Download Breast Care Nurse Certification Exam 100 Questions with Verified Answers,100%CORRECT and more Exams Nursing in PDF only on Docsity!
Breast Care Nurse Certification Exam 100 Questions with
Verified Answers
What percentage of cases of breast cancer occur in women older than 50? - CORRECT ANSWER 75% The highest breast cancer incidence rates in the United States are found in: - CORRECT ANSWER Non-Hispanic white women Which one of the following racial groups of American women have the highest rate of death from breast cancer? - CORRECT ANSWER African American women What percentage of breast cancers occur in males in the United States? - CORRECT ANSWER 1% Which one of the following is a characteristic of breast cancer in males? - CORRECT ANSWER Men are found to be significantly older at diagnosis than women. The prognosis of pregnant women with breast cancer when matched for age and stage of the disease - CORRECT ANSWER Does not differ from that of nonpregnant women with breast cancer breast health of African following statements best describes the According to research, which one of the American women of lower socioeconomic status (SES) compared to age-adjusted Caucasian women? - CORRECT ANSWER a. Breast cancer outcomes in minority women with a lower SES are worse than those of women with a higher SES. Which one of the following statements about breast cancer in lesbians is correct?
- CORRECT ANSWER The risk of breast cancer in lesbian women is increased as compared to heterosexual women. A female patient, age 50, who is postmenopausal, tells you that she has recently experienced nipple discharge that is bilateral and milky. Your most appropriate response to her would be - CORRECT ANSWER "Nipple discharge is normal most
of the time when it is bilateral. You should be examined if it becomes a persistent problem." The most common physical finding related to breast cancer is - CORRECT ANSWER a. A nontender hard mass Which one of the following is an unfavorable histological type of invasive breast cancer? - CORRECT ANSWER Infiltrating lobular carcinoma A patient is found to have atypical lobular hyperplasia (ALH) after a core-needle biopsy Based on the relative risk of ALH developing into a future breast cancer, you would expect the next recommended procedure for this patient to be - CORRECT ANSWER Excisional biopsy with which of the following symptoms Paget's disease of the nipple often presents with what symptoms? - CORRECT ANSWER Redness, mild scaling, and flaking of the affected nipple 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. - CORRECT ANSWER c. Inactivate Mrs. Henderson's cancer is said to have been induced by familial carcinogenesis. From this, you can assume that in her case certain genes - CORRECT ANSWER Caused cancer by their absence Which one of the following statements best describes the significance of the BRCA1 gene? - CORRECT ANSWER b. It is an inherited gene mutation that identifies families at significant risk for breast cancer and ovarian cancer. Which one of the following statements regarding our understanding of the genetic susceptibility in breast cancer and ovarian cancer is correct? - CORRECT ANSWER The BRCA2 gene mutation is associated with an increased susceptibility to both breast and ovarian cancer. Joan is considering taking hormonal replacement therapy (HRT) for her chronic osteoporosis. Which of one the following is the most appropriate response to her
The most widely used screening programs have been for the early detection of - CORRECT ANSWER Breast and cervical cancer Nurses must communicate to patients about the accuracy of screning tests. Which one of the following attributes is correct? - CORRECT ANSWER The specificity of a screening test is its ability to identify those individuals without cancer. Which one of the following statements by a participant in a community health fair demostrates understanding of some aspects of quality control of screening mammography facilities? - CORRECT ANSWER "I can find data about adverse events and actions taken against mammography facilities in my area." Which one of the following is an appropriate recommendation for breast MRI screening as an adjunct to mammography? - CORRECT ANSWER In a woman with a BRCA gene mutation What regulatory act or agency serves to regulate quality control for mammography in the United States? - CORRECT ANSWER The Mammography Quality Standards Act (MQSA) The Breast Imaging Reporting and Data System (BI-RADS®) is used to summarize findings on mammograms. Which BI-RADS® category is used to indicate a benign finding with routine follow-up recommended? - CORRECT ANSWER Category 2 You are participating in a community health fair for senior citizens. What is the most appropriate response regarding mammographic screening in women over the age of 65? - CORRECT ANSWER Women over the age of 65 who are otherwise healthy and would choose to treat breast cancer if it were found should have annual mammograms. The single most important factor in whether an individual has ever had a screening test is - CORRECT ANSWER Recommendation by a nurse MJ is 28 and had a palpable breast mass that resolved after observing it for 1 to 2 menstrual cycles. What would you instruct her about regarding appropriate breast cancer screening? - CORRECT ANSWER Breast avwareness and report any healthcare changes
