NR 325 - FINAL EXAM STUDY GUIDE
(2025/2026) ACTUAL QUESTIONS AND
VERIFIED ANSWERS
Breast cancer screening guidelines - CORRECT ANSWER:
regular screening mammography starting at age 45 years.
Estradiol - caution - CORRECT ANSWER: this rx will
increase the growth of estrogen-dependent tumors
Raloxifene - therapeutic use - CORRECT ANSWER: this rx
is used to prevent breast cancer
This rx *is not used* postmastectomy
Radical mastectomy - post op nursing care -
CORRECT ANSWER: patients are at increased risk for
lymphedema
and infection
Therefore, *no blood pressures or venipunctures* in the
affected arm
Signage should be posted at the bedside to help remind staff
Radical mastectomy - patient teaching -
CORRECT ANSWER: patients should avoid any activity
that might
injure the affected arm
,Analgesics can be used
Exercises should be continued in order restore strength/rom
Affected arm should be elevate at or above the heart to
improve rom/function
Sites of breast cancer recurrence/metastasis -
CORRECT ANSWER: *local
recurrence* Skin
Chest wall
*regional recurrence*
Lymph nodes
*distal metastasis*
Skeletal
Spinal cord
Brain
Pulmonary
Liver
Bone marrow
,Women aged 45 to 54 years should be screened annually.
Women 55 years and older should transition to biennial
screening or have the opportunity to continue screening
annually.
Continue screening mammography as long as overall health is
good and life expectancy is 10 years or longer
The breast self-examination - CORRECT ANSWER: lie
down and place one arm behind the head
Use finger pads of three middle fingers of the other hand to
feel for lumps
Use overlapping dime-sized circular motions to feel the breast
tissue
Use three different levels of pressure
Up-and-down vertical pattern is recommended
Stand in a front a mirror; examine breasts for:
, - shape
- size
- redness/scaliness
- dimpling (skin/nipple)
Mastitis - CORRECT ANSWER: inflammation of the breast
Occurs in up to 10% of postpartum lactating mothers 2-4
weeks after birth
Mastitis - clinical manifestations - CORRECT ANSWER:
warm to touch
Indurated/painful
Often unilateral
Most commonly caused by staphylococcus aureus
Best time to perform self breast exam (bse) -
CORRECT ANSWER: perform bse at the end of the
menstrual period Breast tenderness is less likely to occur
(2025/2026) ACTUAL QUESTIONS AND
VERIFIED ANSWERS
Breast cancer screening guidelines - CORRECT ANSWER:
regular screening mammography starting at age 45 years.
Estradiol - caution - CORRECT ANSWER: this rx will
increase the growth of estrogen-dependent tumors
Raloxifene - therapeutic use - CORRECT ANSWER: this rx
is used to prevent breast cancer
This rx *is not used* postmastectomy
Radical mastectomy - post op nursing care -
CORRECT ANSWER: patients are at increased risk for
lymphedema
and infection
Therefore, *no blood pressures or venipunctures* in the
affected arm
Signage should be posted at the bedside to help remind staff
Radical mastectomy - patient teaching -
CORRECT ANSWER: patients should avoid any activity
that might
injure the affected arm
,Analgesics can be used
Exercises should be continued in order restore strength/rom
Affected arm should be elevate at or above the heart to
improve rom/function
Sites of breast cancer recurrence/metastasis -
CORRECT ANSWER: *local
recurrence* Skin
Chest wall
*regional recurrence*
Lymph nodes
*distal metastasis*
Skeletal
Spinal cord
Brain
Pulmonary
Liver
Bone marrow
,Women aged 45 to 54 years should be screened annually.
Women 55 years and older should transition to biennial
screening or have the opportunity to continue screening
annually.
Continue screening mammography as long as overall health is
good and life expectancy is 10 years or longer
The breast self-examination - CORRECT ANSWER: lie
down and place one arm behind the head
Use finger pads of three middle fingers of the other hand to
feel for lumps
Use overlapping dime-sized circular motions to feel the breast
tissue
Use three different levels of pressure
Up-and-down vertical pattern is recommended
Stand in a front a mirror; examine breasts for:
, - shape
- size
- redness/scaliness
- dimpling (skin/nipple)
Mastitis - CORRECT ANSWER: inflammation of the breast
Occurs in up to 10% of postpartum lactating mothers 2-4
weeks after birth
Mastitis - clinical manifestations - CORRECT ANSWER:
warm to touch
Indurated/painful
Often unilateral
Most commonly caused by staphylococcus aureus
Best time to perform self breast exam (bse) -
CORRECT ANSWER: perform bse at the end of the
menstrual period Breast tenderness is less likely to occur
