WorksheetsMQ2: Assessment of the Breast & Lymphatic System
Total questions: 20
Worksheet time: 12mins
At puberty, the female breasts enlarge in response to estrogen and:
progesterone
aldosterone
prolactin
lactogen
Elevated sebaceous glands, known as Montgomery’s glands, are located in the breast’s:
nipples
areolas
hair follicles
lactiferous ducts
The functional part of the breast that allows for milk production consists of tissue termed:
fibrous
adipose
glandular
lactiferous
Fibrous tissue that provides support for the glandular tissue of the breasts is termed:
lateral ligaments
Wharton’s ligaments
pectoral ligaments
Cooper’s ligaments
The size and shape of the breasts in females is related to the amount of:
glandular tissue
fibrous tissue
lactiferous ducts
fatty tissue
The lymph nodes that are responsible for drainage from the arms are the:
lateral lymph nodes
central lymph nodes
anterior lymph nodes
posterior lymph nodes
After assessing the breasts of a female client, the nurse should explain to the client that most breast tumors occur in the:
lower inner quadrant
upper inner quadrant
lower outer quadrant
upper outer quadrant
A female client tells the nurse that her breasts become lumpy and sore before menstruation but get better at the end of the menstrual cycle. The nurse should explain to the client that these symptoms are often associated with:
malignant tumors
fibroadenoma
fibrocystic breast disease
increased estrogen production
The nurse has discussed the risks for breast cancer with a group of high school seniors. The nurse determines that one of the students needs further instructions when the student says that one risk factor is:
having a baby before the age of 20 years
a family history of breast cancer
consumption of a high-fat diet
late menopause
Cultural beliefs about the causes of breast cancer do not always agree with medical findings. Hispanic Americans often associate breast cancer with:
improper diet
physical stress
evil thoughts
punishment from God
The nurse is working with a community group to set up teaching programs to increase awareness among African-American women about preventive screening techniques for breast cancer. In the teaching program, the nurse should plan to include:
local female physicians who work with cancer clients
hospital clinic workers from various racial backgrounds
breast cancer patients of the same race
nurses who work in outpatient centers
The nurse is caring for an adult female client when the client tells the nurse that she has had a clear discharge from her nipples for the past month. The nurse should ask the client if she has been taking:
contraceptives
insulin
antibiotics
antidepressants
The nurse is assessing an adult male client when the nurse observes gynecomastia in the client. The nurse should ask the client if he is taking any medications for:
ulcers
inflammation
depression
infection
The nurse is caring for a female client who has received a diagnosis of fibrocystic breast disease. The nurse has instructed the client about the disease. The nurse determines that the client needs further instructions when the client says she should avoid drinking:
grapefruit juice
diet colas
regular coffee
regular tea
The nurse plans to instruct an adult female client with regular menstrual cycles, who is not taking oral contraceptives, about breast self-examination. The nurse should plan to instruct the client to perform breast self-examination:
midway between the cycles
right after menstruation
on the same day every month
during menstruation
The nurse observes an orange-peel appearance, or peau d’orange, of the areolae of a client’s breasts. The nurse should explain to the client that this is most likely due to:
radiation therapy
fibroadenomas
blocked lymphatic drainage
fibrocystic breast disease
The nurse is assessing a 50-year-old client’s breasts and observes a spontaneous discharge of fluid from the left nipple. The nurse should:
document this as a normal finding
determine whether the client wears a supportive bra
ask the client if she has had retracted nipples
refer the client for a cytology examination
The nurse observes dimpling in an adult female client’s breasts. The nurse should explain to the client that dimpling of the breast may indicate a:
tumor
genetic deviation
fibroadenoma
fibrocystic breast
The nurse is preparing to examine the breasts of a female client who had a left radical mastectomy 3 years ago. When examining the client, the nurse observes redness at the scar area. The nurse should explain to the client that this may be indicative of:
additional tumors
poor lymphatic drainage
an infectious process
metastasis to the right breast
A client has had a recent mastectomy and visits the clinic for postoperative evaluation. The client tells the nurse that she has been depressed and feels as if she is no longer a woman. The most appropriate nursing diagnosis for this client is:
ineffective individual coping related to mastectomy
disturbed body image related to mastectomy
PC: hematoma after mastectomy
fear of additional breast cancer related to presence of risk factors
