During a breast examination, which finding most strongly suggests that the client has breast cancer?

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Question 1 of 5

During a breast examination, which finding most strongly suggests that the client has breast cancer?

Correct Answer: B

Rationale: A fixed nodular mass with dimpling of the overlying skin is the finding that most strongly suggests breast cancer. This presentation is concerning for an invasive carcinoma that has invaded into the surrounding tissues, leading to the dimpling of the skin. Breast cancer typically presents as a painless, hard, irregularly shaped, non-mobile mass. Dimpling of the skin overlying the mass is a sign of advanced disease and is often associated with a poor prognosis. Therefore, this finding should raise suspicion for breast cancer and prompt further evaluation and workup.

Question 2 of 5

Children with secondary nocturnal enuresis may have

Correct Answer: D

Rationale: Psychosocial stressors can trigger secondary nocturnal enuresis after a period of dryness.

Question 3 of 5

Which type of leukemia has been MOST likely developed in a 2-year-old child with Down syndrome in the neonatal period?

Correct Answer: D

Rationale: Transient myeloproliferative disorder in neonates with Down syndrome can evolve into AML M6.

Question 4 of 5

Failure to thrive (FTT) is a descriptive term given to malnourished infants and young children who fail to meet expected standards of growth. Of the following, the growth parameter that is usually not affected by malnutrition is

Correct Answer: D

Rationale: Head circumference is less likely to be affected by short-term malnutrition because brain growth is prioritized during infancy and early childhood.

Question 5 of 5

The MOST appropriate age of a child who helps to undress; puts 3 words together (subject, verb, object); and handles spoon well is

Correct Answer: C

Rationale: These milestones are typically achieved around 24 months.

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