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MQ2: Assessment of the Breast & Lymphatic System

Total questions: 20

Worksheet time: 12mins

Name
Class
Date
1.

At puberty, the female breasts enlarge in response to estrogen and:

a)

progesterone

b)

aldosterone

c)

prolactin

d)

lactogen

2.

Elevated sebaceous glands, known as Montgomery’s glands, are located in the breast’s:

a)

nipples

b)

areolas

c)

hair follicles

d)

lactiferous ducts

3.

The functional part of the breast that allows for milk production consists of tissue termed:

a)

fibrous

b)

adipose

c)

glandular

d)

lactiferous

4.

Fibrous tissue that provides support for the glandular tissue of the breasts is termed:

a)

lateral ligaments

b)

Wharton’s ligaments

c)

pectoral ligaments

d)

Cooper’s ligaments

5.

The size and shape of the breasts in females is related to the amount of:

a)

glandular tissue

b)

fibrous tissue

c)

lactiferous ducts

d)

fatty tissue

6.

The lymph nodes that are responsible for drainage from the arms are the:

a)

lateral lymph nodes

b)

central lymph nodes

c)

anterior lymph nodes

d)

posterior lymph nodes

7.

After assessing the breasts of a female client, the nurse should explain to the client that most breast tumors occur in the:

a)

lower inner quadrant

b)

upper inner quadrant

c)

lower outer quadrant

d)

upper outer quadrant

8.

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:

a)

malignant tumors

b)

fibroadenoma

c)

fibrocystic breast disease

d)

increased estrogen production

9.

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:

a)

having a baby before the age of 20 years

b)

a family history of breast cancer

c)

consumption of a high-fat diet

d)

late menopause

10.

Cultural beliefs about the causes of breast cancer do not always agree with medical findings. Hispanic Americans often associate breast cancer with:

a)

improper diet

b)

physical stress

c)

evil thoughts

d)

punishment from God

11.

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:

a)

local female physicians who work with cancer clients

b)

hospital clinic workers from various racial backgrounds

c)

breast cancer patients of the same race

d)

nurses who work in outpatient centers

12.

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:

a)

contraceptives

b)

insulin

c)

antibiotics

d)

antidepressants

13.

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:

a)

ulcers

b)

inflammation

c)

depression

d)

infection

14.

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:

a)

grapefruit juice

b)

diet colas

c)

regular coffee

d)

regular tea

15.

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:

a)

midway between the cycles

b)

right after menstruation

c)

on the same day every month

d)

during menstruation

16.

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:

a)

radiation therapy

b)

fibroadenomas

c)

blocked lymphatic drainage

d)

fibrocystic breast disease

17.

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:

a)

document this as a normal finding

b)

determine whether the client wears a supportive bra

c)

ask the client if she has had retracted nipples

d)

refer the client for a cytology examination

18.

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:

a)

tumor

b)

genetic deviation

c)

fibroadenoma

d)

fibrocystic breast

19.

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:

a)

additional tumors

b)

poor lymphatic drainage

c)

an infectious process

d)

metastasis to the right breast

20.

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:

a)

ineffective individual coping related to mastectomy

b)

disturbed body image related to mastectomy

c)

PC: hematoma after mastectomy

d)

fear of additional breast cancer related to presence of risk factors