NCLEX RN Practice Question # 602

NCLEX Examination.

Practice Question # 602.





Breast Cancer


  • Breast cancer is classified as invasive when it penetrates the tissue surrounding the mammary duct and grows in an irregular pattern.
  • Metastasis occurs via lymph nodes.
  • Common sites ofmetastasis are the bone and lungs; metastasis may also occur to the brain and liver.
  • Diagnosis is made by breast biopsy through a needle aspiration or by surgical removal of the tumor with microscopic examination for malignant cells.

Risk factors

  • Age
  • Family history of breast cancer
  • Early menarche and late menopause
  • Previous cancer of the breast, uterus, or ovaries
  • Nulliparity, late first birth
  • Obesity
  • High-dose radiation exposure to chest


  • Mass felt during BSE
  • Mass usually felt in the upper outer quadrant, beneath the nipple, or in axilla
  • A fixed, irregular nonencapsulated mass; typically painless except in the late stages
  • Nipple retraction or elevation
  • Asymmetry, with the affected breast being higher
  • Bloody or clear nipple discharge
  • Skin dimpling, retraction, or ulceration

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