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
The nurse is teaching breast self-examination (BSE) to a group of women. The nurse should recommend that the patients perform BSE at what time?
Correct Answer: D
Rationale: BSE is best performed on days 5 to 7 after menses, when breasts are least hormonal and tender, optimizing detection of abnormalities. Monthly, not weekly, performance is recommended, and timing relative to menses is important.
Question 2 of 5
A nurse is teaching a group of women about the potential benefits of breast self-examination (BSE). The nurse should teach the patients that effective BSE is dependent on what factor?
Correct Answer: A
Rationale: Effective BSE relies on the patient's familiarity with her breasts' normal appearance and feel, enabling detection of changes. Rapport with providers, mammogram synchronization, or pathophysiology knowledge are not essential for BSE efficacy.
Question 3 of 5
A 60-year-old man presents at the patient complaining that his breasts are tender and enlarging. Patients are subsequently diagnosed with gynecomastia. The patient should be assessed for what causative factor?
Correct Answer: B
Rationale: Gynecomastia in older men is often caused by medications, such as diuretics or antipsychotics, which can disrupt hormonal balance. It is not an age-related change, nor is it linked to nutrition or fluid overload.
Question 4 of 5
A woman is considering breast reduction mammogram. When weighing the patients health risks, the nurse should confirm that the patient is aware that what factor?
Correct Answer: D
Rationale: Breast reduction mammoplasty may result in decreased nipple sensation due to nerve disruption. It does not increase cancer risk, affect mammography clarity, or cause chronic pain.
Question 5 of 5
A patient is to undergo an ultrasound-guided core biopsy. The patient tells the nurse that a patient of hers had a stereotactic core needle biopsy. She wants to understand the difference between the procedures. What would be the nurses best response?
Correct Answer: A
Rationale: Ultrasound-guided core biopsy is faster, less expensive, and radiation-free compared to stereotactic biopsy, which uses X-rays for guidance, making it a preferred option when ultrasound is suitable.