Breast Cancer – HESI Test | Questions with
100% Correct Answers
Chandra seems happy and she tells the nurse that she received some good news.
She states that her tumor was negative for estrogen receptor sites. She continues,
"That means I have less likelihood of a recurrence or spread of the cancer."
What action should the nurse take first? - ✔️✔️Ask Chandra to clarify how she
learned this information so that a plan for further teaching can be developed.
Since Chandra's tumor is estrogen-receptor negative, she is not a candidate for
hormonal therapy. Tamoxifen (Nolvadex) is an antiestrogen drug that is often used
to prevent or treat recurrent breast cancer. Chandra states that a friend of hers took
this drug and has had no recurrence of her breast cancer. The nurse asks Chandra if
her friend experienced any problems when taking Tamoxifen (Nolvadex).
Which side effect is most often associated with Tamoxifen? - ✔️✔️Hot flashes
Chandra is disappointed to learn that she will not benefit from hormonal therapy,
but she states that her friend indicated that taking the medication was like
experience menopause. How should the nurse respond? - ✔️✔️"The medication
decreases estrogen levels, which is what also causes the symptoms of menopause."
Because of her relatively young age, and the presence of a positive lymph node,
Chandra elects to take chemotherapy to reduce her risk of recurrence. The nurse
prepares Chandra for common adverse effects that she may experience.
Which adverse effects most often associated with antineoplastic chemotherapy
used to treat breast neoplasms should be included in this discussion? (Select all that
apply.) - ✔️✔️Diarrhea
Alopecia
A multi-lumen central line has been inserted and the nurse is preparing to
administer a dose of chemotherapy through the central line by first flushing the IV
lumens. The nurse notes that two of the four lumens do no flush easily.
What intervention is appropriate for the nurse to implement? - ✔️✔️Notify the HCP
that the central line is no longer functional
, The nurse is aware that treatment with antineoplastic chemotherapeutic agents can
cause immunosuppression, which predisposes the client to infection. Which
assessment finding would cause the nurse to suspect that an immunosuppressed
client has an infection? - ✔️✔️oral temperature of 99.5 F.
Chandra has completed her first round of chemotherapy. She calls the nurse to
report that she cut her arm on the operative side while doing yard work the
previous day and now her arm appears very swollen and tender.
Chandra is admitted to the hospital with a medical diagnosis of lymphedema and
possible cellulitis.
Which assessment findings led to the diagnosis of lymphedema? - ✔️✔️Swelling
and numbness in the affected arm.
Which nursing care measures will be most beneficial in the management of
Chandra's highest priority problem? (Select all that apply._) - ✔️✔️Apply a
sequential compression device
Elevate the affected arm
Chandra's prescription include vancomycin (vancocin) IV 1 g every 12 hours,
obtain peak and trough levels, ad acetaminophen 500 mg PO for fever > 100 F
(37.8 C). When is the best time to obtain the vancomycin serum trough level? -
✔️✔️Fifteen minutes prior to administration of the next dose of the drug
It is time for Chandra's vancomycin (Vancocin). The vancomycin (Vancocin) IV 1
g is in a 250 mL bag of 0.9% normal saline to be delivered in 1 hour. The IV
tubing set is 15 drops/mL. How many drops per minute would the nurse set on the
IV pump? (Enter the numerical value only. If rounding is necessary, round to the
whole number._) - ✔️✔️63
250 x 15/60 minutes = 62.5 rounded to 63 drops/min
After receiving vancomysin (Vancocin) for 7 days, Chandra complains that her
mouth is painful when she swallows. When assessing her mouth, the nurse
visualizes white, patchy lesions. What is the most probable cause of this finding? -
✔️✔️Candida superinfection
100% Correct Answers
Chandra seems happy and she tells the nurse that she received some good news.
She states that her tumor was negative for estrogen receptor sites. She continues,
"That means I have less likelihood of a recurrence or spread of the cancer."
What action should the nurse take first? - ✔️✔️Ask Chandra to clarify how she
learned this information so that a plan for further teaching can be developed.
Since Chandra's tumor is estrogen-receptor negative, she is not a candidate for
hormonal therapy. Tamoxifen (Nolvadex) is an antiestrogen drug that is often used
to prevent or treat recurrent breast cancer. Chandra states that a friend of hers took
this drug and has had no recurrence of her breast cancer. The nurse asks Chandra if
her friend experienced any problems when taking Tamoxifen (Nolvadex).
Which side effect is most often associated with Tamoxifen? - ✔️✔️Hot flashes
Chandra is disappointed to learn that she will not benefit from hormonal therapy,
but she states that her friend indicated that taking the medication was like
experience menopause. How should the nurse respond? - ✔️✔️"The medication
decreases estrogen levels, which is what also causes the symptoms of menopause."
Because of her relatively young age, and the presence of a positive lymph node,
Chandra elects to take chemotherapy to reduce her risk of recurrence. The nurse
prepares Chandra for common adverse effects that she may experience.
Which adverse effects most often associated with antineoplastic chemotherapy
used to treat breast neoplasms should be included in this discussion? (Select all that
apply.) - ✔️✔️Diarrhea
Alopecia
A multi-lumen central line has been inserted and the nurse is preparing to
administer a dose of chemotherapy through the central line by first flushing the IV
lumens. The nurse notes that two of the four lumens do no flush easily.
What intervention is appropriate for the nurse to implement? - ✔️✔️Notify the HCP
that the central line is no longer functional
, The nurse is aware that treatment with antineoplastic chemotherapeutic agents can
cause immunosuppression, which predisposes the client to infection. Which
assessment finding would cause the nurse to suspect that an immunosuppressed
client has an infection? - ✔️✔️oral temperature of 99.5 F.
Chandra has completed her first round of chemotherapy. She calls the nurse to
report that she cut her arm on the operative side while doing yard work the
previous day and now her arm appears very swollen and tender.
Chandra is admitted to the hospital with a medical diagnosis of lymphedema and
possible cellulitis.
Which assessment findings led to the diagnosis of lymphedema? - ✔️✔️Swelling
and numbness in the affected arm.
Which nursing care measures will be most beneficial in the management of
Chandra's highest priority problem? (Select all that apply._) - ✔️✔️Apply a
sequential compression device
Elevate the affected arm
Chandra's prescription include vancomycin (vancocin) IV 1 g every 12 hours,
obtain peak and trough levels, ad acetaminophen 500 mg PO for fever > 100 F
(37.8 C). When is the best time to obtain the vancomycin serum trough level? -
✔️✔️Fifteen minutes prior to administration of the next dose of the drug
It is time for Chandra's vancomycin (Vancocin). The vancomycin (Vancocin) IV 1
g is in a 250 mL bag of 0.9% normal saline to be delivered in 1 hour. The IV
tubing set is 15 drops/mL. How many drops per minute would the nurse set on the
IV pump? (Enter the numerical value only. If rounding is necessary, round to the
whole number._) - ✔️✔️63
250 x 15/60 minutes = 62.5 rounded to 63 drops/min
After receiving vancomysin (Vancocin) for 7 days, Chandra complains that her
mouth is painful when she swallows. When assessing her mouth, the nurse
visualizes white, patchy lesions. What is the most probable cause of this finding? -
✔️✔️Candida superinfection
