Test Bank
MULTIPLE CHOICE
1. The nurse teaching a young women’s community service group about breast self-examination
(BSE) will include that
a. BSE will reduce the risk of dying from breast cancer.
b. BSE should be done daily while taking a bath or shower.
c. annual mammograms should be scheduled in addition to BSE.
d. performing BSE after the menstrual period is more comfortable.
ANS: D
Performing BSE at the end of the menstrual period will reduce the breast tenderness associated with the procedure. The evidence is not clear that BSE reduces mortality from breast cancer. BSE should be done monthly. Annual mammograms are not routinely scheduled for women under age 40, and newer guidelines suggest delaying them until age 50.
DIF: Cognitive Level: Apply (application)
REF:
1239
TOP: Nursing Process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
2. During a well woman physical exam, a 43-year-old patient asks about her risk for breast
cancer. Which question is most pertinent for the nurse to ask?
a. “Do you currently smoke tobacco?”
b. “Have you ever had a breast injury?”
c. “At what age did you start having menstrual periods?”
d. “Is there a family history of fibrocystic breast changes?”
ANS: C
Early menarche and late menopause are risk factors for breast cancer because of the prolonged exposure to estrogen that occurs. Cigarette smoking, breast trauma, and fibrocystic breast changes are not associated with increased breast cancer risk.
DIF: Cognitive Level: Apply (application)
REF:
1243
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
3. A 51-year-old patient with a small immobile breast lump is considering having a fine-needle
aspiration (FNA) biopsy. The nurse explains that an advantage to this procedure is that
a. FNA is done in the outpatient clinic and results are available in 1 to 2 days.
b. only a small incision is needed, resulting in minimal breast pain and scarring.
c.