, CHAPTER LIST
Chapter 1: Coordination of Care
Chapter 2: Diagnosis and Staging
Chapter 3: Treatment Modalities: Local and Systemic
Chapter 4: Nursing Practice: Symptom Management
Chapter 5: Psychosocial, Survivorship, and End-of-Life Care
,Chapter 1: Coordination of Care
Question 1:
A 52-year-old patient has just been diagnosed with stage II breast cancer. The
breast care nurse (BCN) is coordinating her care across multiple specialties.
Which action best demonstrates effective care coordination?
A) Scheduling the patient for surgery and letting each provider independently
manage follow-up
B) Developing a multidisciplinary plan with oncology, surgery, radiology, and
social work input
C) Providing only educational handouts and leaving scheduling to the patient
D) Referring the patient to a clinical trial without reviewing her eligibility
Answer: B
Rationale: Effective care coordination involves collaboration across all
providers to ensure timely, comprehensive, and individualized care.
Multidisciplinary planning improves outcomes and patient satisfaction.
Keywords: multidisciplinary, care coordination, breast care nurse, patient
outcomes
Question 2:
A patient expresses confusion about conflicting information from her oncologist
and surgeon. What is the BCN’s best response?
A) Tell the patient to follow whichever provider she prefers
B) Review the care plan with both providers and clarify discrepancies for the
patient
C) Ignore the patient’s concern as it is not urgent
D) Schedule another surgery consult without discussion
Answer: B
Rationale: The BCN advocates for the patient by clarifying conflicting
information, ensuring continuity of care, and supporting informed decision-
making.
Keywords: patient advocacy, clarification, communication, care coordination
Question 3:
During a team meeting, the BCN notes that the patient’s chemotherapy start
,date conflicts with her planned reconstructive surgery. What is the most
appropriate action?
A) Cancel the reconstruction without consulting the patient
B) Adjust the chemotherapy schedule unilaterally
C) Collaborate with oncology and surgical teams to develop a revised timeline
D) Ask the patient to resolve the conflict herself
Answer: C
Rationale: Coordination requires balancing treatment schedules through
interdisciplinary communication to optimize outcomes while involving the
patient in decision-making.
Keywords: scheduling, interdisciplinary collaboration, care planning
Question 4:
Which documentation practice best supports coordinated care for a breast
cancer patient?
A) Recording only the surgical procedure in the electronic health record (EHR)
B) Maintaining a comprehensive care plan including diagnostics, treatments,
and patient education
C) Documenting lab results in a separate notebook
D) Using verbal reports only during team meetings
Answer: B
Rationale: Comprehensive, centralized documentation ensures all providers
have access to the same information, supporting safe and coordinated care.
Keywords: documentation, EHR, care plan, safety
Question 5:
A patient is overwhelmed by the complexity of her treatment plan. Which
nursing intervention best demonstrates patient-centered care coordination?
A) Give the patient a brochure and leave
B) Schedule a teaching session to review the treatment plan and answer
questions
C) Refer the patient to a nurse navigator without follow-up
D) Tell the patient to contact each provider individually
Answer: B
Rationale: Providing individualized education and counseling enhances patient
,understanding, engagement, and adherence to the care plan.
Keywords: patient education, counseling, teaching, patient-centered care
Question 6:
A BCN is developing a quality improvement initiative to reduce delays in
chemotherapy initiation. Which step is most consistent with care coordination
principles?
A) Implementing a new scheduling protocol with input from oncology,
pharmacy, and nursing
B) Telling providers to see patients faster
C) Reducing patient education sessions to save time
D) Limiting team communication to emails only
Answer: A
Rationale: Quality improvement requires interdisciplinary collaboration to
optimize processes and ensure timely treatment.
Keywords: quality improvement, process optimization, collaboration,
chemotherapy
Question 7:
A patient’s insurance does not cover a recommended imaging study. How
should the BCN intervene?
A) Advise the patient to skip the study
B) Work with social work and financial services to explore coverage options or
assistance programs
C) Tell the patient it is their responsibility
D) Replace the study with an unproven alternative
Answer: B
Rationale: Advocacy and care coordination involve connecting patients with
resources to overcome financial barriers and ensure appropriate care.
Keywords: patient advocacy, resource navigation, financial assistance
Question 8:
A patient undergoing adjuvant therapy expresses anxiety about treatment side
effects. Which BCN action best demonstrates coordinated psychosocial
support?
,A) Reassure the patient that side effects are normal and will pass
B) Refer to a counselor, provide educational materials, and integrate symptom
management planning with the oncology team
C) Ignore the anxiety as it is outside the nurse’s scope
D) Advise the patient to cope on her own
Answer: B
Rationale: Coordinated care integrates emotional support, patient education,
and collaboration with other providers for holistic management.
