The following sample questions are representative of actual test content, difficulty level, and question format. The answer key follows the set of questions.
Directions: Each question or incomplete statement below is followed by four suggested answers or completions. Select the one that is best in each case.
Male patients with breast cancer demonstrate a higher risk of exhibiting which genetic mutation?
Skin dimpling and retractions are accentuated with which of the following positions?
- Pectoral muscle contraction
- Arms raised straight up to ears
- Arms behind the back
A patient with a phyllodes tumor is most likely to experience metastasis to which location?
Which of the following organizations evaluates quality measures for breast care programs?
- American College of Surgeons
- The Joint Commission
- Centers for Medicare and Medicaid Services
- Susan G. Komen for the Cure
A colleague asks about the benefit of nursing certification. The nurse’s best response is:
- “I have met predetermined standards for specialty practice.”
- “I am able to perform biopsies.”
- “It takes the place of state licensure.”
- “It will increase the reimbursement for services rendered.”
Rationale: Male patients with breast cancer are more likely to have a BRCA2 mutation.
Reference: Bland, K., Copeland, E., Klimberg, V., & Gradishar, W. (Eds.). (2018). The breast: Comprehensive management of benign and malignant diseases (5th ed.). Philadelphia, PA: Elsevier, p. 975.
Rationale: When a patient flexes the pectoral muscles by placing the hands on the hips and pressing down, any skin dimpling or retractions are visible.
Reference: Ignatavicius, D.D., Workman, M.L., & Rebar, C.R. (Eds.). (2018). Medical-surgical nursing: Concepts for interprofessional collaborative care (9th ed.). St. Louis, MO: Elsevier Saunders, p. 144(c).
Rationale: The lung is the most common location of phyllodes tumor metastasis.
Reference: Harris, J.R., Lippman, M.E., Morrow, M., & Osborne, C.K. (Eds.). (2014). Diseases of the breast (5th ed.). Philadelphia, PA: Wolters Kluwer, p. 835.
Rationale: The American College of Surgeons monitors quality measures and grants accreditation through the National Accreditation Program for Breast Centers.
Reference: Mahon, S.M. (Ed.). (2018). Guide to breast care for oncology nurses. Pittsburgh, PA: Oncology Nursing Society, pp. 6-7.
Rationale: Certification is the formal recognition of specialized knowledge, skills, and experience in nursing by which a nongovernmental agency or association certifies an individual licensed to practice in a profession has met certain predetermined standards specified by the profession for specialty practice.
Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer nursing: Principles and practice (8th ed.). Burlington, MA: Jones and Bartlett Learning, pp. 2096-2097.