Primary Care Art and Science of Advanced
Practice Nursing - Test Bank, Chapter 47. Breast
Disorders
Which task could the registered nurse delegate to unlicensed assistive personnel
(UAP) during the care of a patient who has had recent transverse rectus
abdominis musculocutaneous (TRAM) flap surgery?
A. Document the condition of the patient's incisions.
B. Mobilize the patient in a slightly hunched position.
C. Change the patient's abdominal and chest dressings.
D. Change the parameters of the patient-controlled analgesic (PCA) pump. -
answer-B. Mobilize the patient in a slightly hunched position.
A man is determined to be at risk for breast cancer during a routine health
screening by the nurse. The patient does not give any history of radiation
exposure or genetic inheritance. Which other factor would have led the nurse to
label the patient as high risk?
A. History of on and off fever
B. History of allergic rashes
C. History of taking hormone replacement therapy for changing sex
D. History of sudden excessive hair loss resulting in alopecia - answer-C. History of
taking hormone replacement therapy for changing sex
A nurse is teaching a health promotion workshop to a group of women in their
40s and 50s. What information about nipple discharge should the nurse teach to
participants?
,A. Inappropriate lactation necessitates breast biopsy.
B. Nipple discharge of any type is considered a precursor to cancer.
C. Unexpected nipple discharge of any type warrants medical follow-up.
D. Galactorrhea is a normal age-related change and a frequent perimenopausal
symptom. - answer-C. Unexpected nipple discharge of any type warrants medical
follow-up.
The nurse is educating a patient about the risks of breast cancer. Which
information will the nurse include in this teaching?
A. Breast self-exams should be done monthly.
B. Breast cancer is rare in men and is not of any concern to them.
C. Breast cancer is the leading cause of cancer deaths in women.
D. Hyperplasia increases the cancer risk and leads to breast cancer. - answer-D.
Hyperplasia increases the cancer risk and leads to breast cancer.
A patient is preparing to begin breast cancer treatment with tamoxifen. What
point should the nurse emphasize when teaching the patient about the new drug
regimen?
A. "You may find that your medication causes some breast sensitivity."
B. "It's important that you let your health care provider know about any changes
in your vision."
C. "You'll find that this drug often alleviates some of the symptoms that
accompany menopause."
D. "It's imperative that you abstain from drinking alcohol after you begin taking
tamoxifen." - answer-B. "It's important that you let your health care provider
know about any changes in your vision."
,A patient who underwent a radical mastectomy is depressed and not coping well.
In what ways can the nurse help the patient cope with the depression? Select all
that apply.
A. Administer an antidepressant drug.
B. Provide a comfortable environment to let her express all her feelings.
C. Promote communication between the patient and family or friends.
D. Teach and encourage the patient to use various coping techniques.
E. Avoid the questions being asked by the patient, because talking about such
topics may simply accentuate her depression.
F. Explain various ways to improve her body image, such as breast reconstruction
or use of external implants. - answer-B. Provide a comfortable environment to let
her express all her feelings.
C. Promote communication between the patient and family or friends.
D. Teach and encourage the patient to use various coping techniques.
F. Explain various ways to improve her body image, such as breast reconstruction
or use of external implants.
A nurse is providing care for a patient who underwent a left modified radical
mastectomy and is now in the immediate postoperative phase. To help prevent
the development of lymphedema, what intervention should the nurse perform?
A. Range-of-motion exercises on the patient's left arm
B. Placing the left arm in an extended and dependent position
C. Keeping the left arm elevated on pillows higher than the axilla
D. Encouraging the patient to perform isometric exercises with the left arm -
answer-C. Keeping the left arm elevated on pillows higher than the axilla
, A patient who has undergone surgery for breast cancer reports muscle weakness
and loss of sense of touch. Which surgery does the nurse understand the patient
likely has undergone?
A. Modified radical mastectomy
B. Lumpectomy with radiation therapy
C. Tissue expansion and breast implantation
D. Breast reconstruction tissue flap procedure - answer-A. Modified radical
mastectomy
When teaching a patient about the prevention of breast cancer, what should be
included as helpful in decreasing the risk of breast cancer? Select all that apply.
A. Prevent smoking and alcohol intake.
B. Prevent exposure to harmful radiation.
C. Increase the use of oral contraceptives.
D. Prevent gaining excess weight during adulthood.
E. Use combined hormone therapy (progesterone and estrogen) after
menopause. - answer-A. Prevent smoking and alcohol intake.
B. Prevent exposure to harmful radiation.
D. Prevent gaining excess weight during adulthood.
A patient recently underwent a radical mastectomy and wishes to have breast
reconstruction surgery. What information should the nurse give the patient
before she gives the consent for surgery? Select all that apply.
A. This surgery will not restore lactation.
B. The surgery will not restore nipple sensation or erectility.
C. This surgery would be useful in preserving self-image and regaining a sense of
normalcy.
