HESI CASE STUDY BREAST CANCER LATEST ACTUAL
EXAM WITH VERIFIED QUESTIONS & CORRECT
ANSWERS
Question 1.
The client is disappointed to learn that she will not benefit from hormonal therapy. The client's friend
informed her that tamoxifen was like experiencing menopause. Which nursing intervention best
promotes effective communication?
ANSWER
Inform the client that tamoxifen is an antiestrogen agent and can cause symptoms that
resemble menopause.
Question 2.
Follow-Up
The client's resulting cellulitis from her injury and the complication of lymphedema are resolved and
the nurse is preparing her for discharge.
The nurse continues to reinforce the HCP's instructions regarding activity limitations and exercises.
Which intervention should the nurse include in the client's discharge instructions?
ANSWER
Avoid lifting anything over 10 pounds for at least 4 weeks.
Question 3.
The client goes on to say that she can control this with exercising and a change in her eating habits.
Which nursing intervention best promotes effective communication in reply to the client's solution?
ANSWER
Confirm with the client her hesitation to discuss the need for surgery.
1/8
, Question 4.
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.
Question 5.
Chemotherapy
The client elects to take chemotherapy to reduce her risk for recurrence. The nurse prepares the client
for common adverse effects that she may experience.
Which interventions should the nurse include in the client's plan of care related to the antineoplastic
chemotherapy she has decided to do? (Select all that apply.)
ANSWER
i. Provide management options for bouts of diarrhea.
ii. Explain how alopecia occurs with antineoplastic chemotherapy.
iii. Submit
Question 6.
The nurse is able to complete the client's discharge teaching. The client reflects and reminds the nurse
that the only symptom she had was a lump she felt during a breast self-exam. The client wants to
teach other women the importance of breast self-exams. Which nursing intervention best promotes
effective communication?
ANSWER
Instruct the client to continue breast self-exams for the nonoperative breast.
Question 7.
Which ethical principle has the greatest weight in the nurse's decision to inform the client's surgeon
about the snack?
ANSWER
Nonmaleficence.
2/8
EXAM WITH VERIFIED QUESTIONS & CORRECT
ANSWERS
Question 1.
The client is disappointed to learn that she will not benefit from hormonal therapy. The client's friend
informed her that tamoxifen was like experiencing menopause. Which nursing intervention best
promotes effective communication?
ANSWER
Inform the client that tamoxifen is an antiestrogen agent and can cause symptoms that
resemble menopause.
Question 2.
Follow-Up
The client's resulting cellulitis from her injury and the complication of lymphedema are resolved and
the nurse is preparing her for discharge.
The nurse continues to reinforce the HCP's instructions regarding activity limitations and exercises.
Which intervention should the nurse include in the client's discharge instructions?
ANSWER
Avoid lifting anything over 10 pounds for at least 4 weeks.
Question 3.
The client goes on to say that she can control this with exercising and a change in her eating habits.
Which nursing intervention best promotes effective communication in reply to the client's solution?
ANSWER
Confirm with the client her hesitation to discuss the need for surgery.
1/8
, Question 4.
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.
Question 5.
Chemotherapy
The client elects to take chemotherapy to reduce her risk for recurrence. The nurse prepares the client
for common adverse effects that she may experience.
Which interventions should the nurse include in the client's plan of care related to the antineoplastic
chemotherapy she has decided to do? (Select all that apply.)
ANSWER
i. Provide management options for bouts of diarrhea.
ii. Explain how alopecia occurs with antineoplastic chemotherapy.
iii. Submit
Question 6.
The nurse is able to complete the client's discharge teaching. The client reflects and reminds the nurse
that the only symptom she had was a lump she felt during a breast self-exam. The client wants to
teach other women the importance of breast self-exams. Which nursing intervention best promotes
effective communication?
ANSWER
Instruct the client to continue breast self-exams for the nonoperative breast.
Question 7.
Which ethical principle has the greatest weight in the nurse's decision to inform the client's surgeon
about the snack?
ANSWER
Nonmaleficence.
2/8
