HESI Case Study: Breast Cancer Exam
Questions and Answers 100% Pass
At the community education program, the client learns that breast self-exam
(BSE) is best performed 2 to 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.
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 the arm should be positioned behind or over the head.
Another client in the class said that she had heard 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.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, 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 member 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.
A mass is seen on the client's mammogram. A follow-up stereotactic core needle
biopsy is performed. The tumor specimen is found to be cancerous and the client
is informed that surgery will be needed. She tells the nurse that this is a mistake.
She is insistent her specimen was mixed up with someone else's.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Questions and Answers 100% Pass
At the community education program, the client learns that breast self-exam
(BSE) is best performed 2 to 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.
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 the arm should be positioned behind or over the head.
Another client in the class said that she had heard 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.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, 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 member 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.
A mass is seen on the client's mammogram. A follow-up stereotactic core needle
biopsy is performed. The tumor specimen is found to be cancerous and the client
is informed that surgery will be needed. She tells the nurse that this is a mistake.
She is insistent her specimen was mixed up with someone else's.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
