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NSG 3160 NCLEX Review Chapter 18

This quiz focuses on breast anatomy, common assessment areas, lymph node evaluation, and patient education—key topics in physical assessment and health promotion, essential for nursing students and NCLEX-RN exam preparation.

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    NSG 3 1 6 0 NCLEX REVIEW M r . Paul Haidet (Miami Campus Content Enrichment Specialist} Breasts, Axillae, and Regional Lymphatics (Chapter 18) Stuvia.com Online NSG 3160 NCLEX Database Questions 1 Question 1 The breast is made up of: a. Primarily muscle with very little fibrous tissue ( P Fibrous, glandular, and adipose tissues c. Primarily milk ducts, known as lactiferous ducts d. Glandular tissue, which supports the breast by attaching to the chest wall 2

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    Question 2 The upper outer quadrant is: a. The largest quadrant of the breast The location of most breast tumors c. Where most of the suspensory ligaments attach d. More prone t o injury and calcifications than other locations in the breast 3 Question 3 The nurse should assess which of these axillary lymph nodes? a. Central, axillary, lateral, and sternal b. Pectoral, lateral, anterior, and sternal Central, lateral, pectoral, and subscapular d. Lateral, pectoral, axillary, and suprascapular

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    Question 4 Which type of node enlargement should the nurse expect from a patient with a recent breast infection? a. Nonspecific Ipsilateral axillary c. Contralateral axillary d. Inguinal and cervical Question 5 W h a t is t h e nurse's b e s t response f o r a p a t i e n t w h o states t h a t h e r b r e a s t s c h a n g e all m o n t h l o n g ? a. C o n t i n u a l changes i n h e r b r e a s t s a r e u n u s u a l . T h e breasts o f n o n p r e g n a n t w o m e n u s u a l l y stay p r e t t y m u c h t h e s a m e all m o n t h l o n g . b . Breast changes i n r e s p o n s e t o stress a r e v e r y c o m m o n a n d t h a t s h e s h o u l d assess h e r l i f e f o r stressful e v e n t s . c) Because o f t h e c h a n g i n g h o r m o n e s d u r i n g t h e m o n t h l y m e n s t r u a l cycle, cyclic b r e a s t changes a r e c o m m o n . d . Breast changes n o r m a l l y o c c u r o n l y d u r i n g p r e g n a n c y a n d t h a t a p r e g n a n c y t e s t is n e e d e d a t t h i s t i m e

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    Question 6 What are some things the nurse should teach a pregnant patient about her breasts? She can expect her areolae to become larger and darker in color. b. Breasts may begin secreting milk after the fourth month of pregnancy. c. She should inspect her breasts for visible veins and immediately report these. d. During pregnancy, breast changes are fairly uncommon; most of the changes occur after the birth. Question 7 W h i c h s t a t e m e n t b y t h e n u r s e is c o r r e c t w h e n t e a c h i n g a p r e g n a n t w o m a n a b o u t b r e a s t m i l k ? a. Y o u r b r e a s t m i l k is i m m e d i a t e l y p r e s e n t a f t e r t h e d e l i v e r y o f y o u r b a b y . b . Breast m i l k is r i c h i n p r o t e i n a n d sugars (lactose) b u t has very l i t t l e f a t . c. T h e c o l o s t r u m , w h i c h is p r e s e n t r i g h t a f t e r b i r t h , d o e s n o t c o n t a i n t h e s a m e n u t r i e n t s as b r e a s t m i l k . © Y o u m a y n o t i c e a t h i c k , y e l l o w f l u i d expressed f r o m y o u r b r e a s t s as e a r l y as t h e f o u r t h m o n t h o f p r e g n a n c y 8

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    Question 8 What explanation should the nurse offer her patient who states that she cannot believe her breasts sag so much after menopause? a. Only women with large breasts experience sagging. b. Sagging is usually due to decreased muscle mass within the breast. c. A diet that is high in protein will help maintain muscle mass, which keeps the breasts from sagging. (3)The glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breasts that sag. Question 9 W h a t i s t h e nurse’s b e s t c o u r s e o f a c t i o n f o r a n o l d e r m a l e p a t i e n t w i t h b i l a t e r a l g y n e c o m a s t i a ? a. Recommend that he make an appointment with his physician for a mammogram. b. Ignore it. Benign breast enlargement in men is not unusual. © E x p l a i n that this condition may be t h e result o f hormonal cnanges and recommend that he see his physician. d. Explain that gynecomastia i n men is usually associated with prostate enlargement and recommend that he be thoroughly screened 1 0

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