MEDSURG
1. Nurse Martin is caring for a patient diagnosed with breast cancer who just underwent a right
axillary lymph node resection. What intervention should the nurse use to decrease the
lymphedema?
- Assess and take blood pressure only on the unaffected arm
2. Patient Marites Dimaculang, who underwent a right axillary lymph node resection treatment
of breast cancer. What nursing intervention should the nurse include in the patient’s care?
- Promote gradually increasing mobility of the right breast as soon as possible to
prevent lymphedema
3. Carol Edwards, newly diagnosed with breast cancer has a right mastectomy with axillary node
resection. Ten lymph nodes are resected with three positives for malignant cells. The patient
has stage IIB breast cancer. What is the best nursing intervention to use in planning care?
- Assess the patient’s response to the diagnosis of breast cancer
4. When caring for Carol who is newly diagnosed with cancer, Nurse Jana formulates a nursing
diagnosis of Anxiety related to the threat of death secondary to cancer diagnosis. Which
expected outcome would be appropriate for this client?
- “Carol verbalizes feelings of anxiety.”
5. Patient Carol is asking you about screening for early detection of breast cancer. Which
statement by the patient requires an intervention by Nurse Jana?
- “Self-breast examination is the best way to detect breast cancer early”
6. Nurse Martin is teaching Carol on how to do breast self-examination on her unaffected breast.
Which clinical manifestation, if assessed by Nurse Martin, indicates that further evaluation for
breast cancer is needed?
- Irregular, nontender lump with induration
7. Nurse Jim is training a newly hired nurse, who wants to become an oncology nurse. He
explains that the TNM staging system is used in different kinds of cancer except?
- Brain Cancer
8. Nurse Jim, an oncology nurse who is expert in doing tumor grading. Which statements best
describe tumor grading? SATA.
- Tumor grading provides information on how tumor cells look under a
microscope
- A biopsy is used to help grade a tumor
9. Nurse Jim is reviewing facts about cancer and its treatment modality. Which of the following
statements below is incorrect about tumor staging?
- A cancer stage designated at the time of the cancer diagnosis can change
overtime
10. Nurse Jim receives a biopsy report and imaging result of Patient Marta, as a skillful oncology
nurse, The TNM staging system has been used to stage patient’s cancer. Nurse Jim reports
that Patient Marta has stage IV breast cancer (T4N1M1). What is the meaning of N1 in the
patient stage?
- Cancer cell are present in regional lymph node
11. What is the meaning of M1 in Patient Marta’s stage?
- Cancer has spread to other parts of the body
12. Mina is advised to have a Fine Needle Aspiration (FNA) Biopsy. The nurse explains that an
advantage to this procedure is that?
- Only a small incision is necessary, resulting in minimal breast pain and scarring
13. Linda asks the nurse about the genetic basis of breast cancer and the genes involved. The
nurse explains that?
- Changes in BRCA genes that normally suppress cancer growth can be passed to
offspring, increasing the risk for breast cancer
14. When assessing Linda for breast cancer risk, the nurse considers that the patient has a
significant family history of breast cancer if she has a?
- Mother who was diagnosed with breast cancer at the age of 56
15. Nurse Marsy provides discharge teaching for Linda who has had a right modified radical
mastectomy and axillary lymph node dissection. Nurse Marsy determines that teaching has
been successful when Linda says?
- “I will continue to exercise my right arm with finger walking up the wall or
combing my hair.”
