HESI Case Study - Breast Cancer Exam || Most Recent
Exam 2026-2027 Actual Complete Real Exam Questions
And Correct Answers (Expertly Verified Answers)
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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
pressure in arm of operative side.
Submit
After the client is awake and stable, she is moved from the
PACU to the medical-surgical unit. The nurse observes the
client performing wrist flexion and extension exercises 4 hours
after surgery.
What action should the nurse take? - ANSWER-
Encourage the client to
continue performing these
exercises.
Management Issues
, The nurse enters the client's room and observes that a
graduate nurse is assessing the dressing while the unlicensed
assistive personnel (UAP) takes postoperative vital signs. The
UAP is preparing to take the client's BP on her operative side
because there is an IV in the other arm.
Which action should the nurse implement first? - ANSWER-
Advise the UAP to
immediately stop and obtain the blood pressure in the
nonoperative arm.
The nurse is discussing the situation with the graduate nurse
and UAP. What should the nurse emphasize in the discussion?
- ANSWER-Both the graduate nurse and the UAP are at
responsible for the incorrect action of the UAP.
Hormonal Therapy
The client seems happy and she tells the nurse that she
received some good news. She states that her tumor was
negative for estrogen receptor sites and it is less likely of a
recurrence or spread of the cancer.
What action should the nurse take first? - ANSWER-Ask the
client to clarify how
she learned this
information.
Exam 2026-2027 Actual Complete Real Exam Questions
And Correct Answers (Expertly Verified Answers)
Already Graded A+ | Guaranteed Success!! | Brand New
Exam!! Just Released!!
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
pressure in arm of operative side.
Submit
After the client is awake and stable, she is moved from the
PACU to the medical-surgical unit. The nurse observes the
client performing wrist flexion and extension exercises 4 hours
after surgery.
What action should the nurse take? - ANSWER-
Encourage the client to
continue performing these
exercises.
Management Issues
, The nurse enters the client's room and observes that a
graduate nurse is assessing the dressing while the unlicensed
assistive personnel (UAP) takes postoperative vital signs. The
UAP is preparing to take the client's BP on her operative side
because there is an IV in the other arm.
Which action should the nurse implement first? - ANSWER-
Advise the UAP to
immediately stop and obtain the blood pressure in the
nonoperative arm.
The nurse is discussing the situation with the graduate nurse
and UAP. What should the nurse emphasize in the discussion?
- ANSWER-Both the graduate nurse and the UAP are at
responsible for the incorrect action of the UAP.
Hormonal Therapy
The client seems happy and she tells the nurse that she
received some good news. She states that her tumor was
negative for estrogen receptor sites and it is less likely of a
recurrence or spread of the cancer.
What action should the nurse take first? - ANSWER-Ask the
client to clarify how
she learned this
information.
