The nurse is performing a breast examination on a client. The nurse understands that examining the upper outer quadrant of the breast is especially important because this part is:

The location of most breast tumors.

More prone to Injury and calcifications than other locations in the breast

The largest quadrant of the breast

Where most of the suspensory ligaments attach

Answer and Explanation

The Correct Answer is A

A. The location of most breast tumors: This choice is correct. The upper outer quadrant of the breast is the most common site for breast tumors. This area has a higher concentration of glandular tissue, making it more susceptible to the development of tumors. Therefore, thorough examination of this area is crucial during breast examinations.

B. More prone to Injury and calcifications than other locations in the breast: While injuries can occur in any part of the breast, the statement about calcifications is not accurate. Calcifications in breast tissue can occur in various areas and are not specific to the upper outer quadrant.

C. The largest quadrant of the breast: This statement is not accurate. The breast quadrants are not distinguished by size; they are anatomical divisions used for reference during breast examinations. Each quadrant has its significance for examination purposes, but none is considered the largest.

D. Where most of the suspensory ligaments attach: The suspensory ligaments, also known as Cooper's ligaments, provide structural support to the breast tissue. While they are essential for breast anatomy, they are not concentrated in the upper outer quadrant exclusively. These ligaments are distributed throughout the breast tissue.

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Correct Answer is A

Explanation

A. Continue with the assessment, looking for any other abnormal findings: This is the correct response. Tonsils in adults can have various appearances, and a granular appearance with deep crypts is within the range of normal. It's essential for the nurse to continue the assessment and observe for other signs or symptoms that might indicate an issue.

B. Refer the patient to a throat specialist: Referring the patient based solely on the appearance of the tonsils, especially if it's a normal variant, might be unnecessary and could cause undue concern for the patient. It's important to assess the patient comprehensively before considering a specialist referral.

C. No response is needed; this appearance is normal for the tonsils: This is the correct explanation. In adults, tonsils often appear granular with deep crypts, which is considered a normal variation. No further action is required regarding the tonsils.

D. Obtain a throat culture on the patient for possible streptococcal (strep) infection: Based on the description provided (involution, granular appearance, and deep crypts), there's no specific indication of a streptococcal infection. Conducting a throat culture should be based on the presence of specific symptoms and signs indicative of a streptococcal infection, such as sore throat, fever, and swollen tonsils with white patches, rather than just the appearance of the tonsils.

A. VI B. V C. II D. III

Correct Answer is C

Explanation

A. VI

Cranial Nerve VI is the Abducent Nerve, which controls the movement of the lateral rectus muscle, allowing the eye to move laterally (abduct). Dysfunction of this nerve can cause difficulty in moving the eye outward.

B. V

Cranial Nerve V is the Trigeminal Nerve. It has both sensory and motor functions. Sensory functions include providing sensation to the face, sinuses, and teeth. Motor functions include controlling the muscles used for chewing (mastication).

C. II

Cranial Nerve II is the Optic Nerve. It is purely a sensory nerve responsible for vision. The optic nerve carries visual information from the retina of the eye to the brain.

D. III

Cranial Nerve III is the Oculomotor Nerve. It is primarily a motor nerve but also has some autonomic functions. It controls most of the eye movements (except lateral movement controlled by VI) and regulates the size of the pupil and the shape of the lens in the eye for focusing.

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The nurse is performing a breast examination on a client. The nurse understands that examining the upper outer quadrant of the breast is especially important because this part is:

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Naxlex Comprehensive Predictor Exams

The nurse is assessing the tonsils of an adult client. The nurse notices that the tonsils are involuted, granular in appearance, and has deep crypts. The nurse recognizes that which of the following is the correct response to these findings?

Correct Answer is A

Explanation

The nurse is preparing to measure the visual acuity of a client. The nurse should recognize that which of the following cranial nerve should be assessed:

Correct Answer is C

Explanation

The nurse is preparing to assess the visual acuity of an adult patient, which of the following assessment should the nurse use for visual acuity

The nurse is testing a client's visual accommodation. Which of the following should the nurse recognize as an assessment finding from visual accommodation?

A nurse is reviewing the anatomy and physiologic functioning of the heart. The nurse should recognize that which statement best describes the atrial kick?

The nurse is auscultating the lungs of an adult client. The nurse hears low-pitched, soft breath sounds over the posterior lower lobes and inspiration that is longer than expiration. The nurse recognizes that these breath sounds are:

The nurse is auscultating a client's chest for breath sounds. In which situation should the nurse expect to auscultate increased breath sounds?

The nurse is performing a breast examination on a client. The nurse understands that examining the upper outer quadrant of the breast is especially important because this part is:

The nurse is completing an assessment on a client suspected of having a transient ischemic attack. Which of the following techniques should the nurse use to assess the client's carotid arteries?

The nurse recognizes that the following statement is true regarding the internal structures of the breast: The breast is made up of: