A nurse is conducting a class on Breast Self-Examination (BSE) for women of childbearing age. The nurse should include which of these statements that indicates the proper BSE technique?

The best time to perform BSE is immediately prior to the menstrual cycle

If pregnancy is suspected, BSE should not be performed until post delivery

The best time to perform BSE is 4 to 7 days after the first day of the menstrual period

The woman with diagnosed fibrocystic breast tissue should not rely on BSE

Answer and Explanation

The Correct Answer is C

A) The best time to perform BSE is immediately prior to the menstrual cycle:
Performing a breast self-examination (BSE) immediately prior to the menstrual cycle is not ideal because hormonal changes leading up to menstruation can cause the breasts to become swollen, tender, and lumpy. These changes could make it difficult to detect subtle lumps or changes in the breast tissue. For the most accurate assessment, it's recommended that women avoid performing BSE during the premenstrual phase when the breast tissue is most likely to be affected by hormonal fluctuations.

B) If pregnancy is suspected, BSE should not be performed until post-delivery:
This statement is incorrect. There is no contraindication to performing a breast self-examination during pregnancy, and it is important for pregnant women to continue self-monitoring for any changes in breast tissue. In fact, BSE should be performed regularly during pregnancy, as the breast tissue can undergo changes due to hormonal shifts, and early detection of any abnormalities is key to successful management.

C) The best time to perform BSE is 4 to 7 days after the first day of the menstrual period:
This is the correct recommendation. The best time to perform a BSE is 4 to 7 days after the first day of the menstrual period because the breasts are least likely to be swollen or tender during this time. Hormonal levels are more stable at this point in the menstrual cycle, and any lumps or changes in the tissue are more likely to be noticeable. Performing BSE during this time increases the likelihood of detecting potential abnormalities.

D) The woman with diagnosed fibrocystic breast tissue should not rely on BSE:
While it is true that women with fibrocystic breast changes may experience lumpy, tender tissue, they should still perform BSE regularly. Fibrocystic tissue can sometimes make it more difficult to distinguish between normal and abnormal changes, but BSE remains an important tool for detecting significant changes, such as new lumps or changes in size, shape, or consistency. Women with fibrocystic breast tissue should be taught to perform BSE regularly and to report any unusual changes to their healthcare provider. Relying solely on BSE for breast cancer detection is not recommended, but it is an essential part of breast health awareness.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A) S2 indicates the beginning of diastole:
While S2 does coincide with the end of systole and the beginning of diastole, this statement is not the most specific or accurate way to describe the S2 heart sound. S2 marks the closure of the semilunar valves (the aortic and pulmonic valves), which occurs at the end of systole, just before diastole begins. While it is true that the S2 sound occurs as the heart transitions from systole to diastole, the closure of the semilunar valves is the more specific cause of S2.

B) S2 coincides with the carotid artery pulse:
This statement is not accurate. S2 does not exactly coincide with the carotid pulse. The S2 sound is heard slightly after the pulse due to the time it takes for the mechanical contraction of the heart to produce the sound. The carotid pulse typically corresponds more closely with the closure of the atrioventricular (AV) valves and the beginning of systole (S1), not S2. The timing of S2 and the carotid pulse can be close, but they are not perfectly synchronized.

C) S2 is caused by the closure of the semilunar valves:
This is the correct explanation. S2 is the heart sound produced by the closure of the semilunar valves (the aortic and pulmonic valves). The closing of these valves marks the end of systole and the beginning of diastole. S2 is typically described as having two components: the A2 sound (closure of the aortic valve) and the P2 sound (closure of the pulmonic valve). In some cases, particularly during inspiration, A2 and P2 may be heard separately, producing a split S2 sound.

D) S2 is louder than an S1:
This statement is not accurate. In general, S1 is louder than S2 at the apex of the heart (the lower part of the chest). S2 is louder than S1 at the base of the heart (near the sternum), particularly over the aortic and pulmonic areas. The loudness of heart sounds varies based on the location of auscultation, but it is not universally true that S2 is always louder than S1. The intensity of each sound depends on various factors, including the position of the listener and the health of the heart valves.

A. AV node-• SA node-• bundle of His -• Erb's Point B. Bundle of His -• AV node -• SA node -• Erb's Point C. AV node -• SA node -• bundle of His -• bundle branches D. SA node -• AV node -• bundle of His -• bundle branches

Correct Answer is D

Explanation

A) AV node → SA node → bundle of His → Erb's Point:
This sequence is incorrect because the electrical impulse of the heart starts at the SA (sinoatrial) node, not the AV (atrioventricular) node. The SA node is the natural pacemaker of the heart, initiating the electrical signal. The correct order of conduction is SA node → AV node → bundle of His → bundle branches, and finally, the Purkinje fibers. Erb's Point is an anatomical reference point for auscultation, not part of the electrical conduction pathway.

B) Bundle of His → AV node → SA node → Erb's Point:
This sequence is also incorrect. The electrical impulse originates at the SA node, not the bundle of His. The SA node stimulates the AV node, which in turn sends the signal to the bundle of His and then to the bundle branches. This pathway is essential for coordinating the contraction of the heart muscle, starting from the atria and moving to the ventricles.

C) AV node → SA node → bundle of His → bundle branches:
This sequence is reversed and incorrect. The impulse starts at the SA node, not the AV node. The SA node fires first, sending the electrical signal to the AV node, and then the signal travels down the bundle of His, into the left and right bundle branches, and finally to the Purkinje fibers.

D) SA node → AV node → bundle of His → bundle branches:
This is the correct sequence of the electrical conduction pathway of the heart. The electrical impulse originates at the SA node (the heart's natural pacemaker), then travels to the AV node, where it is delayed to allow the atria to contract and fill the ventricles. From there, the impulse moves down the bundle of His, which splits into the left and right bundle branches, leading to the Purkinje fibers that transmit the impulse throughout the ventricles, causing them to contract. This sequence ensures proper coordination and timing of the heart's contractions.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is conducting a class on Breast Self-Examination (BSE) for women of childbearing age. The nurse should include which of these statements that indicates the proper BSE technique?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is listening to the heart sounds of a client. What information about S2 sounds should the nurse recognize as accurate?

Correct Answer is C

Explanation

A nurse is reviewing the sequence of the cardiac cycle. The nurse recognizes that the electrical stimulus of the cardiac cycle follows which sequence?

Correct Answer is D

Explanation

A nurse is auscultating the lungs of a sleeping client and hears short, popping, crackling breath sounds that stop after a few breaths. How should the nurse document these breath sounds in the client's medical record?

The nurse is discussing Breast Self Examination (BSE) with a postmenopausal client. What instructions should the nurse give to the client about the correct time to perform BSE?

A nurse is assessing the tonsils of a client and notes that the tonsils are involuted, granular in appearance, and have deep crypts. The nurse should recognize that which of the following is the correct response to these findings?

A nurse is completing an assessment o a client suspected of having a carotid artery blockage. Which of the following techniques should the nurse to assess the client's carotid arteries?

A nurse is auscultating the lungs of a client and hears low-pitched, soft breath sounds over the posterior lower lobes and inspiration that is longer than expiration. How should the nurse interpret these findings?

A nurse is teaching a client about internal structures of the breast. The should understand that the internal breast consists what structures?

A client diagnosed with pleuritis has been admitted to the hospital and complains of pain with breathing. Which of the following assessment findings should the nurse expect when auscultating a client with pleuritis?

A nurse is assessing the anterior chest of a client. The nurse recognizes that which of the following should be included in the assessment? (Select all that apply.)