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Hesi Case Study - Breast Cancer
2026 |Actual Exam Questions With
Verified Solutions
At the community education program, the client learns that breast self-exam (BSE)
is best performed 2-3 days after the start of the menstrual flow when the breasts
are least engorged and tender. Since the client had a hysterectomy 5 years ago,
she does not have periods. She asks the nurse if she still needs to perform BSE,
and if so, when. - correct-answer -Which nursing explanation best promotes
effective communication?
Select a day that is easy to remember to perform BSE consistently every month.
The client demonstrates BSE technique for the nurse using a practice model. She
uses her fingerpads and states that when lying down, her arm should be relaxed at
her side. What instructions should the nurse provide? - correct-answer -
Demonstrate how arm should be positioned behind or over the head.
Another client in the class said she had heard that there is a genetic test that
would diagnose breast cancer. What is the best response by the nurse? - correct-
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answer -A positive test for the BRCA1 mutation identifies an increased risk for
breast cancer.
Diagnostic Testing
While performing a BSE, the client discovers a lump.After seeing her healthcare
provider (HCP), the client is scheduled for a mammogram. She brings a family
member with her to the Women's Health Center to learn about mammograms.
The client's family member tells the nurse that she does not need a mammogram
annually because she has no risk factors for breast cancer, except that her father's
sister had breast cancer.
Which nursing intervention best promotes effective communication? - correct-
answer -Teach the client's family that even women with no identified risk factors
are at risk.
The nurse is aware that treatment with antineoplastic chemotherapeutic agents
can cause immunosuppression, which predisposes the client to infection. Which
assessment finding warrants intervention by the nurse? - correct-answer -
Temperature of 99.5° F (37.5oC).
A Complication Occurs: Cellulitis and Lymphedema
The client has completed her first round of chemotherapy. She calls the nurse to
report that she cut her arm on the operative side while doing yard work the
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Hesi Case Study - Breast Cancer
2026 |Actual Exam Questions With
Verified Solutions
At the community education program, the client learns that breast self-exam (BSE)
is best performed 2-3 days after the start of the menstrual flow when the breasts
are least engorged and tender. Since the client had a hysterectomy 5 years ago,
she does not have periods. She asks the nurse if she still needs to perform BSE,
and if so, when. - correct-answer -Which nursing explanation best promotes
effective communication?
Select a day that is easy to remember to perform BSE consistently every month.
The client demonstrates BSE technique for the nurse using a practice model. She
uses her fingerpads and states that when lying down, her arm should be relaxed at
her side. What instructions should the nurse provide? - correct-answer -
Demonstrate how arm should be positioned behind or over the head.
Another client in the class said she had heard that there is a genetic test that
would diagnose breast cancer. What is the best response by the nurse? - correct-
1
, 2
answer -A positive test for the BRCA1 mutation identifies an increased risk for
breast cancer.
Diagnostic Testing
While performing a BSE, the client discovers a lump.After seeing her healthcare
provider (HCP), the client is scheduled for a mammogram. She brings a family
member with her to the Women's Health Center to learn about mammograms.
The client's family member tells the nurse that she does not need a mammogram
annually because she has no risk factors for breast cancer, except that her father's
sister had breast cancer.
Which nursing intervention best promotes effective communication? - correct-
answer -Teach the client's family that even women with no identified risk factors
are at risk.
The nurse is aware that treatment with antineoplastic chemotherapeutic agents
can cause immunosuppression, which predisposes the client to infection. Which
assessment finding warrants intervention by the nurse? - correct-answer -
Temperature of 99.5° F (37.5oC).
A Complication Occurs: Cellulitis and Lymphedema
The client has completed her first round of chemotherapy. She calls the nurse to
report that she cut her arm on the operative side while doing yard work the
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