Breasts And Axillae

This question bank verified by Studydeets

All Questions

Question 1

Free

Multiple Choice

In teaching a patient about breast self-examination, why does the nurse emphasize palpation of the axillary areas?

Choose correct answer/s

Because deep muscles in that area can mask changes

Because some patients avoid this area because of tenderness

Because most lymph draining from the breast flows through this area

Because supporting ligaments in this area may present as tissue changes

Check answer

Question 2

Free

Multiple Choice

In reviewing the charts of several patients in the clinic, a nurse recognizes which patient as being at highest risk of breast cancer?

Choose correct answer/s

A woman who had her first child at age 26

A woman who reached menopause at age 58

A woman who breastfed all four of her children

A woman who states that she reached menarche at age 14

Check answer

Question 3

Free

Multiple Choice

While giving a presentation about breast health, a nurse informs patients about which recommendation?

Choose correct answer/s

Women in their 30s should have annual clinical breast examinations.

Women at high risk of breast cancer should have semiannual mammograms.

Women who are postmenopausal require clinical breast examination every 5 years.

A screening mammogram is recommended for all women beginning at age 50 years.

Check answer

Question 4

Free

Multiple Choice

Based on the history, a nurse determines that the patient with which finding requires further assessment?

Choose correct answer/s

Occasional discharge from nipples

Supernumerary nipples along the milk line

Rash in the axillae associated with change in deodorant

Mild breast swelling that fluctuates with the menstrual cycle

Check answer

Question 5

Free

Multiple Choice

During a breast examination of a healthy female, the nurse recognizes which finding as normal?

Choose correct answer/s

Asymmetrical venous pattern

Unequal nipple size

Supernumerary nipples along the milk line

Pink discharge from one nipple when manipulated

Check answer

Question 6

Multiple Choice

A patient comes to the clinic complaining of a new onset of nipple discharge. After inspection of the breast and discharge, what action of the nurse has the highest priority?

Choose correct answer/s

Palpating both breasts comparing amount of discharge

Asking the patient about breast pain

Asking the patient to raise her arms and comparing the movement of the breasts

Obtaining a specimen of the discharge for cytology

To unlock the question

Question 7

Multiple Choice

What is the purpose of asking a female to lean forward during the breast examination?

Choose correct answer/s

To accentuate the Montgomery glands

To observe for symmetry of the suspensory ligaments

To compare nipple symmetry

To identify any breast masses in the subcutaneous tissues

To unlock the question

Question 8

Multiple Choice

Which technique does a nurse use to palpate the patient's axillary lymph nodes?

Choose correct answer/s

With the patient sitting, the nurse places fingers of both hands deep into the axilla, one hand on either side, and firmly pushes the axillary tissue toward the center to feel for enlarged nodes.

With the patient lying supine with arms at the sides, the nurse uses the tips of the fingers of one hand to palpate the axilla moving from the posterior to the anterior aspect of the axilla to feel for enlarged nodes.

With the patient lying supine with the hand behind the head of the side being assessed, the nurse uses the pads of fingers of one hand to systematically palpate the axilla using small circular motions to feel for enlarged nodes.

With the patient sitting, the nurse places fingers of one hand deep into the axilla and firmly slides the fingers along the patient's middle, anterior, and posterior of the axilla to feel for enlarged nodes.

To unlock the question

Question 9

Multiple Choice

When examining the lymph nodes of an adult female patient, the nurse recognizes which finding as normal?

Choose correct answer/s

Visible superficial nodes

Palpable supraclavicular nodes

Nonpalpable lymph nodes in the axilla

Enlarged, fixed nodes in the neck

To unlock the question

Question 10

Multiple Choice

A nurse performing a breast examination on a female patient places the patient in a supine position, places a pillow under the right shoulder, and asks the patient to place her right lower arm above her head. What is the reason for this position?

Choose correct answer/s

Flatten the breast tissue evenly over the chest wall.

