NCLEX Breast Cancer Test Questions with Answers 100% Pass
The nurse is caring for a patient diagnosed with
breast cancer who just underwent an axillary
lymph node dissection. What intervention should
the nurse use to decrease the lymphedema? The nurse has been asked to participate in a
A. Keep affected arm flat at the patient's side. healthy living workshop. While teaching about
B. Apply an elastic bandage on the affected arm. women's health, which guidelines should the
C. Assess blood pressure only on unaffected nurse provide to the audience?
arm. A. "Mammograms are necessary if you have a
D. Restrict exercise of the affected arm for 1 family history of breast cancer."
week. - ANSWERS - C. Assess blood B. "It's recommended that you get a mammogram
pressure only on unaffected arm. each year after you turn 40."
C. "If you are not able to perform breast self-
Blood pressure readings, venipunctures, and examination (BSE), you should go for regular
injections should not be done on the affected mammograms."
arm. Elastic bandages should not be used in the D. "You should ensure that your primary care
early postoperative period because they inhibit provider performs a breast exam each time you
collateral lymph drainage. The affected arm visit." - ANSWERS - B. "It's recommended
should be elevated above the heart, and that you get a mammogram each year after you
isometric exercises are recommended and turn 40."
gradually increased starting in the recovery room
to reduce fluid volume in the arm. Annual mammograms are recommended after
age 40. They are recommended for all women,
not solely those with a family history of breast
cancer. BSE is not a replacement for
The nurse is volunteering at a community center mammography, and clinical breast examinations
to teach women about breast cancer. What are not necessary at each office visit, but
should the nurse include when discussing risk recommended at least every 3 years for women
factors (select all that apply)? in their 20s and 30s, and then every year
A. Nulliparity beginning at age 40.
B. Age 30 or over
C. Early menarche
D. Late menopause
E. Personal history of colon cancer - A 51-year-old woman has recently had a
ANSWERS - A. Nulliparity unilateral, right total mastectomy and axillary
C. Early menarche node dissection for the treatment of breast
D. Late menopause cancer. What nursing intervention should the
E. Personal history of colon cancer nurse include in the patient's care?
A. Immobilize the patient's right arm until
Women are at an increased risk for development postoperative day 3.
of breast cancer if they are over the age of 50; B. Maintain the patient's right arm in a dependent
have a family history of breast cancer; have a position when at rest.
personal history of breast, colon, endometrial, or C. Administer diuretics prophylactically for the
ovarian cancer; have a long menstrual history as prevention of lymphedema.
seen with early menarche or late menopause; D. Promote gradually increasing mobility as soon
and have had a first full-term pregnancy after the as possible following surgery. -
age of 30 or are nulliparous. ANSWERS - D. Promote gradually
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, NCLEX Breast Cancer Test Questions with Answers 100% Pass
increasing mobility as soon as possible following some breast sensitivity."
surgery. B. "It's important that you let your care provider
know about any changes in your vision."
Mobility should be encouraged beginning in the C. "You'll find that this drug often alleviates some
postanesthesia care unit (PACU) and increased of the symptoms that accompany menopause."
gradually throughout the patient's recovery. D. "It's imperative that you abstain from drinking
Immobilization is counterproductive to recovery, alcohol after you begin taking tamoxifen." -
and the limb should not be in a dependent ANSWERS - B. "It's important that you let
position. Diuretics are not used to prevent your care provider know about any changes in
lymphedema but may be used in active treatment your vision."
of the problem.
Tamoxifen has the potential to cause cataracts
and retinopathy. The drug is likely to exacerbate
rather than alleviate perimenopausal symptoms.
Which task could the registered nurse delegate Breast tenderness is not associated with
to unlicensed assistive personnel (UAP) during tamoxifen, and it is not necessary for the patient
the care of a patient who has had recent to abstain from alcohol.
transverse rectus abdominis musculocutaneous
(TRAM) flap surgery?
A. Document the condition of the patient's
incisions. When doing breast self-examination, the female
B. Mobilize the patient in a slightly hunched patient should report which findings to her
position. physician?
C. Change the patient's abdominal and chest A. Palpable rib margins
dressings. B. Denser breast tissue
D. Change the parameters of the patient- C. Left nipple deviation
controlled analgesic (PCA) pump. - D. Different sized breasts - ANSWERS - C.
ANSWERS - B. Mobilize the patient in a Left nipple deviation
slightly hunched position.
Unilateral deviation of a nipple may be a clinical
Mobilization of a postsurgical patient may be indicator of breast cancer or other problem and
delegated, and the patient who has had a TRAM should be reported to the health care provider.
flap should not stand or walk fully erect, in order Dense breast tissue, palpable rib margins, and
to minimize strain on the incisions. Changing different sized breasts are all normal findings.
dressings, assessing wounds, and
reprogramming a PCA pump are not appropriate
tasks to delegate to UAP.
