HESI Breast Cancer Case Study Exam
2025 Questions and Answers
Which nursing explanation best promotes effective communication? - ANSWER✔✔-
Select a day that is easy to remember to perform BSE consistently every month.
The client 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✔✔-Demonstrate how arm
should be positioned behind or over the head.
Another client 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 BRCA1 mutation identifies an increased risk for breast cancer.
Which nursing intervention best promotes effective communication? - ANSWER✔✔-
Teach the client's family that even women with no identified risk factors are at risk.
The client's family member states that she will schedule a mammogram and she asks
the nurse if it will be painful. How should the nurse respond? - ANSWER✔✔-Show the
client's family what most women say causes the discomfort during a mammogram.
, Which nursing intervention best promotes effective communication? - ANSWER✔✔-
Tell the client feelings of disbelief is understandable.
The client goes on to say, that she can control this with exercising and a change in her
eating habits. Which nursing intervention best promotes effective communication in
reply to the client's solution? - ANSWER✔✔-Confirm with the client her hesitation to
discuss the need for surgery.
What action is most important for the nurse to take? - ANSWER✔✔-Tell the client that
to ensure her safety, the surgeon will need to be notified about the cracker.
Which ethical principle has the greatest weight in the nurse's decision to inform the
client's surgeon about the snack? - ANSWER✔✔-Nonmaleficence.
The nurse confirms that the client has signed the informed consent for surgery, but
learns that the client does not understand the procedure for breast reconstruction that is
to be performed. What action should the nurse implement? - ANSWER✔✔-Notify the
surgeon that further explanation of the procedure is necessary.
Which nursing actions have the highest priority in the initial postoperative period?
(Select all that apply.) - ANSWER✔✔-Observe the wound drainage system.
Place head of the bed up at least 30 degrees with affected arm elevated on a pillow.
Place sign at head of bed alerting staff to avoid taking blood pressures in arm of
operative side.
2025 Questions and Answers
Which nursing explanation best promotes effective communication? - ANSWER✔✔-
Select a day that is easy to remember to perform BSE consistently every month.
The client 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✔✔-Demonstrate how arm
should be positioned behind or over the head.
Another client 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 BRCA1 mutation identifies an increased risk for breast cancer.
Which nursing intervention best promotes effective communication? - ANSWER✔✔-
Teach the client's family that even women with no identified risk factors are at risk.
The client's family member states that she will schedule a mammogram and she asks
the nurse if it will be painful. How should the nurse respond? - ANSWER✔✔-Show the
client's family what most women say causes the discomfort during a mammogram.
, Which nursing intervention best promotes effective communication? - ANSWER✔✔-
Tell the client feelings of disbelief is understandable.
The client goes on to say, that she can control this with exercising and a change in her
eating habits. Which nursing intervention best promotes effective communication in
reply to the client's solution? - ANSWER✔✔-Confirm with the client her hesitation to
discuss the need for surgery.
What action is most important for the nurse to take? - ANSWER✔✔-Tell the client that
to ensure her safety, the surgeon will need to be notified about the cracker.
Which ethical principle has the greatest weight in the nurse's decision to inform the
client's surgeon about the snack? - ANSWER✔✔-Nonmaleficence.
The nurse confirms that the client has signed the informed consent for surgery, but
learns that the client does not understand the procedure for breast reconstruction that is
to be performed. What action should the nurse implement? - ANSWER✔✔-Notify the
surgeon that further explanation of the procedure is necessary.
Which nursing actions have the highest priority in the initial postoperative period?
(Select all that apply.) - ANSWER✔✔-Observe the wound drainage system.
Place head of the bed up at least 30 degrees with affected arm elevated on a pillow.
Place sign at head of bed alerting staff to avoid taking blood pressures in arm of
operative side.
