{"id":11188,"date":"2026-10-19T00:10:00","date_gmt":"2026-10-19T08:10:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=11188"},"modified":"2026-09-22T14:04:03","modified_gmt":"2026-09-22T22:04:03","slug":"nclex-question-of-the-day-breast-exam","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-breast-exam","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Breast exam"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_86 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-breast-exam\/#The_correct_answer_to_todays_NCLEX%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX\u00ae Question is&#8230;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-breast-exam\/#Main_Takeaway\" >Main Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-breast-exam\/#Incorrect_Answer_Explanations\" >Incorrect Answer Explanations<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-breast-exam\/#Want_to_learn_more_about_this_topic\" >Want to learn more about this topic?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><em><strong>Today\u2019s NCLEX-RN\u00ae question of the day focuses on teaching a student nurse how to give a breast exam. Do you know the answer? Let&#8217;s find out!<\/strong><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>After teaching a nursing student how to perform a clinical breast examination, the nurse asks the student to describe the procedure. Which statement by the student indicates a need for further teaching?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. \u201cI will inspect the breasts before I palpate them.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. \u201cI will palpate in overlapping vertical strips, moving across the entire breast and including the axillary tail.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. \u201cI will use light pressure only when palpating each breast.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. \u201cI can expect to see fine hairs and Montgomery glands on the areolae.\u201d<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em>Scroll down for the correct answer!<\/em><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Learn with Osmosis\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/iDxHtjjCMbU?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. \u201cI will use light pressure only when palpating each breast.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> This statement indicates a need for further teaching. The nurse should use light, medium, and deep pressure to assess superficial, intermediate, and deeper breast tissue near the chest wall. Using only light pressure may prevent the nurse from detecting findings located in deeper tissue.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Main_Takeaway\"><\/span>Main Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The nurse should recognize methods of assessment during a breast exam.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The nurse can begin palpation with the patient sitting, palpating along the axillary lymph nodes to assess for tenderness or enlargement while also checking for masses or lumps. <\/strong>Usually, the axillary lymph nodes are not palpable, but if they are, they should be small, nontender, soft, and mobile. Hard, non-mobile lymph nodes can be associated with cancer. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Then, the nurse assists the patient in lying supine with one arm above their head, so each breast can be palpated while it is flat against the chest wall. <\/strong>The nurse should use the pads of the first two to three fingers to palpate all quadrants of the breast first with light pressure, then medium, and finally deep pressure. One consistent, systematic pattern and use overlapping movements are used so that no tissue is missed. The vertical-strip, circular, and wedge methods are options. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The examination must include the entire breast, the axillary tail of Spence, and the tissue beneath the nipple and areola. During the assessment, the nurse should avoid lifting the fingers off the breast to avoid missing any tissue.<\/strong> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Breast tissue should be firm, smooth, movable, and nontender.<\/strong> Tenderness can normally be present during pregnancy, before menstruation, and during menopause. Other expected variations in breast tissue include soft diffuse bumps associated with the glandular and fatty tissue inside the breasts. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>It is also common to palpate a firm transverse ridge along the breast\u2019s lower edge, known as the inframammary ridge. <\/strong>If a lump or nodule is identified, palpate the mass for characteristics, including location, size, shape, consistency, and mobility. A smooth, firm, rubbery, freely movable, and nontender lump is characteristic of fibroadenoma, whereas a nodular and tender lump is characteristic of fibrocystic breast disease. A breast lump that is hard, irregularly shaped, and painless is associated with breast cancer. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Lastly, the nurse should apply clean gloves and palpate the nipple. Nipples should be soft and elastic without lumps or discharge.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanations\"><\/span>Incorrect Answer Explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. \u201cI will inspect the breasts before I palpate them.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> This statement indicates that teaching has been successful. A breast exam begins with inspection. After inspection, the nurse will proceed with palpation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. \u201cI will palpate in overlapping vertical strips, moving across the entire breast and including the axillary tail.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> This statement indicates that teaching has been successful. With the vertical-strip method, the nurse uses overlapping up-and-down passes to provide systematic coverage of the breast tissue. The assessment should include the full extent of the breast and the axillary tail of Spence.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. \u201cI can expect to see fine hairs and Montgomery glands on the areolae.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale: <\/strong>This statement indicates that teaching has been successful. Montgomery tubercles are the visible openings of specialized sebaceous glands in the areolae. They primarily release an oily substance that lubricates and protects the nipple and areolar skin. Their number, size, and visibility vary among patients.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Want_to_learn_more_about_this_topic\"><\/span>Want to learn more about this topic?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Watch the Osmosis video: <\/strong><a href=\"https:\/\/www.osmosis.org\/learn\/Physical_assessment_-_Breast_exam:_Nursing\">Physical assessment &#8211; Breast exam: Nursing<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/01\/Blog_Display_Ads_RN2_2023.png?w=700\" alt=\"\" class=\"wp-image-5068\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/01\/Blog_Display_Ads_RN2_2023.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/01\/Blog_Display_Ads_RN2_2023.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong><em>Get your\u00a0<a href=\"https:\/\/www.osmosis.org\/plans\/rn\">free trial<\/a>\u00a0now to find out why future<\/em> <em>clinicians and caregivers love learning by Osmosis<\/em><\/strong>!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nursing student explains how to perform a clinical breast examination. Can you identify which statement suggests they need additional teaching about proper assessment technique?<\/p>\n","protected":false},"author":284,"featured_media":11191,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,1366,32],"tags":[3429,3428,3431,343,628,886,3432,1086,245,3031,154,290,462,279,3430],"class_list":["post-11188","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-questions","category-nursing","tag-breast-assessment","tag-breast-examination","tag-breast-health","tag-clinical-assessment","tag-clinical-judgment","tag-exam-prep","tag-health-assessment","tag-nclex-rn-2","tag-nursing-education","tag-nursing-fundamentals","tag-nursing-skills","tag-nursing-students","tag-osmosis","tag-patient-assessment","tag-physical-assessment"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - 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