ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 58 : Assessment and Management of Patients with Breast Disorders Questions
Question 1 of 5
A patient has just been told she needs to have an incision of a right breast mass. During preoperative teaching, how could the nurse best assess this patient for specific needs she might have?
Correct Answer: A
Rationale: Encouraging the patient to verbalize questions and concerns helps identify her educational, physical, or psychosocial needs, tailoring preoperative care. Discussing biopsy findings or treatment options is physician-led, and medical history review is less direct.
Question 2 of 5
A patient has just returned to the postsurgical unit from post-anesthetic recovery after breast surgery for removal of a malignancy. What is the most likely major nursing diagnosis to include in this patients immediate plan of care?
Correct Answer: A
Rationale: Acute pain is a common immediate postoperative issue due to tissue manipulation and incision, making it a priority nursing diagnosis. Coping, sorrow, or trauma risks may emerge later but are not immediate concerns.
Question 3 of 5
A 52-year-old woman has just been told she has breast cancer and is scheduled for a modified mastectomy the following week. The nurse caring for this patient knows that she is anxious and fearful about the upcoming procedure and the newly diagnosed malignancy. How can the nurse most likely alleviate this patients fears?
Correct Answer: B
Rationale: Providing realistic information about recovery helps reduce anxiety by setting clear expectations. Written materials alone may not suffice, survival rates may not address procedural fears, and offering alternatives is outside the nurse's scope.
Question 4 of 5
A nurse is explaining that each breast contains 12 to 20 cone-shaped lobes. The nurse should explain that each lobe consists of what elements?
Correct Answer: C
Rationale: Each breast lobe consists of lobules (milk-producing glands) and ducts (milk transport), which are the functional units of the breast. Tendons, ligaments, smooth muscle, or endocrine/sebaceous glands are not primary components.
Question 5 of 5
A nurse has assessed that a patient is not yet willing to view her mastectomy site. How should the nurse best assist the patient in developing a positive body image?
Correct Answer: D
Rationale: Empathic encouragement supports the patient's gradual acceptance of her changed appearance without pressure. Asking her to describe the site may increase distress, downplaying the experience is dismissive, and negating physical appearance may not resonate.