Breast Navigator Quiz

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The most common site of metastases with breast cancer is:

Neoplasm can be classified as either benign or malignant. The following are characteristics of a malignant tumor except

Nina, an oncology nurse navigator, is speaking to a women’s group about breast cancer. Questions and comments from the audience reveal a misunderstanding of some aspects of the disease. Various members of the audience have made all of the following statements. Which one is accurate:

Which of the following is NOT classified as a cancer?

Which of the following is an unfavorable histological type of invasive breast cancer?

A patient asks, “What are tumor-suppressor genes?” As part of your answer, you explain that tumor-suppressor genes code for proteins that __________ growth-promoting factors.

All of the following statements are true about noninvasive breast cancers except:

Which of the following statements about invasive breast cancer is true?

Which of the following BEST describes tumor angiogenesis?

To decrease the risk of lymphedema after a sentinel lymph node biopsy or lymph node dissection, a woman should be instructed to:

Breast cancer hormone receptor assay test results may be used for

Nurse April is teaching a client who suspects that she has a lump in her breast. The nurse instructs the client that a diagnosis of breast cancer is confirmed by

The advantages of fine-needle aspiration biopsy include all of the following except:

Which of the following statements about core-needle biopsy is true?

In reading the pathology report, your patient notes a comment that says the surgical margins are negative. You explain to her that is means:

The pathology report indicates there is lymphatic or vascular invasion. You tell your patient that this means:

The pathology report indicates Ms. Green’s breast cancer is HER2/neu positive. In discussing this result with Ms. Green, you tell her all of the following except

Your patients has early-stage, hormone receptor-positive breast cancer. The doctor has ordered an additional genomic assay. The best explanation to your patient about the reason for this test is

The oncologist ordered an Oncotype DX and your patient wants to know what her Recurrence Score means. Your best explanation is

The TNM systems is used for staging and grading breast cancer. What does TNM stand for?

Using the TNM Staging Criteria listed, clinically stage a patient with a 4 cm tumor with 2 axillary and neck lymph nodes involved.

How are regional lymph nodes that cannot be assessed (e.g., previously removed) designated in the TNM staging system for breast cancer?

A stage IV breast cancer tumor is designated by which grouping of primary tumor (T), lymph node status (N), and metastasis (M)?

A patient is diagnosed with ductal carcinoma in situ (DCIS). Which of the following statements demonstrates her understanding of the stage of her breast cancer?

Betsy has recently been diagnosed with ER(-) and PR(-) breast cancer. Which of the following statements demonstrates to you that she understands her hormone receptor status in relation to treatment for her disease?

Mrs. Carry asks you to explain the relationship among tumor size, node involvement, and prognosis. Which of the following statements is most accurate?

The most important objective of solid tumor staging is:

Neoadjuvant treatment is defined as:

Compared with mastectomy, breast conservation surgery results in

Modified radical mastectomy may be indicated for women who have:

Mrs. K is a 42 year-old pre-menopausal woman with stage II breast cancer who just completed four cycles of Cytoxan/Adriamycin and is experiencing hot flashes. The navigator may assist Mrs. K. By instructing her to

A woman with breast cancer who received adjuvant chemotherapy is at risk for

Biphosphonates are indicated for women with breast cancer that has metastasized to the bone to

Mrs. T. Will be receiving radiation after her lumpectomy. Which of the following is a common side effect of breast irradiation?

The removal of the entire breast, pectoralis major and minor muscles and neck lymph nodes, followed by skin grafting is a procedures called

The following are teaching guidelines regarding radiation therapy except:

Which of the following statements is correct about the rate of cell growth in relation to chemotherapy?

A 32 year-old woman meets with her navigator for the first time since undergoing a left mastectomy. When asked how she is doing, the woman states that her appetite is still not good, she is not getting much sleep because she doesn’t go to bed until her husband is asleep, and she is really anxious to get back to work. Which of the following interventions should the navigator explore first to support the client’s current needs?

A 56 year-old woman is currently receiving radiation therapy to the chest wall for recurrent breast cancer. She calls you to report that she has pain while swallowing and burning and tightness in her chest. Which of the following complications of radiation therapy is most likely responsible for her symptoms?

The navigator is providing follow-up instruction for a postmenopausal patient with breast cancer about the expected outcomes of her cancer treatment. The nurse evaluates that teaching has been effective when the patient says

Jenny, who has advanced breast cancer, is prescribed tamoxifen. When teaching the client about this drug, the nurse should emphasize the importance of reporting which adverse reaction immediately?

The timing for breast reconstruction is based upon:

Susan is to receive doxorubicin and trastuzumab for treatment of her metastatic breast cancer. What test will she need prior to her first treatment?

The most common and lethal side effect of chemotherapy is

Which of the following postoperative situations requires immediate intervention?

Which is not a common side effect of opioids?

Which of the following is a known risk factor for breast cancer because of the increased exposure to estrogen and/or progesterone?

Which of the following racial and ethnic groups have the highest breast cancer mortality rates?

A 34 year-old female client is requesting information about mammograms and breast cancer. She isn’t considered at high risk for breast cancer. What should the nurse tell this patient?

What is the most significant risk factor for the development of breast cancer?

Which of the following is an appropriate response to a patient regarding established breast cancer risk factors?

Susan, age 40, has a strong family history of breast cancer and is also positive for the BRCA1 gene. She is considering undergoing a bilateral oophorectomy to reduce her risk of breast cancer. Your most appropriate response to her would be

Mary has a family history of breast cancer and would like to have genetic testing to learn if she is at high risk. However, she is concerned that her employer may find out if the results are positive and it would affect her employment and insurance. Your best response to Mary is

All of the following are characteristics of breast cancer in males except:

Which of the following statements best describes the significance of the BRCA1 gene?

Which of the following is a less common clinical manifestation in the diagnostic assessment of early-stage breast cancer?

The classic symptoms that define breast cancer include the following except:

During a routine physical examination, a firm mass is palpated in the right breast of a 35 year-old woman. Which of the following findings or client history would suggest cancer of the breast as opposed to fibrocystic disease?