A nurse is teaching a patient to perform self-breast examination and tells the patient to pay particular attention to examining the upper outer quadrant of the breast. When asked why, “why,” how should the nurse respond to the patient?

“It is where most infections occur in the breast tissue.”

“It is the largest quadrant of the breast.”

cc) “It is where most of the suspensory ligaments attach.”

dd) “It is the location of most breast tumors.”

Answer and Explanation

The Correct Answer is D

Choice A reason: Infections like mastitis are not specific to the upper outer quadrant; they can occur anywhere in the breast tissue. Most tumors occur in this area, so this is incorrect for the focus of breast examination.

Choice B reason: The upper outer quadrant is not necessarily the largest; breast size varies. It’s emphasized because it contains the highest concentration of breast tissue where tumors form tumors, so this is incorrect. for the reason.

Choice C reason: Suspensory ligaments ( ligaments) are distributed throughout the breast, not primarily in the upper quadrant. Tumor prevalence drives the focus on this area, so this is incorrect for the nurse’s response.

Choice D reason: The upper outer quadrant is where most common site for breast tumors due to greater glandular tissue density. This is the primary reason for thorough examination, making it the correct response for patient education.

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Correct Answer is A

Explanation

Choice A reason: The systolic pressure (top number) measures arterial pressure during heart contraction, accurately explaining 118/82 mm Hg. This clear, correct definition educates the patient, making it the best reply.

Choice B reason: Diastolic pressure (bottom number) reflects arterial pressure at rest, not stroke volume. Systolic pressure is correctly defined as contraction pressure, so this is incorrect for explaining the numbers.

Choice C reason: Dismissing blood pressure as complex is unhelpful; both numbers matter. Systolic pressure is accurately defined as heart contraction pressure, so this is incorrect for patient education.

Choice D reason: Stating the numbers are normal (118/82 is prehypertension) avoids explaining their meaning. Defining systolic pressure clarifies the reading, so this is incorrect for answering the question.

A. Pyelonephritis B. Cholecystitis C. gastric ulcer D. Pancreatitis

Correct Answer is A

Explanation

Choice A reason: Costovertebral angle tenderness is a classic sign of pyelonephritis, indicating kidney infection or inflammation. Percussing this area elicits pain in renal conditions, making it the correct condition to assess for tenderness.

Choice B reason: Cholecystitis causes pain in the right upper quadrant, not the costovertebral angle. Kidney-related pyelonephritis is linked to this tenderness, so this is incorrect for the assessment focus.

Choice C reason: Gastric ulcers cause epigastric pain, not costovertebral tenderness, which is renal-specific. Pyelonephritis is the condition associated with this sign, so this is incorrect for the suspected condition.

Choice D reason: Pancreatitis presents with abdominal pain, not costovertebral angle tenderness, which indicates kidney issues. Pyelonephritis is the relevant condition, so this is incorrect for the assessment.

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A nurse is teaching a patient to perform self-breast examination and tells the patient to pay particular attention to examining the upper outer quadrant of the breast. When asked why, “why,” how should the nurse respond to the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient’s blood pressure is 118/82 mm Hg. He asks the nurse, “What do the numbers mean?” What is the nurse’s best reply?

Correct Answer is A

Explanation

Costovertebral angle tenderness should be assessed whenever the nurse suspects:

Correct Answer is A

Explanation

The best way to assess a 70-year-old patient’s recent memory recall is for the nurse to ask the patient to:

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