Breast Cancer – HESI Exam 2025
Questions and Answers
At the community education program, Chandra learns that breast self-exam (BSE) is
best performed 7 days after the start of the menstrual flow when the breasts are least
engorged and tender. Since Chandra had a hysterectomy 5 years ago, she does not have
periods. She asks the nurse if she still needs to perform BSE, and so, when. -
ANSWER✔✔-Select whatever day you can best remember to perform BSE consistently
every month
Chandra 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? - ANSWER✔✔-When you are lying down,
your arm should be positioned over your head.
Another woman 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? - ANSWER✔✔-A
positive test for the BRCA 1 mutation identifies an increased risk for breast cancer, but
is not a certainty
, While performing a BSE, Chandra discovers a lump.
After seeing her healthcare provider (HCP), Chandra is scheduled for a mammogram.
Chandra brings her 60 year old sister in law, Francie with her to the Women's Health
Center to learn about mammogram annually because she has no risk factors for breast
cancer, except that her father's sister had breast cancer when she was 50.
What intervention should the nurse implement first? - ANSWER✔✔-Teach Francie that
even women with no identified risk factors are at risk
Francie states that she will schedule a mammogram and she asks the nurse if the x-ray
is painful. How should the nurse respond? - ANSWER✔✔-You may experience some
discomfort, but only for a few minutes.
A mass is seen on Chandra's mammogram, and a follow-up stereotactic core needle
biopsy is performed. The tumor specimen is found to be cancerous. Chandra learns that
she has a cancerous tumor requiring surgery. She tells the nurse, "They make mistakes. I
know that happens. My specimen probably got switched with someone else's, right?" -
ANSWER✔✔-"It's hard to believe that this is happening, isn't it?"
Chandra goes on to say, "I can control this. I will start exercising and I will change my
eating habits That will take care of it." How should the nurse respond? - ANSWER✔✔-
"It sounds like you do not want to have surgery."
Questions and Answers
At the community education program, Chandra learns that breast self-exam (BSE) is
best performed 7 days after the start of the menstrual flow when the breasts are least
engorged and tender. Since Chandra had a hysterectomy 5 years ago, she does not have
periods. She asks the nurse if she still needs to perform BSE, and so, when. -
ANSWER✔✔-Select whatever day you can best remember to perform BSE consistently
every month
Chandra 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? - ANSWER✔✔-When you are lying down,
your arm should be positioned over your head.
Another woman 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? - ANSWER✔✔-A
positive test for the BRCA 1 mutation identifies an increased risk for breast cancer, but
is not a certainty
, While performing a BSE, Chandra discovers a lump.
After seeing her healthcare provider (HCP), Chandra is scheduled for a mammogram.
Chandra brings her 60 year old sister in law, Francie with her to the Women's Health
Center to learn about mammogram annually because she has no risk factors for breast
cancer, except that her father's sister had breast cancer when she was 50.
What intervention should the nurse implement first? - ANSWER✔✔-Teach Francie that
even women with no identified risk factors are at risk
Francie states that she will schedule a mammogram and she asks the nurse if the x-ray
is painful. How should the nurse respond? - ANSWER✔✔-You may experience some
discomfort, but only for a few minutes.
A mass is seen on Chandra's mammogram, and a follow-up stereotactic core needle
biopsy is performed. The tumor specimen is found to be cancerous. Chandra learns that
she has a cancerous tumor requiring surgery. She tells the nurse, "They make mistakes. I
know that happens. My specimen probably got switched with someone else's, right?" -
ANSWER✔✔-"It's hard to believe that this is happening, isn't it?"
Chandra goes on to say, "I can control this. I will start exercising and I will change my
eating habits That will take care of it." How should the nurse respond? - ANSWER✔✔-
"It sounds like you do not want to have surgery."
