The nurse is assessing a client’s breasts. When assessing the area of the breast most vulnerable to breast cancer (because of having the most lymph nodes), where should the nurse focus?

Question 1 The nurse is assessing a client’s breasts. When assessing the area of the breast most vulnerable to breast cancer (because of having the most lymph nodes), where should the nurse focus?

  Upper outer quadrant

  Lower inner quadrant

  Upper inner quadrant

  Lower outer quadrant

Question 2 A woman reports a sudden onset of spontaneous nipple discharge. Which of the following would be the nurse’s most appropriate action?

  Collect a sample for culture and sensitivity testing.

Refer the client for cytologic study of the discharge.

  Explain that this could be terminal.

  Reassure the woman that this is a result of hormonal fluctuations.

Question 3 A client has admitted to the nurse that he has been having difficulty obtaining and maintaining erections for many months. Which of the nurse’s assessment questions most clearly addresses the most common cause for the client’s problem?

  “Do you ever experience pain when you urinate?”

  “Have you ever been screened for prostate cancer?”

  “What medications are you currently taking?”

  “How would you describe a typical day’s food intake?”

Question 4 An older client is having trouble with vaginal infections.  This is most likely due to:

atrophy of the vaginal mucosa as a result of aging.

hypothyroidism associated with aging.

having a high-carb diet, which allows glucose to spill into the urine and meatus.

promiscuity, as a result of not having to worry about pregnancy being a consequence of sexuality.

Question 5 During the health interview of a client who has just learned that she is pregnant, the nurse is assessing the client’s health history. What assessment question most directly addresses a known risk for congenital malformations?

  “Do you have diabetes?”

  “Do you exercise on a regular basis?”

  “Do your menstrual periods tend to be irregular?”

  “Do you ever experience severe premenstrual symptoms?”

Question 6 During a prenatal class, a nurse teaches a client how to measure the frequency of contractions. The client demonstrates understanding with which statement?

  “I’ll start timing from the beginning of one contraction, to the beginning of the next one.”

  “I should time from when one contraction ends and another one starts.”

  “I should start timing when the contraction is the strongest until it subsides.”

  “I should time from when I feel the contraction to the end of the contraction.”

Question 7 The nurse is employing the method of “hooking” during palpation of the liver in order to more easily estimate size. 

What technique should the nurse use to facilitate assessment of the descent of a client’s liver?

  Have the client exhale and hold his or her breath

Have the client inhale and hold his or her breath

  Have the client perform the Valsalva maneuver

  Have the client cough forcefully

Question 8 True or False? Bruits heard over abdominal aorta confined to systole may be normal in some clients.

  True

  False

Question 9 A nurse suspects intra-abdominal bleeding in a client who was recently involved in a motor vehicle accident.Which finding would most likely lead the nurse to this suspicion?

  Diastasis recti

Cullen’s sign

  Tenderness on palpation

Tympany on percussion

Question 10 A nurse is preparing to palpate a client’s spleen. Which position should the nurse use to best facilitate palpation?

  Sitting upright

  Prone

  Right side-lying

  Semi-Fowler’s

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