Which assessment finding in a 36-yr-old patient is most indicative of a need for further evaluation?

A breast lump that increases in size before the menstrual period.

Bilateral breast nodules that are tender with palpation.

A breast lump that is small and mobile, with a rubbery consistency.

A breast nodule that is 1 cm in size, nontender, and fixed.

Answer and Explanation

The Correct Answer is D

Choice A rationale: A breast lump that increases in size before the menstrual period might be related to hormonal changes and is not necessarily indicative of a concerning issue.

Choice B rationale: Bilateral breast nodules that are tender with palpation might be related to benign conditions or hormonal changes.

Choice C rationale: A small, mobile, rubbery breast lump could suggest a benign condition like a fibroadenoma, which might not be as concerning.

Choice D rationale: A breast nodule that is 1 cm in size, nontender, and fixed could potentially raise concerns about malignancy and requires further evaluation.

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Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A rationale: This is a condition where the skin of the breast becomes dimpled and resembles an orange peel. It is caused by blockage of the lymphatic vessels by cancer cells or inflammation.

Choice B rationale: This is a condition where the skin of the breast breaks down and forms an open sore. It can be a sign of advanced or inflammatory breast cancer.

Choice C rationale: This is a condition where the nipple becomes inverted or pulled inward. It can be caused by scarring, infection, or cancer in the breast tissue or ducts.

Choice D rationale: These are lymph nodes in the armpit that are enlarged and hard but not painful. They can be a sign of cancer spreading from the breast to the lymphatic system.

Choice E rationale: This is a lump in the breast that can be felt and moved around. It is located at the upper outer quadrant of the right breast, as if looking at a clock face. It can be benign or malignant, depending on its size, shape, consistency, and borders.

Choice F rationale: Dense breast tissue is not an abnormal finding that indicates possible breast cancer. It is a normal variation that makes it harder to detect lumps or

abnormalities on mammograms. Women with dense breasts may need additional screening tests such as ultrasound or MRI.

A. Candida albicans B. Lactobacillus acidophilus C. Escherichia coli D. Neisseria gonorrhoeae

Correct Answer is A

Explanation

Choice A rationale: Yeast vaginitis, commonly known as a yeast infection, is typically caused by an overgrowth of Candida albicans, a type of fungus. Candida albicans overgrowth can lead to symptoms like white, thick discharge and itching in the vaginal area.

Choice B rationale: Lactobacillus acidophilus is a bacterium associated with maintaining vaginal health rather than causing yeast infections.

Choice C rationale: Escherichia coli is a bacteria that can cause different types of infections but are not typically associated with yeast vaginitis.

Choice D rationale: Neisseria gonorrhoeae is a bacteria and does not cause yeast vaginitis despite having similar presentation such as pus discharge per vaginally.

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Which assessment finding in a 36-yr-old patient is most indicative of a need for further evaluation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After a breast examination, the nurse is documenting assessment findings that indicate possible breast cancer. Which abnormal findings need to be included as part of the client's electronic medical record? (Select all that apply.)

Correct Answer is ["A","B","C","D","E"]

Explanation

A 23-year-old sexually active female presents with white copious discharge and itch and is diagnosed with yeast vaginitis. This condition is caused by overgrowth of which microorganism?

Correct Answer is A

Explanation

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