NCLEX Breast Cancer Exam Test Questions with Answers Graded A
C. Assess blood pressure only on unattected arm.
The nurse is caring for a patient diagnosed with breast
cancer who just underwent an axillary lymph node dissec- Blood pressure readings, venipunctures, and injections
tion. What intervention should the nurse use to decrease should not be done on the attected arm. Elastic bandages
the lymphedema? should not be used in the early postoperative period be-
A. Keep attected arm flat at the patient's side. cause they inhibit collateral lymph drainage. The attected
B. Apply an elastic bandage on the attected arm. arm should be elevated above the heart, and isomet-
C. Assess blood pressure only on unattected arm. ric exercises are recommended and gradually increased
D. Restrict exercise of the attected arm for 1 week. starting in the recovery room to reduce fluid volume in the
arm.
A. Nulliparity
C. Early menarche
The nurse is volunteering at a community center to teach D. Late menopause
women about breast cancer. What should the nurse in- E. Personal history of colon cancer
clude when discussing risk factors (select all that apply)?
A. Nulliparity Women are at an increased risk for development of breast
B. Age 30 or over cancer if they are over the age of 50; have a family history
C. Early menarche of breast cancer; have a personal history of breast, colon,
D. Late menopause endometrial, or ovarian cancer; have a long menstrual
E. Personal history of colon cancer history as seen with early menarche or late menopause;
and have had a first full-term pregnancy after the age of
30 or are nulliparous.
The nurse has been asked to participate in a healthy living
B. "It's recommended that you get a mammogram each
workshop. While teaching about women's health, which
year after you turn 40."
guidelines should the nurse provide to the audience?
A. "Mammograms are necessary if you have a family his-
Annual mammograms are recommended after age 40.
tory of breast cancer."
They are recommended for all women, not solely those
B. "It's recommended that you get a mammogram each
with a family history of breast cancer. BSE is not a replace-
year after you turn 40."
ment for mammography, and clinical breast examinations
C. "If you are not able to perform breast self-examination
are not necessary at each oflce visit, but recommended at
(BSE), you should go for regular mammograms."
1/9
, NCLEX Breast Cancer Exam Test Questions with Answers Graded A
D. "You should ensure that your primary care provider least every 3 years for women in their 20s and 30s, and
performs a breast exam each time you visit." then every year beginning at age 40.
A 51-year-old woman has recently had a unilateral, right
total mastectomy and axillary node dissection for the D. Promote gradually increasing mobility as soon as pos-
treatment of breast cancer. What nursing intervention sible following surgery.
should the nurse include in the patient's care?
A. Immobilize the patient's right arm until postoperative Mobility should be encouraged beginning in the
day 3. postanesthesia care unit (PACU) and increased gradually
B. Maintain the patient's right arm in a dependent posi- throughout the patient's recovery. Immobilization is coun-
tion when at rest. terproductive to recovery, and the limb should not be in
C. Administer diuretics prophylactically for the prevention a dependent position. Diuretics are not used to prevent
of lymphedema. lymphedema but may be used in active treatment of the
D. Promote gradually increasing mobility as soon as pos- problem.
sible following surgery.
Which task could the registered nurse delegate to un-
B. Mobilize the patient in a slightly hunched position.
licensed assistive personnel (UAP) during the care of a
patient who has had recent transverse rectus abdominis
Mobilization of a postsurgical patient may be delegated,
musculocutaneous (TRAM) flap surgery?
and the patient who has had a TRAM flap should not
A. Document the condition of the patient's incisions.
stand or walk fully erect, in order to minimize strain on
B. Mobilize the patient in a slightly hunched position.
the incisions. Changing dressings, assessing wounds, and
C. Change the patient's abdominal and chest dressings.
reprogramming a PCA pump are not appropriate tasks to
D. Change the parameters of the patient-controlled anal-
delegate to UAP.
gesic (PCA) pump.
A 50-year-old patient is preparing to begin breast cancer
treatment with tamoxifen (Nolvadex). What point should B. "It's important that you let your care provider know
the nurse emphasize when teaching the patient about her about any changes in your vision."
new drug regimen?
A. "You may find that your medication causes some breast Tamoxifen has the potential to cause cataracts and
sensitivity." retinopathy. The drug is likely to exacerbate rather than
B. "It's important that you let your care provider know alleviate perimenopausal symptoms. Breast tenderness is
about any changes in your vision."