Keywords: psychosocial support, symptom management, multidisciplinary
care
Question 9:
Which factor is most critical when prioritizing tasks in breast care
coordination?
A) Patient preferences, clinical urgency, and resource availability
B) Personal convenience of the nurse
C) Random scheduling order
D) Following provider preferences only
Answer: A
Rationale: Effective care coordination prioritizes care based on patient needs,
urgency of interventions, and available resources, not convenience.
Keywords: prioritization, patient-centered care, resource management
Question 10:
During a multidisciplinary tumor board, the BCN identifies a gap in patient
follow-up. What is the best action?
A) Make a note for personal records
B) Alert the team and propose a standardized follow-up schedule for all
patients
C) Wait for the physician to address it
D) Suggest follow-up only for high-risk patients
Answer: B
Rationale: Proactively addressing gaps in care ensures consistency, reduces
risk, and improves patient outcomes.
Keywords: follow-up, tumor board, standardized care, proactive intervention
, Question 11:
A patient is preparing to start neoadjuvant chemotherapy but has multiple
comorbidities. Which action exemplifies coordinated care?
A) Proceed with chemotherapy without discussing comorbidities
B) Collaborate with cardiology, endocrinology, and oncology to adjust the plan
safely
C) Delay all care until comorbidities are resolved
D) Delegate the decision entirely to the oncologist
Answer: B
Rationale: Coordination includes integrating specialty input to tailor treatment
safely for patients with complex medical histories.
Keywords: comorbidities, collaboration, safety, treatment planning
Question 12:
Which role is most central for the BCN in coordinating post-surgical care?
A) Ensuring timely wound checks, pain management, and patient education on
self-care
B) Performing the surgery independently
C) Only documenting vital signs
D) Delegating all responsibilities to other nurses
Answer: A
Rationale: The BCN coordinates post-surgical recovery, monitors
complications, educates the patient, and communicates with the team.
Keywords: post-surgical care, monitoring, patient education, coordination
Question 13:
When a patient is transferred from a rural clinic to a tertiary center, which
action best supports continuity of care?
A) Relying on verbal reports from the previous clinic
B) Reviewing all previous records, contacting prior providers, and creating a
transition plan
C) Starting care from scratch
D) Ignoring prior treatments
Answer: B
Rationale: Thorough record review and communication ensures safe, seamless
Chapter 1: Coordination of Care
Chapter 2: Diagnosis and Staging
Chapter 3: Treatment Modalities: Local and Systemic
Chapter 4: Nursing Practice: Symptom Management
Chapter 5: Psychosocial, Survivorship, and End-of-Life Care
,Chapter 1: Coordination of Care
Question 1:
A 52-year-old patient has just been diagnosed with stage II breast cancer. The
breast care nurse (BCN) is coordinating her care across multiple specialties.
Which action best demonstrates effective care coordination?
A) Scheduling the patient for surgery and letting each provider independently
manage follow-up
B) Developing a multidisciplinary plan with oncology, surgery, radiology, and
social work input
C) Providing only educational handouts and leaving scheduling to the patient
D) Referring the patient to a clinical trial without reviewing her eligibility
Answer: B
Rationale: Effective care coordination involves collaboration across all
providers to ensure timely, comprehensive, and individualized care.
Multidisciplinary planning improves outcomes and patient satisfaction.
Keywords: multidisciplinary, care coordination, breast care nurse, patient
outcomes
Question 2:
A patient expresses confusion about conflicting information from her oncologist
and surgeon. What is the BCN’s best response?
A) Tell the patient to follow whichever provider she prefers
B) Review the care plan with both providers and clarify discrepancies for the
patient
C) Ignore the patient’s concern as it is not urgent
D) Schedule another surgery consult without discussion
Answer: B
Rationale: The BCN advocates for the patient by clarifying conflicting
information, ensuring continuity of care, and supporting informed decision-
making.
Keywords: patient advocacy, clarification, communication, care coordination
Question 3:
During a team meeting, the BCN notes that the patient’s chemotherapy start
,date conflicts with her planned reconstructive surgery. What is the most
appropriate action?
A) Cancel the reconstruction without consulting the patient
B) Adjust the chemotherapy schedule unilaterally
C) Collaborate with oncology and surgical teams to develop a revised timeline
D) Ask the patient to resolve the conflict herself
Answer: C
Rationale: Coordination requires balancing treatment schedules through
interdisciplinary communication to optimize outcomes while involving the
patient in decision-making.
Keywords: scheduling, interdisciplinary collaboration, care planning
Question 4:
Which documentation practice best supports coordinated care for a breast
cancer patient?
