HESI Case Study - Breast Cancer Exam
Questions and Answers 100% Pass
At the community education program, the client learns that breast self-exam
(BSE) is best performed 2-3 days after the start of the menstrual flow when the
breasts are least engorged and tender. Since the client had a hysterectomy 5 years
ago, she does not have periods. She asks the nurse if she still needs to perform
BSE, and if so, when. - ANSWER-Which nursing explanation best promotes
effective communication?
Select a day that is easy to remember to perform BSE consistently every month.
The client demonstrates BSE technique for the nurse using a practice model. She
uses her fingerpads and states that when lying down, her arm should be relaxed at
her side. What instructions should the nurse provide? - ANSWER-Demonstrate
how arm should be positioned behind or over the head.
Another client in the class said she had heard that there is a genetic test that would
diagnose breast cancer. What is the best response by the nurse? - ANSWER-A
positive test for the BRCA1 mutation identifies an increased risk for breast cancer.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, Diagnostic Testing
While performing a BSE, the client discovers a lump.After seeing her healthcare
provider (HCP), the client is scheduled for a mammogram. She brings a family
member with her to the Women's Health Center to learn about mammograms.
The client's family member tells the nurse that she does not need a mammogram
annually because she has no risk factors for breast cancer, except that her father's
sister had breast cancer.
Which nursing intervention best promotes effective communication? - ANSWER-
Teach the client's family that even women with no identified risk factors are at risk.
The client's family member states that she will schedule a mammogram and she
asks the nurse if it will be painful. How should the nurse respond? - ANSWER-
Show the client's family what most women say causes the discomfort during a
mammogram.
Therapeutic Communication
A mass is seen on the client's mammogram, and a follow-up stereotactic core
needle biopsy is performed. The tumor specimen is found to be cancerous. The
client learns that she has a cancerous tumor requiring surgery. She tells the nurse
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Questions and Answers 100% Pass
At the community education program, the client learns that breast self-exam
(BSE) is best performed 2-3 days after the start of the menstrual flow when the
breasts are least engorged and tender. Since the client had a hysterectomy 5 years
ago, she does not have periods. She asks the nurse if she still needs to perform
BSE, and if so, when. - ANSWER-Which nursing explanation best promotes
effective communication?
Select a day that is easy to remember to perform BSE consistently every month.
The client demonstrates BSE technique for the nurse using a practice model. She
uses her fingerpads and states that when lying down, her arm should be relaxed at
her side. What instructions should the nurse provide? - ANSWER-Demonstrate
how arm should be positioned behind or over the head.
Another client in the class said she had heard that there is a genetic test that would
diagnose breast cancer. What is the best response by the nurse? - ANSWER-A
positive test for the BRCA1 mutation identifies an increased risk for breast cancer.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, Diagnostic Testing
While performing a BSE, the client discovers a lump.After seeing her healthcare
provider (HCP), the client is scheduled for a mammogram. She brings a family
member with her to the Women's Health Center to learn about mammograms.
The client's family member tells the nurse that she does not need a mammogram
annually because she has no risk factors for breast cancer, except that her father's
sister had breast cancer.
Which nursing intervention best promotes effective communication? - ANSWER-
Teach the client's family that even women with no identified risk factors are at risk.
The client's family member states that she will schedule a mammogram and she
asks the nurse if it will be painful. How should the nurse respond? - ANSWER-
Show the client's family what most women say causes the discomfort during a
mammogram.
Therapeutic Communication
A mass is seen on the client's mammogram, and a follow-up stereotactic core
needle biopsy is performed. The tumor specimen is found to be cancerous. The
client learns that she has a cancerous tumor requiring surgery. She tells the nurse
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
