Lewis chapter 56 breast problem UPDATED ACTUAL
Questions and CORRECT Answers
1. Which information would the nurse include when ANS: D
teaching a young women's community service group
about breast self-examination (BSE)? Performing BSE at the end of the menstrual period will reduce the breast
tenderness associated with the procedure. Research has shown that BSE has no
a. BSE will reduce the risk of dying from breast cancer. effect on reducing deaths from breast cancer. However, you still need to teach
b. BSE should be done daily while taking a bath or women the importance of knowing how their breasts look and feel and to report
shower. breast changes (e.g., nipple discharge, a lump) to their HCP. BSE would be done
c. Annual mammograms should be scheduled in addition monthly. Annual mammograms are not routinely scheduled for women younger
to BSE. than age 40 years
d. Performing BSE after the menstrual period is more
comfortable.
2. Which question is most pertinent for the nurse to ask a ANS: B
43-yr-old patient about her risk for breast cancer?
Early menarche and late menopause are risk factors for breast cancer because of
a. "Have you ever had a breast or chest injury?" the prolonged exposure to estrogen that occurs. Breast trauma and fibrocystic
breast changes are not associated with increased breast cancer risk. Breast size
b. "At what age did you start having menstrual periods?" or back pain caused by heavy breast tissue are not associated with increased
breast cancer risk.
c. "Is there a family history of fibrocystic breast changes?"
d. "Do you often have back pain due to heavy breast
tissue?"
3. The nurse is teaching a patient with a small immobile ANS: A
breast lump about options for a breast biopsy. Which
type of biopsy would be scheduled in an operating An excisional biopsy is done in an operating room. Core needle aspiration,
room? vacuum-assisted biopsy, and fine-needle aspiration (FNA) are examples of
minimally invasive breast biopsies.
a. Excisional biopsy
b. Core needle aspiration
c. Vacuum-assisted biopsy
d. Fine-needle aspiration (FNA)
, 4. Which assessment finding in a 36-yr-old patient is most ANS: B
indicative of a need for further evaluation?
Painless and nonmobile lumps suggest breast cancer. The other findings are more
a. Bilateral breast nodules that are tender with palpation suggestive of benign processes such as fibrocystic breasts and fibroadenoma.
b. A breast nodule that is 1 cm in size, nontender, and
nonmobile
c. A breast lump that increases in size before the
menstrual period
d. A breast lump that is small and mobile, with a rubbery
consistency
5. A 53-yr-old woman who is experiencing menopause is ANS: C
discussing the use of hormone therapy (HT) with the
nurse. Which information about the risk of breast cancer Because HT is linked to an increased risk for breast cancer, the patient and health
will the nurse provide? care provider must determine whether to use HT. Breast cancer incidence is
increased in women using HT, independent of other risk factors. HT increases the
a. HT is a safe therapy for menopausal symptoms if there risk for both non-BRCA-associated cancer and BRCA-related cancers. Alternative
is no family history of therapies can be used but are not consistent in relieving menopausal symptoms.
BRCA genes.
b. HT does not appear to increase the risk for breast
cancer unless there are other risk
factors.
c. The patient and her health care provider must weigh
the benefits of HT against the
risks of breast cancer.
d. Natural herbs are as effective as estrogen in relieving
symptoms without increasing
the risk of breast cancer.
Questions and CORRECT Answers
1. Which information would the nurse include when ANS: D
teaching a young women's community service group
about breast self-examination (BSE)? Performing BSE at the end of the menstrual period will reduce the breast
tenderness associated with the procedure. Research has shown that BSE has no
a. BSE will reduce the risk of dying from breast cancer. effect on reducing deaths from breast cancer. However, you still need to teach
b. BSE should be done daily while taking a bath or women the importance of knowing how their breasts look and feel and to report
shower. breast changes (e.g., nipple discharge, a lump) to their HCP. BSE would be done
c. Annual mammograms should be scheduled in addition monthly. Annual mammograms are not routinely scheduled for women younger
to BSE. than age 40 years
d. Performing BSE after the menstrual period is more
comfortable.
2. Which question is most pertinent for the nurse to ask a ANS: B
43-yr-old patient about her risk for breast cancer?
Early menarche and late menopause are risk factors for breast cancer because of
a. "Have you ever had a breast or chest injury?" the prolonged exposure to estrogen that occurs. Breast trauma and fibrocystic
breast changes are not associated with increased breast cancer risk. Breast size
b. "At what age did you start having menstrual periods?" or back pain caused by heavy breast tissue are not associated with increased
breast cancer risk.
c. "Is there a family history of fibrocystic breast changes?"
d. "Do you often have back pain due to heavy breast
tissue?"
3. The nurse is teaching a patient with a small immobile ANS: A
breast lump about options for a breast biopsy. Which
type of biopsy would be scheduled in an operating An excisional biopsy is done in an operating room. Core needle aspiration,
room? vacuum-assisted biopsy, and fine-needle aspiration (FNA) are examples of
minimally invasive breast biopsies.
a. Excisional biopsy
b. Core needle aspiration
c. Vacuum-assisted biopsy
d. Fine-needle aspiration (FNA)
, 4. Which assessment finding in a 36-yr-old patient is most ANS: B
indicative of a need for further evaluation?
Painless and nonmobile lumps suggest breast cancer. The other findings are more
a. Bilateral breast nodules that are tender with palpation suggestive of benign processes such as fibrocystic breasts and fibroadenoma.
b. A breast nodule that is 1 cm in size, nontender, and
nonmobile
c. A breast lump that increases in size before the
menstrual period
d. A breast lump that is small and mobile, with a rubbery
consistency
5. A 53-yr-old woman who is experiencing menopause is ANS: C
discussing the use of hormone therapy (HT) with the
nurse. Which information about the risk of breast cancer Because HT is linked to an increased risk for breast cancer, the patient and health
will the nurse provide? care provider must determine whether to use HT. Breast cancer incidence is
increased in women using HT, independent of other risk factors. HT increases the
a. HT is a safe therapy for menopausal symptoms if there risk for both non-BRCA-associated cancer and BRCA-related cancers. Alternative
is no family history of therapies can be used but are not consistent in relieving menopausal symptoms.
BRCA genes.
b. HT does not appear to increase the risk for breast
cancer unless there are other risk
factors.
c. The patient and her health care provider must weigh
the benefits of HT against the
risks of breast cancer.
d. Natural herbs are as effective as estrogen in relieving
symptoms without increasing
the risk of breast cancer.