Practice Nursing - Test Bank, Chapter 47. Breast
Disorders
Which task could the registered nurse delegate to unlicensed assistive personnel
(UAP) during the care of a patient who has had recent transverse rectus
abdominis musculocutaneous (TRAM) flap surgery?
A. Document the condition of the patient's incisions.
B. Mobilize the patient in a slightly hunched position.
C. Change the patient's abdominal and chest dressings.
D. Change the parameters of the patient-controlled analgesic (PCA) pump. -
answer-B. Mobilize the patient in a slightly hunched position.
A man is determined to be at risk for breast cancer during a routine health
screening by the nurse. The patient does not give any history of radiation
exposure or genetic inheritance. Which other factor would have led the nurse to
label the patient as high risk?
A. History of on and off fever
B. History of allergic rashes
C. History of taking hormone replacement therapy for changing sex
D. History of sudden excessive hair loss resulting in alopecia - answer-C. History of
taking hormone replacement therapy for changing sex
A nurse is teaching a health promotion workshop to a group of women in their
40s and 50s. What information about nipple discharge should the nurse teach to
participants?
,A. Inappropriate lactation necessitates breast biopsy.
B. Nipple discharge of any type is considered a precursor to cancer.
C. Unexpected nipple discharge of any type warrants medical follow-up.
D. Galactorrhea is a normal age-related change and a frequent perimenopausal
symptom. - answer-C. Unexpected nipple discharge of any type warrants medical
follow-up.
The nurse is educating a patient about the risks of breast cancer. Which
information will the nurse include in this teaching?
A. Breast self-exams should be done monthly.
B. Breast cancer is rare in men and is not of any concern to them.
C. Breast cancer is the leading cause of cancer deaths in women.
D. Hyperplasia increases the cancer risk and leads to breast cancer. - answer-D.
Hyperplasia increases the cancer risk and leads to breast cancer.
A patient is preparing to begin breast cancer treatment with tamoxifen. What
point should the nurse emphasize when teaching the patient about the new drug
regimen?
A. "You may find that your medication causes some breast sensitivity."
B. "It's important that you let your health care provider know about any changes
in your vision."
C. "You'll find that this drug often alleviates some of the symptoms that
accompany menopause."
D. "It's imperative that you abstain from drinking alcohol after you begin taking
tamoxifen." - answer-B. "It's important that you let your health care provider
know about any changes in your vision."
,A patient who underwent a radical mastectomy is depressed and not coping well.
In what ways can the nurse help the patient cope with the depression? Select all
that apply.
A. Administer an antidepressant drug.
B. Provide a comfortable environment to let her express all her feelings.
C. Promote communication between the patient and family or friends.
D. Teach and encourage the patient to use various coping techniques.
E. Avoid the questions being asked by the patient, because talking about such
topics may simply accentuate her depression.
F. Explain various ways to improve her body image, such as breast reconstruction
or use of external implants. - answer-B. Provide a comfortable environment to let
her express all her feelings.
C. Promote communication between the patient and family or friends.
D. Teach and encourage the patient to use various coping techniques.
F. Explain various ways to improve her body image, such as breast reconstruction
or use of external implants.
A nurse is providing care for a patient who underwent a left modified radical
mastectomy and is now in the immediate postoperative phase. To help prevent
the development of lymphedema, what intervention should the nurse perform?
A. Range-of-motion exercises on the patient's left arm
B. Placing the left arm in an extended and dependent position
C. Keeping the left arm elevated on pillows higher than the axilla
D. Encouraging the patient to perform isometric exercises with the left arm -
answer-C. Keeping the left arm elevated on pillows higher than the axilla
, A patient who has undergone surgery for breast cancer reports muscle weakness
and loss of sense of touch. Which surgery does the nurse understand the patient
likely has undergone?
A. Modified radical mastectomy
B. Lumpectomy with radiation therapy
C. Tissue expansion and breast implantation
D. Breast reconstruction tissue flap procedure - answer-A. Modified radical
mastectomy
When teaching a patient about the prevention of breast cancer, what should be
included as helpful in decreasing the risk of breast cancer? Select all that apply.
A. Prevent smoking and alcohol intake.
B. Prevent exposure to harmful radiation.
C. Increase the use of oral contraceptives.
D. Prevent gaining excess weight during adulthood.
E. Use combined hormone therapy (progesterone and estrogen) after
menopause. - answer-A. Prevent smoking and alcohol intake.
B. Prevent exposure to harmful radiation.
D. Prevent gaining excess weight during adulthood.
A patient recently underwent a radical mastectomy and wishes to have breast
reconstruction surgery. What information should the nurse give the patient
before she gives the consent for surgery? Select all that apply.
A. This surgery will not restore lactation.
B. The surgery will not restore nipple sensation or erectility.
C. This surgery would be useful in preserving self-image and regaining a sense of
normalcy.
