Actual Q&A PDF | Rasmussen College
1. The nurse is teaching a client about ductal carcinoma in situ (DCIS). Which
statement by the nurse is correct?
A) DCIS is an invasive cancer that requires chemotherapy.
B) DCIS cells are found in the lobules and are not cancerous.
C) DCIS consists of cancer cells confined within the milk duct.
D) DCIS always presents with peau d'orange and erythema.
Correct Answer: C) DCIS consists of cancer cells confined within the milk duct.
Rationale: DCIS is a noninvasive breast cancer where malignant cells are located
inside the duct and have not broken through into surrounding tissue. It is highly
curable and does not always cause skin changes.
2. A client with lobular carcinoma in situ (LCIS) is learning about the diagnosis.
The nurse explains that LCIS
A) indicates a higher risk of developing invasive breast cancer in either breast
B) is an aggressive form of cancer that spreads rapidly
C) always requires a mastectomy
D) only occurs in women with a BRCA mutation
Correct Answer: A) indicates a higher risk of developing invasive breast cancer in
either breast
,Rationale: LCIS is not a true cancer but a marker of increased risk for future
breast cancer in both breasts. Close surveillance or risk‑reducing strategies are
recommended. It is not aggressive and does not always require surgery.
3. The nurse is providing community education about breast cancer screening.
Routine mammography is recommended starting at which age?
A) 35 years
B) 40 years
C) 55 years
D) 45 years
Correct Answer: D) 45 years
Rationale: Most guidelines recommend beginning annual mammography at age
45, with the option to start at 40. Mammography can detect masses before they
become palpable, improving outcomes.
4. Which risk factor for breast cancer is modifiable?
A) Age
B) Alcohol consumption
C) BRCA1 mutation
D) Early menarche
Correct Answer: B) Alcohol consumption
, Rationale: Alcohol intake is a modifiable risk factor; limiting alcohol can reduce
breast cancer risk. Age, genetic mutations, and reproductive history are
nonmodifiable.
5. A client newly diagnosed with breast cancer has peau d'orange on the
affected breast. The nurse explains that this finding is
A) a dimpling of the skin caused by tumor retraction
B) redness and warmth indicating infection
C) thickening and pitting of the skin resembling an orange peel
D) a benign skin condition unrelated to cancer
Correct Answer: C) thickening and pitting of the skin resembling an orange peel
Rationale: Peau d'orange results from edema and lymphatic obstruction, giving
the skin a thick, dimpled appearance. It is often seen in inflammatory breast
cancer.
6. The nurse is reviewing the pathophysiology of inflammatory breast cancer.
Which characteristic is most typical?
A) Diffuse erythema, warmth, and rapid onset of symptoms
B) A single, painless, well-defined lump
C) Nipple retraction and bloody discharge
D) Calcifications on mammogram only
Correct Answer: A) Diffuse erythema, warmth, and rapid onset of symptoms