2024 ONCOLOGY NCLEX EXAM
QUESTIONS WITH CORRECT
ANSWERS
The nurse suspects that which client has the highest risk for breast cancer?
A. Older adult woman with high breast density
B. Nullipara older adult woman
C. Obese older adult male with gynecomastia
D. Middle-aged woman with high breast density - CORRECT-ANSWERSA.
People at high increased risk for breast cancer include women aged 65 years
and older with high breast density.
Which assessment finding indicates to the nurse that the client is at high risk
for a malignant breast lesion?
A. 1-cm freely mobile rubbery mass discovered by the client
B. Ill-defined painful rubbery lump in the outer breast quadrant
C. Backache and breast fungal infection
D. Nipple discharge and dimpling - CORRECT-ANSWERSD. Nipple discharge
and dimpling are high-risk assessment findings for a malignant breast lesion.
The nurse is discussing treatment options with the client newly diagnosed
with breast cancer. Which statement by the client indicates a need for
further teaching?
A. "Hormonal therapy is only used to prevent the growth of cancer. It won't
get rid of it."
B. "I might have chemotherapy before surgery."
C. "If I get radiation, I am not radioactive to others."
D. "Radiation will remove the cancer, so I might not need surgery." -
CORRECT-ANSWERSD. Typically, radiation therapy follows surgery to kill
residual tumor cells. Radiation therapy plays a critical role in the therapeutic
regimen and is effective treatment for almost all sites where breast cancer
can metastasize. The purpose of radiation therapy is to reduce the risk for
local recurrence of breast cancer.
Which action can the same-day surgery charge nurse delegate to an
experienced unlicensed assistive personnel (UAP) who is helping with the
care of a client who is having a breast biopsy?
A. Assess anxiety level about the surgery.
B. Monitor the vital signs after surgery.
C. Obtain data about breast cancer risk factors.
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