1. The nurse is caring for a pa- C. Assess blood pressure only on unaffected
tient diagnosed with breast arm.
cancer who just underwent
an axillary lymph node dis- Blood pressure readings, venipunctures, and
section. What intervention injections should not be done on the affected
should the nurse use to de- arm. Elastic bandages should not be used in
crease the lymphedema? the early postoperative period because they
A. Keep affected arm flat at inhibit collateral lymph drainage. The affected
the patient's side. arm should be elevated above the heart, and
B. Apply an elastic bandage isometric exercises are recommended and
on the affected arm. gradually increased starting in the recovery
C. Assess blood pressure room to reduce fluid volume in the arm.
only on unaffected arm.
D. Restrict exercise of the af-
fected arm for 1 week.
2. The nurse is volunteering at A. Nulliparity
a community center to teach C. Early menarche
women about breast cancer. D. Late menopause
What should the nurse in- E. Personal history of colon cancer
clude when discussing risk
factors (select all that ap- Women are at an increased risk for devel-
ply)? opment of breast cancer if they are over the
A. Nulliparity age of 50; have a family history of breast
B. Age 30 or over cancer; have a personal history of breast,
C. Early menarche colon, endometrial, or ovarian cancer; have
D. Late menopause a long menstrual history as seen with early
E. Personal history of colon menarche or late menopause; and have had
cancer a first full-term pregnancy after the age of 30
or are nulliparous.
3. The nurse has been asked to B. "It's recommended that you get a mammo-
participate in a healthy liv- gram each year after you turn 40."
ing workshop. While teach-
ing about women's health, Annual mammograms are recommended af-
which guidelines should the ter age 40. They are recommended for all
nurse provide to the audi- women, not solely those with a family history
ence? of breast cancer. BSE is not a replacement
A. "Mammograms are neces- for mammography, and clinical breast exami-
, NCLEX Breast Cancer Test Questions with 100% Verified Answers
sary if you have a family his- nations are not necessary at each office visit,
tory of breast cancer." but recommended at least every 3 years for
B. "It's recommended that women in their 20s and 30s, and then every
you get a mammogram each year beginning at age 40.
year after you turn 40."
C. "If you are not able to per-
form breast self-examination
(BSE), you should go for reg-
ular mammograms."
D. "You should ensure that
your primary care provider
performs a breast exam each
time you visit."
4. A 51-year-old woman has re- D. Promote gradually increasing mobility as
cently had a unilateral, right soon as possible following surgery.
total mastectomy and axil-
lary node dissection for the Mobility should be encouraged beginning in
treatment of breast cancer. the postanesthesia care unit (PACU) and in-
What nursing intervention creased gradually throughout the patient's re-
should the nurse include in covery. Immobilization is counterproductive to
the patient's care? recovery, and the limb should not be in a
A. Immobilize the patient's dependent position. Diuretics are not used
right arm until postoperative to prevent lymphedema but may be used in
day 3. active treatment of the problem.
B. Maintain the patient's right
arm in a dependent position
when at rest.
C. Administer diuretics pro-
phylactically for the preven-
tion of lymphedema.
D. Promote gradually in-
creasing mobility as soon as
possible following surgery.
5. Which task could the regis- B. Mobilize the patient in a slightly hunched
tered nurse delegate to un- position.
licensed assistive personnel
(UAP) during the care of Mobilization of a postsurgical patient may