The patient with breast cancer has a left
mastectomy with axillary node dissection. Ten
lymph nodes are resected with three positive for
A 50-year-old patient is preparing to begin breast malignant cells. The patient has stage IIB breast
cancer treatment with tamoxifen (Nolvadex). cancer. What is the best nursing intervention to
What point should the nurse emphasize when use in planning care?
teaching the patient about her new drug A. Evaluate left arm lymphatic accumulation.
regimen? Incorrect
A. "You may find that your medication causes B. Maintain joint flexibility and left arm function.
2/7
The nurse is caring for a patient diagnosed with
breast cancer who just underwent an axillary
lymph node dissection. What intervention should
the nurse use to decrease the lymphedema? The nurse has been asked to participate in a
A. Keep affected arm flat at the patient's side. healthy living workshop. While teaching about
B. Apply an elastic bandage on the affected arm. women's health, which guidelines should the
C. Assess blood pressure only on unaffected nurse provide to the audience?
arm. A. "Mammograms are necessary if you have a
D. Restrict exercise of the affected arm for 1 family history of breast cancer."
week. - ANSWERS - C. Assess blood B. "It's recommended that you get a mammogram
pressure only on unaffected arm. each year after you turn 40."
C. "If you are not able to perform breast self-
Blood pressure readings, venipunctures, and examination (BSE), you should go for regular
injections should not be done on the affected mammograms."
arm. Elastic bandages should not be used in the D. "You should ensure that your primary care
early postoperative period because they inhibit provider performs a breast exam each time you
collateral lymph drainage. The affected arm visit." - ANSWERS - B. "It's recommended
should be elevated above the heart, and that you get a mammogram each year after you
isometric exercises are recommended and turn 40."
gradually increased starting in the recovery room
to reduce fluid volume in the arm. Annual mammograms are recommended after
age 40. They are recommended for all women,
not solely those with a family history of breast
cancer. BSE is not a replacement for
The nurse is volunteering at a community center mammography, and clinical breast examinations
to teach women about breast cancer. What are not necessary at each office visit, but
should the nurse include when discussing risk recommended at least every 3 years for women
factors (select all that apply)? in their 20s and 30s, and then every year
A. Nulliparity beginning at age 40.
B. Age 30 or over
C. Early menarche
D. Late menopause
E. Personal history of colon cancer - A 51-year-old woman has recently had a
ANSWERS - A. Nulliparity unilateral, right total mastectomy and axillary
C. Early menarche node dissection for the treatment of breast
D. Late menopause cancer. What nursing intervention should the
E. Personal history of colon cancer nurse include in the patient's care?
A. Immobilize the patient's right arm until
Women are at an increased risk for development postoperative day 3.
of breast cancer if they are over the age of 50; B. Maintain the patient's right arm in a dependent
have a family history of breast cancer; have a position when at rest.
personal history of breast, colon, endometrial, or C. Administer diuretics prophylactically for the
ovarian cancer; have a long menstrual history as prevention of lymphedema.
seen with early menarche or late menopause; D. Promote gradually increasing mobility as soon
and have had a first full-term pregnancy after the as possible following surgery. -
age of 30 or are nulliparous. ANSWERS - D. Promote gradually
1/7
, NCLEX Breast Cancer Test Questions with Answers 100% Pass
increasing mobility as soon as possible following some breast sensitivity."
surgery. B. "It's important that you let your care provider
know about any changes in your vision."
Mobility should be encouraged beginning in the C. "You'll find that this drug often alleviates some
postanesthesia care unit (PACU) and increased of the symptoms that accompany menopause."
gradually throughout the patient's recovery. D. "It's imperative that you abstain from drinking
Immobilization is counterproductive to recovery, alcohol after you begin taking tamoxifen." -
and the limb should not be in a dependent ANSWERS - B. "It's important that you let
position. Diuretics are not used to prevent your care provider know about any changes in
lymphedema but may be used in active treatment your vision."
of the problem.
Tamoxifen has the potential to cause cataracts
and retinopathy. The drug is likely to exacerbate
rather than alleviate perimenopausal symptoms.
Which task could the registered nurse delegate Breast tenderness is not associated with
to unlicensed assistive personnel (UAP) during tamoxifen, and it is not necessary for the patient
the care of a patient who has had recent to abstain from alcohol.
transverse rectus abdominis musculocutaneous
(TRAM) flap surgery?
A. Document the condition of the patient's
incisions. When doing breast self-examination, the female
B. Mobilize the patient in a slightly hunched patient should report which findings to her
position. physician?
C. Change the patient's abdominal and chest A. Palpable rib margins
dressings. B. Denser breast tissue
D. Change the parameters of the patient- C. Left nipple deviation
controlled analgesic (PCA) pump. - D. Different sized breasts - ANSWERS - C.
ANSWERS - B. Mobilize the patient in a Left nipple deviation
slightly hunched position.
Unilateral deviation of a nipple may be a clinical
Mobilization of a postsurgical patient may be indicator of breast cancer or other problem and
delegated, and the patient who has had a TRAM should be reported to the health care provider.
flap should not stand or walk fully erect, in order Dense breast tissue, palpable rib margins, and
to minimize strain on the incisions. Changing different sized breasts are all normal findings.
dressings, assessing wounds, and
reprogramming a PCA pump are not appropriate
tasks to delegate to UAP.
The patient with breast cancer has a left
mastectomy with axillary node dissection. Ten
lymph nodes are resected with three positive for
A 50-year-old patient is preparing to begin breast malignant cells. The patient has stage IIB breast
cancer treatment with tamoxifen (Nolvadex). cancer. What is the best nursing intervention to
What point should the nurse emphasize when use in planning care?
teaching the patient about her new drug A. Evaluate left arm lymphatic accumulation.
regimen? Incorrect
A. "You may find that your medication causes B. Maintain joint flexibility and left arm function.
2/7