A student nurse under your supervision is about to perform her first breast examination on a patient with known pathology. You know she is using proper technique when she tells you - CORRECT ANSWER "I should palpate the normal breast first." You are teaching breast self-examination (BSE) to high school girls at a high school health fair. Which one of the following statements by a participant demonstrates that she understands an important principle in BSE? - CORRECT ANSWER c. "It is appropriate to do BSE a few days after my menstrual cycle ends." Alexis, age 27 years, brings her mother Margie, 48, in for a clinical breast exam. Both women have avoided regular medical care because they fear the discovery of problems. During the course of the interview, you discover that neither is familiar with screening for breast cancer. Which one of the following recommendations should be part of your patient education plan? - CORRECT ANSWER Margie should begin getting a mammogram annually; Alexis can wait until she is age 45. You are providing a community education program on cancer prevention when a participant asks what cancer screening is and if it is important if you are healthy and have no problems. Your most appropriate response is - CORRECT ANSWER "Cancer screening is aimed at individuals with no symptoms with the goal of finding disease when it is more easily treated." 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 that it would affect her employment and insurance. Your best response to Mary is - CORRECT ANSWER "GINA prohibits employers from using a person's genetic information to influence firing or promotion decisions; however, employers can collect genetic information for wellness programs." Which one of the following statements is most accurate regarding the cancer screening process? - CORRECT ANSWER The first step in the cancer screening process is the risk assessment.
be interpreted to the individual in understandable terms. This is often accomplished by using various risk terms. Which one of the following terms is accurate? - CORRECT ANSWER Attributable risk is the amount of disease within the population that could be prevented by alteration of a risk factor. Which statement about atypical ductal hyperplasia (ADH) is correct? - CORRECT ANSWER Women with ADH have a 4-fold increased risk of breast cancer development. Characteristics most likely to be associated with lobular carcinoma in situ (LCIS) include which one of the following? - CORRECT ANSWER LCIS will not turn into a cancer but is a premalignant change that represents high risk for breast cancer development Ductal carcinoma in situ (DCIS) is - CORRECT ANSWER The most common premalignant breast condition You educate Miss Chan about the prevention of breast cancer and risk-reducing behaviors. Which one of the following is a primary preventive strategy? - CORRECT ANSWER Prophylactic mastectomy in high-risk women A nurse asks you which risk model should be a cancer susceptibility mutation for breast used to calculate a patient's risk of having cancer. What one of the following is correct? - CORRECT ANSWER Ford model What is the most identifiable risk factor for the subsequent development of breast cancer? - CORRECT ANSWER Forty-year-old female with lobular carcinoma in situ (LCIS) Approximately what percentage of people with breast cancer have an increased risk for cancer due to a hereditary predisposition? - CORRECT ANSWER 5%-10% Mrs. Rodriguez's cancer is said to have been induced by familial carcinogenesis. From this, you can assume that in her case certain genes - CORRECT ANSWER Caused cancer by their absence
A primary risk factor for breast cancer is - CORRECT ANSWER Family history of breast cancer Which one of the following is the most appropriate response to a patient regarding established breast cancer risk factors? - CORRECT ANSWER Menarche starting before the age of 12 is a breast cancer risk factor. Which one of the following risk factors is associated with inflammatory breast cancer? - CORRECT ANSWER Black women older than 50 years Which one of the following represents the strongest risk factor in the development of breast cancer in males? - CORRECT ANSWER Klinefelter syndrome Which one of the following cancer-causing mutations is transmitted to the next generation at birth? - CORRECT ANSWER Germ cell mutations Which one of the following has been associated with an increased incidence of breast cancer in women? - CORRECT ANSWER Radiation to the chest Physical activity is one of the few known modifiable lifestyle factors, and increased exercise plays a key role in primary prevention against which of the following cancers? - CORRECT ANSWER Colon, breast, and endometrial Moderate to heavy alcohol use has been linked to which of the following cancers?