A) Recording only the surgical procedure in the electronic health record (EHR)
B) Maintaining a comprehensive care plan including diagnostics, treatments,
and patient education
C) Documenting lab results in a separate notebook
D) Using verbal reports only during team meetings
Answer: B
Rationale: Comprehensive, centralized documentation ensures all providers
have access to the same information, supporting safe and coordinated care.
Keywords: documentation, EHR, care plan, safety
Question 5:
A patient is overwhelmed by the complexity of her treatment plan. Which
nursing intervention best demonstrates patient-centered care coordination?
A) Give the patient a brochure and leave
B) Schedule a teaching session to review the treatment plan and answer
questions
C) Refer the patient to a nurse navigator without follow-up
D) Tell the patient to contact each provider individually
Answer: B
Rationale: Providing individualized education and counseling enhances patient
,understanding, engagement, and adherence to the care plan.
Keywords: patient education, counseling, teaching, patient-centered care
Question 6:
A BCN is developing a quality improvement initiative to reduce delays in
chemotherapy initiation. Which step is most consistent with care coordination
principles?
A) Implementing a new scheduling protocol with input from oncology,
pharmacy, and nursing
B) Telling providers to see patients faster
C) Reducing patient education sessions to save time
D) Limiting team communication to emails only
Answer: A
Rationale: Quality improvement requires interdisciplinary collaboration to
optimize processes and ensure timely treatment.
Keywords: quality improvement, process optimization, collaboration,
chemotherapy
Question 7:
A patient’s insurance does not cover a recommended imaging study. How
should the BCN intervene?
A) Advise the patient to skip the study
B) Work with social work and financial services to explore coverage options or
assistance programs
C) Tell the patient it is their responsibility
D) Replace the study with an unproven alternative
Answer: B
Rationale: Advocacy and care coordination involve connecting patients with
resources to overcome financial barriers and ensure appropriate care.
Keywords: patient advocacy, resource navigation, financial assistance
Question 8:
A patient undergoing adjuvant therapy expresses anxiety about treatment side
effects. Which BCN action best demonstrates coordinated psychosocial
support?
,A) Reassure the patient that side effects are normal and will pass
B) Refer to a counselor, provide educational materials, and integrate symptom
management planning with the oncology team
C) Ignore the anxiety as it is outside the nurse’s scope
D) Advise the patient to cope on her own
Answer: B
Rationale: Coordinated care integrates emotional support, patient education,
and collaboration with other providers for holistic management.
Keywords: psychosocial support, symptom management, multidisciplinary
care
Question 9:
Which factor is most critical when prioritizing tasks in breast care
coordination?
A) Patient preferences, clinical urgency, and resource availability
B) Personal convenience of the nurse
C) Random scheduling order
D) Following provider preferences only
Answer: A
Rationale: Effective care coordination prioritizes care based on patient needs,
urgency of interventions, and available resources, not convenience.
Keywords: prioritization, patient-centered care, resource management
Question 10:
During a multidisciplinary tumor board, the BCN identifies a gap in patient
follow-up. What is the best action?
A) Make a note for personal records
B) Alert the team and propose a standardized follow-up schedule for all
patients
C) Wait for the physician to address it
D) Suggest follow-up only for high-risk patients
Answer: B
Rationale: Proactively addressing gaps in care ensures consistency, reduces
risk, and improves patient outcomes.
Keywords: follow-up, tumor board, standardized care, proactive intervention
, Question 11:
A patient is preparing to start neoadjuvant chemotherapy but has multiple
comorbidities. Which action exemplifies coordinated care?
A) Proceed with chemotherapy without discussing comorbidities
B) Collaborate with cardiology, endocrinology, and oncology to adjust the plan
safely
C) Delay all care until comorbidities are resolved
D) Delegate the decision entirely to the oncologist
Answer: B
Rationale: Coordination includes integrating specialty input to tailor treatment
safely for patients with complex medical histories.
Keywords: comorbidities, collaboration, safety, treatment planning
Question 12:
Which role is most central for the BCN in coordinating post-surgical care?
A) Ensuring timely wound checks, pain management, and patient education on
self-care
B) Performing the surgery independently
C) Only documenting vital signs
D) Delegating all responsibilities to other nurses
Answer: A
Rationale: The BCN coordinates post-surgical recovery, monitors
complications, educates the patient, and communicates with the team.
Keywords: post-surgical care, monitoring, patient education, coordination
Question 13:
When a patient is transferred from a rural clinic to a tertiary center, which
action best supports continuity of care?
A) Relying on verbal reports from the previous clinic
B) Reviewing all previous records, contacting prior providers, and creating a
transition plan
C) Starting care from scratch
D) Ignoring prior treatments
Answer: B
Rationale: Thorough record review and communication ensures safe, seamless