2/9
C. Assess blood pressure only on unattected arm.
The nurse is caring for a patient diagnosed with breast
cancer who just underwent an axillary lymph node dissec- Blood pressure readings, venipunctures, and injections
tion. What intervention should the nurse use to decrease should not be done on the attected arm. Elastic bandages
the lymphedema? should not be used in the early postoperative period be-
A. Keep attected arm flat at the patient's side. cause they inhibit collateral lymph drainage. The attected
B. Apply an elastic bandage on the attected arm. arm should be elevated above the heart, and isomet-
C. Assess blood pressure only on unattected arm. ric exercises are recommended and gradually increased
D. Restrict exercise of the attected arm for 1 week. starting in the recovery room to reduce fluid volume in the
arm.
A. Nulliparity
C. Early menarche
The nurse is volunteering at a community center to teach D. Late menopause
women about breast cancer. What should the nurse in- E. Personal history of colon cancer
clude when discussing risk factors (select all that apply)?
A. Nulliparity Women are at an increased risk for development of breast
B. Age 30 or over cancer if they are over the age of 50; have a family history
C. Early menarche of breast cancer; have a personal history of breast, colon,
D. Late menopause endometrial, or ovarian cancer; have a long menstrual
E. Personal history of colon cancer history as seen with early menarche or late menopause;
and have had a first full-term pregnancy after the age of
30 or are nulliparous.
The nurse has been asked to participate in a healthy living
B. "It's recommended that you get a mammogram each
workshop. While teaching about women's health, which
year after you turn 40."
guidelines should the nurse provide to the audience?
A. "Mammograms are necessary if you have a family his-
Annual mammograms are recommended after age 40.
tory of breast cancer."
They are recommended for all women, not solely those
B. "It's recommended that you get a mammogram each
with a family history of breast cancer. BSE is not a replace-
year after you turn 40."
ment for mammography, and clinical breast examinations
C. "If you are not able to perform breast self-examination
are not necessary at each oflce visit, but recommended at
(BSE), you should go for regular mammograms."
1/9
, NCLEX Breast Cancer Exam Test Questions with Answers Graded A
D. "You should ensure that your primary care provider least every 3 years for women in their 20s and 30s, and
performs a breast exam each time you visit." then every year beginning at age 40.
A 51-year-old woman has recently had a unilateral, right
total mastectomy and axillary node dissection for the D. Promote gradually increasing mobility as soon as pos-
treatment of breast cancer. What nursing intervention sible following surgery.
should the nurse include in the patient's care?
A. Immobilize the patient's right arm until postoperative Mobility should be encouraged beginning in the
day 3. postanesthesia care unit (PACU) and increased gradually
B. Maintain the patient's right arm in a dependent posi- throughout the patient's recovery. Immobilization is coun-
tion when at rest. terproductive to recovery, and the limb should not be in
C. Administer diuretics prophylactically for the prevention a dependent position. Diuretics are not used to prevent
of lymphedema. lymphedema but may be used in active treatment of the
D. Promote gradually increasing mobility as soon as pos- problem.
sible following surgery.
Which task could the registered nurse delegate to un-
B. Mobilize the patient in a slightly hunched position.
licensed assistive personnel (UAP) during the care of a
patient who has had recent transverse rectus abdominis
Mobilization of a postsurgical patient may be delegated,
musculocutaneous (TRAM) flap surgery?
and the patient who has had a TRAM flap should not
A. Document the condition of the patient's incisions.
stand or walk fully erect, in order to minimize strain on
B. Mobilize the patient in a slightly hunched position.
the incisions. Changing dressings, assessing wounds, and
C. Change the patient's abdominal and chest dressings.
reprogramming a PCA pump are not appropriate tasks to
D. Change the parameters of the patient-controlled anal-
delegate to UAP.
gesic (PCA) pump.
A 50-year-old patient is preparing to begin breast cancer
treatment with tamoxifen (Nolvadex). What point should B. "It's important that you let your care provider know
the nurse emphasize when teaching the patient about her about any changes in your vision."
new drug regimen?
A. "You may find that your medication causes some breast Tamoxifen has the potential to cause cataracts and
sensitivity." retinopathy. The drug is likely to exacerbate rather than
B. "It's important that you let your care provider know alleviate perimenopausal symptoms. Breast tenderness is
about any changes in your vision."
2/9
