NCLEX Breast Cancer Exam Questions with Correct Answers 100% Verified|
Guaranteed Success
Doxorubicin (especially at high doses) may cause cardiotoxicity and heart failure. The nurse
should monitor for cardiac dysrhythmias, electrocardiogram changes, and clinical
manifestations of heart failure. Other adverse effects of doxorubicin include stomatitis and
alopecia, but these effects are not as serious as cardiac problems. Tamoxifen may cause visual
changes.
The nurse is caring for an obese 67-year-old woman after a right mastectomy with axillary
lymph node dissection. Which should the nurse include in the discharge instructions?
A. "Arm exercises should not be started for 4 to 6 weeks."
B. "Discontinue arm exercises if you have discomfort or pain."
C. "Special massage therapy can decrease swelling in your arm."
D. "Keep your right arm in a sling to decrease pain and swelling." C. "Special massage
therapy can decrease swelling in your arm."
Decongestive therapy may be used for acute lymphedema and includes a massage-like
technique to mobilize the subcutaneous accumulation of fluid. Arm exercises should be
performed to prevent contractures and muscle shortening, maintain muscle tone, and improve
lymph and blood circulation. The arm exercises should be initiated after surgery and increased
gradually. Pain medications should be administered 30 minutes before arm exercises. The
operative arm should be kept at the level of the heart but not in a sling; a sling discourages use
of the arm.
The 60-year-old woman comes to the clinic 3 years after her last regular appointment. She
reports occasional diffuse breast tenderness, aching, and soreness. What do you anticipate will
happen first?
A. Magnetic resonance imaging (MRI)
B. Mammography
C. Teaching the patient to take vitamin E
D. Teaching continual wearing of a support bra B. Mammography
, Although these symptoms can indicate benign mastalgia, mammography is anticipated to
exclude cancer and provide information on the cause of mastalgia. Usually, mastalgia improves
after menopause, and the current recommendation for mammograms is yearly after age 40.
MRI is used for screening in high-risk women, including those whose mammography or
ultrasound result is suspicious for malignancy and women who previously had an occult breast
cancer detected by mammography. Self-help measures to treat mastalgia are considered after
cancer has been excluded.
What are the current guidelines for breast cancer screening?
A. Yearly mammograms starting at age 40
B. Breast self-examination (BSE) monthly for women starting at age 20
C. Breast ultrasound every 5 years after age 50
D. Clinical breast examination (CBE) yearly starting at age 20 A. Yearly mammograms
starting at age 40
Yearly mammograms should start at age 40 and continue for as long as a woman is in good
health. BSE is considered optional, but if done, it should start at age 20. Breast ultrasound is
used with mammography to differentiate a solid mass from a cystic mass, to evaluate a mass in
a pregnant or lactating woman, or to locate and biopsy a suspicious lesion seen on magnetic
resonance imaging (MRI). It is not used in screening. CBE preferably is done at least every 3
years for women between the ages of 20 and 30 years and every year for women beginning at
age 40.
Reference: 1306-1307
A young woman was just told by her physician that she has breast cancer. What is your most
appropriate action?
A. Offer to answer questions.
B. Call the chaplain.
C. Leave her alone to give her privacy.
D. Encourage her to talk about her feelings. D. Encourage her to talk about her feelings.
Guaranteed Success
Doxorubicin (especially at high doses) may cause cardiotoxicity and heart failure. The nurse
should monitor for cardiac dysrhythmias, electrocardiogram changes, and clinical
manifestations of heart failure. Other adverse effects of doxorubicin include stomatitis and
alopecia, but these effects are not as serious as cardiac problems. Tamoxifen may cause visual
changes.
The nurse is caring for an obese 67-year-old woman after a right mastectomy with axillary
lymph node dissection. Which should the nurse include in the discharge instructions?
A. "Arm exercises should not be started for 4 to 6 weeks."
B. "Discontinue arm exercises if you have discomfort or pain."
C. "Special massage therapy can decrease swelling in your arm."
D. "Keep your right arm in a sling to decrease pain and swelling." C. "Special massage
therapy can decrease swelling in your arm."
Decongestive therapy may be used for acute lymphedema and includes a massage-like
technique to mobilize the subcutaneous accumulation of fluid. Arm exercises should be
performed to prevent contractures and muscle shortening, maintain muscle tone, and improve
lymph and blood circulation. The arm exercises should be initiated after surgery and increased
gradually. Pain medications should be administered 30 minutes before arm exercises. The
operative arm should be kept at the level of the heart but not in a sling; a sling discourages use
of the arm.
The 60-year-old woman comes to the clinic 3 years after her last regular appointment. She
reports occasional diffuse breast tenderness, aching, and soreness. What do you anticipate will
happen first?
A. Magnetic resonance imaging (MRI)
B. Mammography
C. Teaching the patient to take vitamin E
D. Teaching continual wearing of a support bra B. Mammography
, Although these symptoms can indicate benign mastalgia, mammography is anticipated to
exclude cancer and provide information on the cause of mastalgia. Usually, mastalgia improves
after menopause, and the current recommendation for mammograms is yearly after age 40.
MRI is used for screening in high-risk women, including those whose mammography or
ultrasound result is suspicious for malignancy and women who previously had an occult breast
cancer detected by mammography. Self-help measures to treat mastalgia are considered after
cancer has been excluded.
What are the current guidelines for breast cancer screening?
A. Yearly mammograms starting at age 40
B. Breast self-examination (BSE) monthly for women starting at age 20
C. Breast ultrasound every 5 years after age 50
D. Clinical breast examination (CBE) yearly starting at age 20 A. Yearly mammograms
starting at age 40
Yearly mammograms should start at age 40 and continue for as long as a woman is in good
health. BSE is considered optional, but if done, it should start at age 20. Breast ultrasound is
used with mammography to differentiate a solid mass from a cystic mass, to evaluate a mass in
a pregnant or lactating woman, or to locate and biopsy a suspicious lesion seen on magnetic
resonance imaging (MRI). It is not used in screening. CBE preferably is done at least every 3
years for women between the ages of 20 and 30 years and every year for women beginning at
age 40.
Reference: 1306-1307
A young woman was just told by her physician that she has breast cancer. What is your most
appropriate action?
A. Offer to answer questions.
B. Call the chaplain.
C. Leave her alone to give her privacy.
D. Encourage her to talk about her feelings. D. Encourage her to talk about her feelings.
