Review Questions

Review Questions

1.

What assessment finding suggests that a patient may have fibrocystic breast changes?

1. green-tinged nipple discharge
2. ongoing breast pain
3. firm, ropy feel of the breast tissue under the skin
4. peau d’orange appearance of the skin

2.

What nursing intervention would the nurse include in the preoperative care plan for a patient scheduled for an outpatient lumpectomy of a fibroadenoma?

1. Administer pain and antiemetic medications.
2. Help the patient arrange for a cab home after the procedure.
3. Advise the patient to avoid food or drink for 2 hours before surgery.
4. Review discharge instructions.

3.

What is a patient statement that indicates effective teaching after a new diagnosis of nonlactational mastitis?

1. “I will avoid wearing a bra until I feel better.”
2. “I should take steps to stop smoking cigarettes.”
3. “Applying an ice pack to my breasts can help reduce pain.”
4. “I should take the prescribed antibiotics until I feel better.”

4.

What is a risk factor for breast cancer?

1. menarche at age 15
2. family history of diabetes
3. alcohol use of at least 2 drinks per day
4. history of three vaginal births by age 25

5.

What information would the nurse include when teaching a patient about core needle biopsy?

1. It can be performed with or without ultrasound guidance.
2. Local anesthetic is not needed before this procedure.
3. It is usually performed in the outpatient surgery center.
4. A special dye is injected into the area around the tumor.

6.

The nurse is caring for a patient receiving chemotherapy. What nursing intervention would they provide?

1. Administer antibiotics.
2. Administer antiemetics.
3. Encourage physical activity after infusion.
4. Encourage eating a large meal.

7.

What type of mastectomy removes the entire breast but leaves the chest wall intact?

1. total simple mastectomy
2. modified radical mastectomy
3. skin-sparing mastectomy
4. nipple-sparing mastectomy

8.

The nurse would advise the patient to report what symptom immediately during a PD-1 (checkpoint inhibitor) infusion?

1. nausea
2. fatigue
3. dizziness
4. diarrhea

9.

What medication would the nurse include when teaching a patient about aromatase inhibitors?

1. anastrozole (Arimidex)
2. fulvestrant (Faslodex)
3. tamoxifen (Novaldex)
4. pembrolizumab (Keytruda)

10.

What hormonal medication can be used in a premenopausal patient without the concurrent use of ovarian suppression?

1. letrozole (Femara)
2. exemestane (Aromasin)
3. elacestrant (Orserdu)
4. tamoxifen (Soltamox)