What is usually the first clinical sign of breast cancer?
Chest pain
Unilateral nipple discharge
A painless lump
Breast dimpling
The Correct Answer is C
Choice A rationale
Chest pain is not typically a symptom of breast cancer. It may be a symptom of a heart condition or other medical conditions.
Choice B rationale
Unilateral nipple discharge can be a symptom of breast cancer, but it is not usually the first clinical sign.
Choice C rationale
A painless lump in the breast is often the first noticeable symptom of breast cancer.
Choice D rationale
Breast dimpling can be a symptom of breast cancer, but it is not usually the first clinical sign.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
An exaggerated stress response in a client with type 1 diabetes would not cause higher blood sugar readings through the release of insulin. In fact, stress tends to increase blood sugar levels.
Choice B rationale
The release of glucocorticoids during stress does not typically cause lower blood sugar readings. Glucocorticoids tend to raise blood sugar levels.
Choice C rationale
An exaggerated stress response can cause higher blood sugar readings through the release of glucocorticoids. Stress hormones like glucocorticoids interfere with insulin’s ability to move glucose from the blood into the cells, leading to an increase in blood sugar levels.
Choice D rationale
An exaggerated stress response would not cause lower blood sugar readings through the release of insulin. Stress typically raises, not lowers, blood sugar levels.
Correct Answer is A
Explanation
Choice A rationale
Diabetes insipidus is a rare disorder that occurs when a person’s kidneys pass an abnormally large volume of urine that is insipid—dilute and odorless. In most people, the kidneys pass about 1 to 2 quarts of urine a day. In people with diabetes insipidus, the kidneys can pass 3 to 20 quarts of urine a day. As a result, a person with diabetes insipidus may feel the need to drink large amounts of liquids.
Choice B rationale
Overproduction of antidiuretic hormone (ADH) leads to Syndrome of Inappropriate Antidiuretic Hormone (SIADH), not diabetes insipidus.
Choice C rationale
Overproduction of insulin can lead to hypoglycemia, not diabetes insipidus.
Choice D rationale
Insufficient insulin production leads to diabetes mellitus, not diabetes insipidus.
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