Deck 17: Breasts and Axillae

Question 1

The nurse is reviewing the prescriptions for a client experiencing galactorrhea. Which prescription should the nurse understand is associated with galactorrhea?

A) Sertraline.
B) Glucophage.
C) Levothyroxine.
D) Amoxicillin.

Answer 1

Sertraline.

Question 2

The nurse is using inspection to assess the breasts of a female client. Which finding should the nurse anticipate documenting?

A) Symmetry.
B) Hard nodules.
C) Tenderness.
D) Skin consistency.

Answer 2

Symmetry.

Question 3

The nurse is discussing breast health with a 65-year-old client. Which screening recommendation should the nurse discuss?

A) Mammograms every 1 year.
B) Mammograms every 2 years.
C) There are no clear recommendations.
D) Recommended screening is based on the client's decision.

Answer 3

Mammograms every 2 years.

Question 4

The nurse is examining a client with a history of benign breast disease. Which findings does the nurse anticipate when assessing this client's breasts? Select all that apply.

A) Straw-colored discharge from the nipples.
B) Freely movable masses.
C) Hard, fixed nodules.
D) Thickened breast tissue.
E) Masses with well-defined boundaries.

Question 5

The nurse is interviewing a 37-year-old client for breast cancer risks. Which statement by the client indicates an appropriate understanding of the risks associated with breast cancer?

A) "I know my risk for breast cancer increases with age."
B) "A mammogram every three years is my goal."
C) "I will see my healthcare provider every two years for a breast examination."
D) "My family history is negative so I do not need to worry."

Question 6

A client asks the nurse what is the purpose of the Montgomery's glands on the nipple of the breast. Which information should the nurse be prepared to discuss?

A) Secretion of oily secretions.
B) Secretion of milk.
C) Secretion of hormones.
D) Secretion of colostrum.

Question 7

The nurse is teaching a client with benign breast disease about symptom relief. Which topic would the nurse include in this session?

A) Avoiding all fat in the diet.
B) Heat application.
C) Limiting salt intake.
D) Drinking tea instead of coffee.

Question 8

The nurse performing a breast examination is palpating the tail of Spence. Why is it appropriate to palpate this area of the breast during an examination?

A) It does not contain any lymph nodes.
B) It can show the difference between fibrocystic disease and fibroadenomas.
C) Breast cancer occurs more frequently in this area.
D) Peau d'orange may occur in this area of the breast.

Question 9

The nurse is preparing to discuss the modifying risk factors for breast cancer with a community group. Which risk factors should the nurse include in the discussion? Select all that apply.

A) Smoking.
B) Physical activity.
C) Alcohol use.
D) Obesity.
E) Diet.

Question 10

The nurse is assessing a client and confirms the presence of galactorrhea. Which conclusion by the nurse is the most appropriate?

A) It suggests an endocrine disorder.
B) It may indicate a malignancy.
C) It suggests a breast infection.
D) It is usually indicative of lactation.

Question 11

The nurse is reviewing the function of the breasts with a client. Which information should the nurse include? Select all that apply.

A) Release lactating hormones.
B) Mechanism for sexual arousal.
C) Produce milk.
D) Store milk.
E) Contain lymphatic tissue for immunity.

Question 12

A menopausal woman comes to the clinic with complaints of thin, watery nipple discharge with blood present. Based on this data, which disorder does the nurse suspect?

A) Mammary duct ectasia.
B) Fibrocystic disease.
C) Breast malignancy.
D) Intraductal papillomas.

Question 13

During the breast examination on a client, the nurse palpates a small, subclavicular node on the right side of the client's chest. Which is the priority nursing action at this time?

A) Call the primary care provider.
B) Ask the client if they have a family history of breast cancer.
C) Continue with the exam.
D) Schedule a mammogram for the next available appointment.

Question 14

A client asks the nurse how milk is produced. When responding to the client, which structure will the nurse include as being responsible for milk production?

A) Montgomery's glands.
B) Areola.
C) Acini cells.
D) Mammary ridge.

Question 15

The nurse is preparing to palpate the lymph nodes of a client's breast. Which lymph nodes will the nurse palpate? Select all that apply.

A) Brachial nodes.
B) Subclavicular nodes.
C) Inguinal nodes.
D) Supraclavicular nodes.
E) Internal mammary nodes.

Question 16

The nurse is preparing to review the characteristics of noncyclic mastalgia with a client. Which factors should the nurse discuss with the client? Select all that apply.

A) Often unilateral.
B) Most common in younger women.
C) Results from changes in breast structure.
D) Pain is often described as sharp and burning.
E) Typically disappears after menopause.

Question 17

The nurse is conducting a breast health workshop for a group of women. Which would the nurse include in this workshop when outlining risk factors for breast cancer? Select all that apply.

A) Caucasian race.
B) Positive family history.
C) Low socioeconomic status.
D) Hormone replacement therapy.
E) Female age 35 to 40.

Question 18

While the nurse is counseling a client about fibrocystic breast disease, the client asks if having this disorder will lead to cancer. Which response by the nurse is the most appropriate?

A) "There is no direct link between this disease and breast cancer."
B) "You will need to ask the primary healthcare provider that question."
C) "This disease is a form of cancer."
D) "Why are you so worried about this?"

Question 19

The nurse is planning to perform a breast examination of a female client. Which techniques does the nurse anticipate documenting? Select all that apply.

A) Inspection.
B) Palpation.
C) Percussion.
D) Auscultation.
E) Client interview.

Question 20

The nurse is asking a client questions regarding lifestyle patterns. Which statement by the client would alert the nurse to possible risk for breast cancer?

A) "I work in a chemical factory."
B) "I drink two glasses of wine each night."
C) "I have smoked two packs of cigarettes daily for four years."
D) "I occasionally have unprotected sexual contact with unknown partners."

Question 21

A client asks the nurse why the breast has so many lymph nodes. Which response should the nurse provide?

A) Deliver fluid to the breast tissue and axillae.
B) Drain fluid away from the breast and axillae.
C) Protect the breast tissue from pathogens.
D) Transport hormones to the breast tissue.

Question 22

The nurse assessing a client notes that the breasts do not fall freely from the chest. Which should the nurse suspect the finding is associated with?

A) Breast implants.
B) Breast cancer.
C) Pregnancy.
D) Lactation.

Question 23

A parent of a newborn asks the nurse why their son's breast tissue is swollen. Which response should the nurse provide the parent?

A) "I have notified the healthcare provider of this finding."
B) "There must have been some slight trauma to the chest during birth."
C) "The maternal hormones can cause swollen breast tissue."
D) "This is an expected finding in all newborns."

Question 24

The nurse is performing a focused interview on breast health and is preparing to ask a client a question about internal environment. Which question should the nurse ask?

A) "Have you ever had a mammogram?"
B) "Do you have breast implants?"
C) "Have you been exposed to any environmental toxins?"
D) "Have you experienced any trauma to your breasts?"

Question 25

An adolescent client with a fibroadenoma asks the nurse what caused the tumor. Which answer should the nurse provide?

A) Inflammation of the breast tissue.
B) Growth of breast tissue.
C) Hormones associated with menstrual cycle.
D) A thickening of the breast tissue.

Question 26

The nurse is providing teaching for a male client taking an estrogenic prescription for a prostate tumor. Which statements made by the client indicates an understanding of the information? Select all that apply.

A) "I may experience an enlargement in breast tissue."
B) "This prescription placed me at risk for breast cancer."
C) "I may experience discomfort in the lymph nodes around my breasts."
D) "I may experience some discharge from my nipples."
E) "I may experience pain and tenderness in my breasts."

Question 27

The nurse is educating a client about breast examination. Which area of the breast should the nurse inform the client that the majority of breast cancer occurs? Select all that apply.

A) Lower inner quadrant.
B) Axillary tail of Spence.
C) Lower outer quadrant.
D) Upper outer quadrant.
E) Areola and the nipple.

Question 28

During a health assessment, a male client voices concern that he is at risk for breast cancer. The nurse is aware that further evaluation of the client's history should focus on predisposing factors that increase the chance for breast cancer in males. The interview should include questions related to which factors? Select all that apply.

A) Previous history of taking testosterone.
B) The client's mother having a history of breast cancer.
C) History of cirrhosis of the liver.
D) History of kidney disease.
E) History of radiation treatment for lung cancer.

Question 29

The nurse is teaching self-breast examination to a client and demonstrates inspecting the breasts with arms over the head. The client asks the nurse why this is necessary. Which response by the nurse is the most appropriate?

A) "It allows any masses to bulge forward to be seen."
B) "This is the only position to detect Paget's disease."
C) "This is the best position to look for skin dimpling."
D) "It is the only way to look for nipple retraction."

Question 30

The nurse is preparing an educational session regarding the causes for male gynecomastia. Which items will the nurse include in the session? Select all that apply.

A) Breast cancer.
B) Infants following birth.
C) The onset of puberty.
D) Hormone therapy.
E) Breast infection.

Question 31

During a focused assessment, the female client reports breast tenderness, swelling, and lymph node enlargement around the time of her period. Which response by the nurse is the most appropriate?

A) "This sounds like a condition known as nodularity. It is a benign disorder so you will need to monitor your breasts monthly."
B) "Fluctuating hormone levels around the time of your period frequently causes these symptoms. I will note this in your chart and notify your primary care provider."
C) "As long as you have not detected any lumps, you have nothing to worry about."
D) "Do you have a history of fibrocystic breast disease? These symptoms are usually seen with this disease."