When performing a female breast examination, the nurse notes the left breast to be larger than the right. What should the nurse tell the patient?

"You will require an urgent mammogram"

"This is quite common to have slight asymmetry in size"

"This signifies a growth in the left breast"

"I will inform the physician right away"

Answer and Explanation

The Correct Answer is B

A. "You will require an urgent mammogram":
Not warranted unless there is a sudden or recent asymmetry, mass, or skin change.

B. "This is quite common to have slight asymmetry in size":
Breast asymmetry is normal and common unless accompanied by new findings or rapid change.

C. "This signifies a growth in the left breast":
This is an assumption-size difference alone does not indicate pathology.

D. "I will inform the physician right away":
Not necessary unless there are abnormal associated signs (e.g., dimpling, mass, discharge).

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Correct Answer is B

Explanation

A. Is considered an abnormal sound:
S1 is a normal heart sound, marking the beginning of systole.

B. Is associated with closure of the atrioventricular valves:
S1 occurs with closure of the mitral and tricuspid valves at the start of systole.

C. Taking a deep breath will soften the sound of S1:
S1 may split with respiration, but it's not necessarily softer; this is more common with S2.

D. Is associated with closure of the semilunar valves:
Closure of semilunar valves (aortic and pulmonic) produces the second heart sound (S2).

A. The sixth rib anteriorly and the eighth rib laterally B. Rest on the diaphragm at the fifth intercostal space in the midclavicular line (MCL) C. Extend 3 to 4 cm above the inner third of the clavicles D. The level of the second rib anteriorly

Correct Answer is C

Explanation

A. The sixth rib anteriorly and the eighth rib laterally:
Describes the borders of the bases of the lungs, not the apices.

B. Rest on the diaphragm at the fifth intercostal space in the midclavicular line (MCL):
Also refers to the base of the lung, not the apex.

C. Extend 3 to 4 cm above the inner third of the clavicles:
This is the correct anatomical landmark for the apices of the lungs.

D. The level of the second rib anteriorly:
Marks the angle of Louis (sternal angle), a reference point for rib counting-not the lung apices.

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When performing a female breast examination, the nurse notes the left breast to be larger than the right. What should the nurse tell the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is accurate regarding the first heart sound or S1?

Correct Answer is B

Explanation

Which landmark is utilized for the apices of the lungs?

Correct Answer is C

Explanation

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