- CORRECT ANSWER Breast, colorectal, and esophageal After her mother's death from breast cancer, Ella takes the initiative in preventing breast cancer for herself by eating less fat and more fruits and vegetables and by increasing her exercise. She is engaged in - CORRECT ANSWER Health-protective behavior Epidemiology studies have provided compelling evidence that obesity is associated with increased risks of - CORRECT ANSWER Colon, endometrial, and postmenopausal breast cancer The most important risk-reduction behavior for the prevention of breast cancer is
- CORRECT ANSWER Weight management
The Breast Cancer Prevention Trial tested the ability of which one of the following to prevent breast cancer in healthy women at high risk for the disease? - CORRECT ANSWER Tamoxifen Which one of the following scenarios represents secondary prevention of breast cancer? - CORRECT ANSWER Women are referred for mammograms. Chemoprevention focuses on individuals or subpopulations known to be at increased risk for developing a malignancy. Which one of the following best describes chemoprevention? - CORRECT ANSWER Chemoprevention is the use of natural or synthetic agents to interrupt the carcinogenic process. Which statement is the best reason to recommend risk-reduction bilateral mastectomy for a woman with high genetic risk of breast cancer? - CORRECT ANSWER Removal of the breasts before cancer detection lowers risk by 90%. Research has shown that providing patients with an individualized risk estimate significantly increased the probability that those individuals would participate in a screening program. It is best to explain to patients which one of the following? - CORRECT ANSWER Their absolute and relative risk of developing cancer Most chemopreventive agents are administered through a clinical trial. Which one of the following individuals most likely would be considered for a chemoprevention trial? - CORRECT ANSWER C. A 40-year-old female whose mother died of breast cancer Your patient, Mrs. Smith, who has breast cancer and a BRCA1 mutation, asks you if her 35-year-old daughter should have risk-reduction surgery to prevent her from developing breast cancer. Your best advice to her is which one of the following? - CORRECT ANSWER "For your daughter to fully understand her risk, she should go through formal risk assessment and see a genetic health professional before she makes any decision." The primary purpose of patient navigator programs is - CORRECT ANSWER To provide personal assistance in eliminating any barriers to patients obtaining timely and adequate diagnosis and treatment
The best description of lay navigators is - CORRECT ANSWER Individuals in the community that help patients navigate the healthcare system and identify barriers to care and resources The first patient navigators working at Harlem Hospital focused on which of the following patients? - CORRECT ANSWER Women from the community and those attending breast health centers Which one of the following statements about patient navigation is most accurate?
- CORRECT ANSWER Navigators provide individualized care to assist patients as they transition through the healthcare system. The breast nurse navigator can identify opportunities to decrease patient anxiety and influence system efficiency by documenting which one of the following? - CORRECT ANSWER Time from biopsy to surgical or medical intervention Harold Freeman, a pioneer in patient mnavigation, identified health disparities for which one of the following groups? - CORRECT ANSWER Racial/ethnic minorities, those with low socioeconomic status, and rural populations As a newly hired breast care navigator, your supervisor wants you to conduct a needs assessment. Your best source of statistics about screening mammography in the population you are striving to serve is - CORRECT ANSWER Medicare and Medicaid data regarding the rate of compliance with annual screening mammography and demographic data such as geographic, economic status, and age groups Multiple barriers to breast cancer care have been identified. The navigator can assist patients in overcoming these barriers by doing which one of the following? - CORRECT ANSWER Completing an assessment of the resources and needs of the individual patient A 48-year-old woman had a routine e. screening mammogram that revealed a spiculated mass on the upper outer opent quadrant of the left breast measuring 1.3 cm. She was scheduled to return for additional imaging and referred to the breast health navigator. The most important information to give the woman when
