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 quadrant is:
More prone to injury and calcifications than other locations in the breast.
Where most of the suspensory ligaments attach.
The largest quadrant of the breast.
The location of most breast tumors.
The Correct Answer is D
Choice A rationale
While the upper outer quadrant can be prone to injury and calcifications, this is not the primary reason for its importance in breast examinations. Calcifications can occur in various parts of the breast and are often detected through mammography rather than physical examination.
Choice B rationale
Suspensory ligaments, also known as Cooper's ligaments, provide structural support to the breast. They attach to the skin and the underlying pectoral fascia. However, these ligaments are distributed throughout the breast and are not confined to the upper outer quadrant.
Choice C rationale
The upper outer quadrant is not the largest quadrant of the breast. All quadrants have relatively similar sizes. Therefore, the size of the quadrant is not the reason for its importance in breast examinations.
Choice D rationale
The upper outer quadrant of the breast is the most common location for breast tumors. This is because a significant portion of the breast tissue, including the axillary tail (an extension of breast tissue into the armpit), is located in this quadrant. Therefore, careful examination of this area is crucial for early detection of breast cancer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Without treatment, glaucoma can lead to blindness due to the progressive damage it causes to the optic nerve. Elevated intraocular pressure damages the optic nerve fibers, leading to peripheral vision loss and eventually total blindness if untreated.
Choice B rationale
Double vision is not a common symptom of glaucoma. Instead, glaucoma typically presents with symptoms like gradual peripheral vision loss, eye pain, and halos around lights.
Choice C rationale
Glaucoma is primarily caused by increased intraocular pressure, either due to overproduction of aqueous humor or improper drainage, not inadequate fluid production.
Choice D rationale
Use of eye drops helps to control intraocular pressure but does not improve vision; it helps to prevent further damage to the optic nerve.
Correct Answer is B
Explanation
Choice A rationale
Lateralization to the unaffected ear in Weber's test actually indicates sensorineural hearing loss in the affected ear. This choice is incorrect as it doesn’t describe the correct procedure for the test.
Choice B rationale
The Weber's test involves placing an activated tuning fork in the midline of the skull and asking the patient if the sound is heard more loudly in either ear. This helps determine if there is lateralization, which is key in diagnosing the type of hearing loss. Thus, this is the correct procedure for the test.
Choice C rationale
Placing the tuning fork on the mastoid bone and then over air is actually part of the Rinne test, not the Weber test. This choice is, therefore, incorrect for the Weber test.
Choice D rationale
Similar to Choice C, this process describes the Rinne test, which compares air conduction and bone conduction of sound. This is not the correct method for performing Weber’s test.
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