ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 70 : Care of Patients with Breast Disorders Questions
Question 1 of 5
A woman diagnosed with breast cancer had these laboratory tests performed at an office visit. Which test results indicate to the nurse that some further diagnoses are needed?
Correct Answer: A
Rationale: The alkaline phosphatase (normal 30 to 120 U/L) and total calcium (normal 9 to 10.5 mg/dL) levels are elevated (125 U/L and 12 mg/dL, respectively), suggesting bone metastasis. Hematocrit (19%) and hemoglobin (14 g/dL) are within normal limits for females, ruling out anemia or dehydration.
Question 2 of 5
The nurse is taking a history of a 68-year-old woman. What assessment findings would indicate a high risk for the development of breast cancer? (Select all that apply.)
Correct Answer: A,B,E
Rationale: Breast cancer risk factors include age greater than 65 (risk increases until age 80), increased breast density (elevated risk potential due to more glandular and connective tissue), and inherited mutations of BRCA1/BRCA2 genes. Osteoporosis and multiparity are not risk factors; high postmenopausal bone density and multiparity are moderate and low risk factors, respectively.
Question 3 of 5
The nurse is formulating a teaching plan according to evidence-based breast cancer screening guidelines for a 50-year-old woman with low risk factors. Which diagnostic methods should be included in the plan? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Guidelines recommend annual mammograms for women aged 40 and older, breast self-awareness, and clinical breast examinations for low-risk women. MRI is recommended for high-risk cases, and breast ultrasound is used for follow-up if abnormalities or dense breast tissue are found.
Question 4 of 5
After a breast examination, the nurse is documenting assessment findings that indicate possible breast cancer. Which abnormal findings need to be included as part of the client's electronic medical record? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Peau d'orange (skin dimpling), nipple retraction, and a mobile mass at a specific location (e.g., two o'clock) are abnormal findings suggestive of breast cancer. Dense breast tissue and non-tender axillary nodes are not necessarily indicative of malignancy.
Question 5 of 5
A woman has been using acupuncture to treat the nausea and vomiting caused by the side effects of chemotherapy for breast cancer. Which conditions would cause the nurse to recommend against further use of acupuncture? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Acupuncture is contraindicated in lymphedema due to poor drainage in the affected extremity, bleeding tendencies due to increased bleeding risk, and low white blood cell count due to infection risk. Elevated serum calcium and high platelet count do not contraindicate acupuncture.