Help the patient to relax and feel more comfortable.

Reveal lumps deep in the breast more easily.

Expose any drainage from the nipples.

To unlock the question

Question 11

Multiple Choice

What instructions does the nurse give a female patient when she is learning to perform breast self-examination?

Choose correct answer/s

Press the pads of the fingers firmly to compress breast tissue against the rib cage.

Lie in front of a mirror and observe for dimpling of the skin.

Lift the fingers from the chest wall during palpation to better define the breast tissue.

Apply gentle pressure while moving the fingers in a pattern across the breast.

To unlock the question

Question 12

Multiple Choice

In assessing the breast of a male patient, the nurse places him in which position?

Choose correct answer/s

Standing with hands over the head

Supine with the hand on the side being examined placed behind the head

Sitting with arms at the side

Bending forward 45 degrees at the waist

To unlock the question

Question 13

Multiple Choice

During a breast examination of a male patient, the nurse recognizes which finding as normal?

Choose correct answer/s

Bilateral nontender flat breasts with symmetric nipple and areolar areas

A fibrous layer of subcutaneous breast tissue that is thicker than in women

Breast tenderness on the dominant side but not on the other side

Bilateral symmetry of breasts with absence of hair in the areolar areas

To unlock the question

Question 14

Multiple Choice

Which statement by a 40-year-old man would be most indicative of possible breast cancer?

Choose correct answer/s

"I had embarrassing breast enlargement when I was a teenager."

"I think I felt a hard spot in my left breast, but it does not hurt."

"My right breast has always been a little smaller than the left."

"My father's breasts got larger after he was older."

To unlock the question

Question 15

Multiple Choice

What technique does a nurse use when performing a breast examination on a patient who has had a mastectomy?

Choose correct answer/s

Excludes palpation of the axillary area where there was lymph node dissection

Inspects and palpates both the operative and the nonoperative sides

Avoids palpating the scar to prevent causing the patient any discomfort

Palpates only the muscle tissue on the affected side

To unlock the question

Question 16

Multiple Choice

In a presentation on breast cancer risk factors, a nurse would be accurate in making which statement?

Choose correct answer/s

"Women who breastfeed their children are at increased risk of breast cancer."

"Women who are more than 30% overweight are at increased risk of breast cancer."

"African-American women have the highest risk of breast cancer."

"Women who have children before age 30 are at increased risk of breast cancer."

To unlock the question

Question 17

Multiple Choice

A patient comes to the clinic because she found a mass in her left breast that is present during and after her menstrual periods. On palpation the nurse finds a mass in the left breast that is round, rubbery, mobile, and nontender. This finding is consistent with which breast disorder?

Choose correct answer/s

Fibrocystic breast disease

Invasive breast cancer

Mastitis

Fibroadenoma

To unlock the question

Question 18

Multiple Choice

A patient had a left radical mastectomy last year. The nurse assesses for painless and nonpitting swelling of the arm on that side. Which complication of a mastectomy is the nurse assessing for?

Choose correct answer/s

Infection

Lymphedema

Inflammation

Lymphoma

To unlock the question

Question 19

Multiple Choice

In assessing a patient with lymphedema after a mastectomy, the nurse expects which finding?

Choose correct answer/s

Fragile, thin, pale skin covering the area of lymphedema

Several brownish-red discolorations in the center of the affected arm

Unilateral nonpitting edema of the affected arm

Pitting edema of affected arm

To unlock the question

Question 20

Multiple Choice

A nurse is performing a breast examination of a patient who complains of pain in both breasts that occurs around the time of her menstrual period. The nurse expects which findings during the breast examination?

Choose correct answer/s

Masses in the breasts that are round, soft, mobile, and well-delineated

Masses in the breasts that are round, firm, mobile, and well-delineated

Masses in the breasts that are irregular, hard, and fixed

Breast tissue that is red, edematous, tender, and warm to the touch

To unlock the question