:
- Perception
ANSWERS SET A+
✔✔The best position to inspect a female patient's breasts for retraction is:
- sitting w/hand pushing onto hips
- lying supine w/arms at the sides
- one arm at the side, the other arm elevated
- leaning forward w/hands outstretched - ✔✔sitting w/hand pushing onto hips
✔✔A bimanual technique may be the preferred approach for a woman
- Who is having the first breast examination by a health care provider
- Who has felt a change in the breast during self-examination
- With pendulous breasts
- Who is pregnant - ✔✔With pendulous breasts
✔✔During the examination of a 70 year old man, you note gynecomastia. You would:
- Refer for a biopsy
- Review the medications for drugs that have gynecomastia as a side effect
- Proceed with examination. This is a normal part of the aging process
- Refer for a mammogram - ✔✔Review the medications for drugs that have
gynecomastia as a side effect
✔✔Which of the following typically describes malignant breast disease?
- Irregular, poorly defined, fixed
- Rubbery, mobile, tender
- Lobular, clear margins, negative skin reaction
- Round, firm, well demarcated - ✔✔Irregular, poorly defined, fixed
✔✔During the examination of the breasts of a pregnant woman, you would expect to
find:
- Nipple retraction
- Peau d'orange
- Blue vascular pattern over both breasts
, - Unilateral, obvious venous pattern - ✔✔Blue vascular pattern over both breasts
✔✔Which woman should not be referred to a provider for further evaluation?
- 48 y/o has a 6-month history of reddened, sore left nipple and areolar area
- A 25 y/o with asymmetric breasts and inversion of nipples since adolescence
- 64 y/o with ulcerated area at tip of right nipple; no masses, tenderness
- A 26 y/o with multiple nodules palpated in each breast - ✔✔A 25 y/o with asymmetric
breasts and inversion of nipples since adolescence
✔✔Which one is characteristic of a malignant lesion in the breast?
- Irregular shape
- Soft
- Freely movable
- Well-defined margins - ✔✔Irregular shape
✔✔Gynecomastia is:
- Enlargement of the male breast
- Presence of supernumerary breast on the male chest
- Presence of mast cells in the male breast
- Cancer of the male breast - ✔✔Enlargement of the male breast
✔✔Which is the first physical change associated with puberty in girls:
- Pubic hair development
- Height spur
- Areolar elevation
- Breast bud development - ✔✔Breast bud development
✔✔30 y/o woman reports 2 large moles below left breast. The nurse responds
- "I think you should be examined by a dermatologist"
- "Is there a possibility you are pregnant?"
- "This is a normal finding of supernumerary nipples that are not developed"
- "These are Montgomery glands, which are common" - ✔✔"This is a normal finding of
supernumerary nipples that are not developed"
✔✔Patient w/seizure disorder wants to be an airline pilot. A nurse may question
patient's:
- Recent memory
- Judgment
- Thought processes
- Attention span - ✔✔Judgment
✔✔Pt's 2nd day in acute care, patient complains about the "bugs" on clean bed.
Example of:
- Perception
