Chapter 17: Breasts and Regional Lymphatics

Chapter 17: Breasts and Regional Lymphatics

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which of the following statements is true regarding the internal structures of the breast? The breast is made up of:

a.	Primarily muscle with very little fibrous tissue.
b.	Fibrous, glandular, and adipose tissues.
c.	Primarily milk ducts, known as lactiferous ducts.
d.	Glandular tissue, which supports the breast by attaching to the chest wall.

 

 

ANS:  B

The breast is made up of glandular, fibrous (including the suspensory ligaments), and adipose tissues.

 

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 386

MSC:  Client Needs: General

 

2. In performing a breast examination, the nurse knows that examining the upper outer quadrant of the breast is especially important. The reason for this is that the upper outer quadrant is:

a.	The largest quadrant of the breast.
b.	The location of most breast tumors.
c.	Where most of the suspensory ligaments attach.
d.	More prone to injury and calcifications than other locations in the breast.

 

 

ANS:  B

The upper outer quadrant is the site of most breast tumors. In the upper outer quadrant, the nurse should notice the axillary tail of Spence, the cone-shaped breast tissue that projects up into the axilla, close to the pectoral group of axillary lymph nodes.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 386

MSC:  Client Needs: Safe and Effective Care Environment: Management of Care

 

3. In performing an assessment of a woman’s axillary lymph system, the nurse should assess which of these nodes?

a.	Central, axillary, lateral, and sternal
b.	Pectoral, lateral, anterior, and sternal
c.	Central, lateral, pectoral, and subscapular
d.	Lateral, pectoral, axillary, and suprascapular

 

 

ANS:  C

The breast has extensive lymphatic drainage. Four groups of axillary nodes are present: (1) central, (2) pectoral (anterior), (3) subscapular (posterior), and (4) lateral.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 387

MSC:  Client Needs: Safe and Effective Care Environment: Management of Care

 

4. If a patient reports a recent breast infection, then the nurse should expect to find ________ node enlargement.

a.	Nonspecific
b.	Ipsilateral axillary
c.	Contralateral axillary
d.	Inguinal and cervical

 

 

ANS:  B

The breast has extensive lymphatic drainage. Most of the lymph, more than 75%, drains into the ipsilateral, or same side, axillary nodes.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 387

MSC:  Client Needs: Physiologic Integrity: Physiologic Adaptation