During a physical examination of a client's breast, which finding would the nurse recognize as a possible indication of a malignant tumor?

Well-defined mass

Retraction of the nipples

Stretch marks on breast

Tenderness of the breast

Answer and Explanation

The Correct Answer is B

A. A well-defined mass is typically benign, while malignant tumors are often irregular and less defined.

B. Nipple retraction or dimpling can be a sign of a malignant tumor because cancer can cause changes in the breast's structure.

C. Stretch marks are not related to malignancy and are often a result of changes in skin elasticity.

D. Tenderness of the breast is more commonly associated with benign conditions, such as fibrocystic changes, rather than malignancy.

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Correct Answer is C

Explanation

A. Sticking out the tongue assesses cranial nerve XII (hypoglossal nerve), not XI.

B. Following an object with the eyes assesses cranial nerves III, IV, and VI, not XI.

C. Cranial nerve XI (the accessory nerve) controls the sternocleidomastoid and trapezius muscles, and testing involves shoulder shrugging and head rotation against resistance.

D. Hearing normally assesses cranial nerve VIII (vestibulocochlear nerve).

A. Complete an incident report. B. Assess the client. C. Notify the nurse manager. D. Call the client's provider.

Correct Answer is B

Explanation

A. Completing an incident report is important but comes after ensuring the client's safety.

B. The priority is assessing the client for any adverse reactions or complications related to the incorrect medication.

C. Notifying the nurse manager should follow after the assessment and client stabilization.

D. The provider should be notified after assessing the client and identifying any clinical concerns.

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During a physical examination of a client's breast, which finding would the nurse recognize as a possible indication of a malignant tumor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While conducting a focused neurological assessment, the nurse includes testing the function of cranial nerve XI in a client. What assessment findings indicate the nerve is intact and functioning?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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During a physical examination of a client's breast, which finding would the nurse recognize as a possible indication of a malignant tumor?

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