Women’s Health:
1. Which statement made by the patient who has just had a mammogram indicates a need for
clarification regarding the importance or purpose of this procedure?
A. “Now that I have had a mammogram, my risk for getting breast cancer is reduced.”
B. “Even though I had a mammogram, I should still perform a breast self-exam monthly.”
C. “Yearly mammograms can reduce my risk of dying from breast cancer.”
D. “The amount of radiation exposure from a mammogram is low.”
2. The patient who has just been diagnosed with invasive infiltrating ductal carcinoma asks what
this means. What is the nurse’s best response?
A. “The cancer has spread from the breast ducts into surrounding breast tissue.”
B. “The cancer has spread from the breast into local lymph nodes and channels.”
C. “The cancer has spread from the breast into surrounding tissues and organs.”
D. “The cancer has spread from the breast into distant tissues and organs.”
3. Which of the following positions would be best for a patient’s right arm when she returns to her
room after a right modified radical mastectomy with multiple lymph node excisions?
A. At her side at the same level as her body
B. Across her chest wall
C. In the position that provides the most comfort without putting pressure on the incision
D. On pillows, with her hand higher than her elbow and her elbow higher than her shoulder
4. A nurse empties 40 mL of sanguineous drainage from the Jackson-Pratt drain in the patient’s
incision on the first day after a mastectomy and axillary node dissection. What other actions
regarding the drain should the nurse take? SELECT ALL THAT APPLY
A. Flush the tubing with normal saline to ensure patency
B. Compress and close the drain to ensure suction
C. Advance the tubing ½ inch from the insertion site
D. Notify the physician of a potential hemorrhage risk
E. Include the amount of drainage in the patient’s I & Os
5. The CNA reports to the RN that a patient with a TAH who returned from the PACU 1 hour earlier
has saturated 3 perineal pads with bright red blood. What is the nurse’s BEST intervention?
A. Call the surgeon to report the bleeding
B. Ask the CNA to obtain vital signs while the RN calls the surgeon to report the bleeding
C. Ask the CNA to increase the IV fluids rate flow
D. Assess the patient again in 15 minutes, provide perineal care, and initiate a pad count before
the RN takes any further action