HESI Case Study - Breast Cancer
Exam 2025 Questions and Answers
At the community education program, the client learns that breast self-exam (BSE) is
best performed 2-3 days after the start of the menstrual flow when the breasts are least
engorged and tender. Since the client had a hysterectomy 5 years ago, she does not have
periods. She asks the nurse if she still needs to perform BSE, and if so, when. -
ANSWER✔✔-Which nursing explanation best promotes effective communication?
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.
, Diagnostic Testing
While performing a BSE, the client discovers a lump.After seeing her healthcare
provider (HCP), the client is scheduled for a mammogram. She brings a family member
with her to the Women's Health Center to learn about mammograms. The client's
family member tells the nurse that she does not need a mammogram annually because
she has no risk factors for breast cancer, except that her father's sister had 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.
Therapeutic Communication
A mass is seen on the client's mammogram, and a follow-up stereotactic core needle
biopsy is performed. The tumor specimen is found to be cancerous. The client learns
that she has a cancerous tumor requiring surgery. She tells the nurse that this is a
mistake. She is insistent her specimen was mixed up with someone else's.
Exam 2025 Questions and Answers
At the community education program, the client learns that breast self-exam (BSE) is
best performed 2-3 days after the start of the menstrual flow when the breasts are least
engorged and tender. Since the client had a hysterectomy 5 years ago, she does not have
periods. She asks the nurse if she still needs to perform BSE, and if so, when. -
ANSWER✔✔-Which nursing explanation best promotes effective communication?
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.
, Diagnostic Testing
While performing a BSE, the client discovers a lump.After seeing her healthcare
provider (HCP), the client is scheduled for a mammogram. She brings a family member
with her to the Women's Health Center to learn about mammograms. The client's
family member tells the nurse that she does not need a mammogram annually because
she has no risk factors for breast cancer, except that her father's sister had 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.
Therapeutic Communication
A mass is seen on the client's mammogram, and a follow-up stereotactic core needle
biopsy is performed. The tumor specimen is found to be cancerous. The client learns
that she has a cancerous tumor requiring surgery. She tells the nurse that this is a
mistake. She is insistent her specimen was mixed up with someone else's.
