Question 1
In its 2024 update, the U.S. Preventive Services Task Force revised its breast cancer screening recommendation for women at average risk to:
Show answer & explanation
Correct answer: D - Biennial mammography beginning at age 40
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The CBCN exam has 165 questions and runs 3 hours.
These 10 free CBCN questions are organized by exam domain, so you can see how each part of the Certified Breast Care Nurse blueprint is tested. Reveal the answer and explanation under each question.
In its 2024 update, the U.S. Preventive Services Task Force revised its breast cancer screening recommendation for women at average risk to:
Correct answer: D - Biennial mammography beginning at age 40
A 44-year-old woman with newly diagnosed breast cancer undergoes multigene panel testing, which reports a variant of uncertain significance (VUS) in ATM. Which action is MOST appropriate?
Correct answer: A - Base management on her personal and family history
A metastatic breast cancer specimen is reported as ER-positive, PR-positive, HER2 immunohistochemistry 1+. This tumor is classified as:
Correct answer: D - HER2-low
A sentinel lymph node removed at the time of lumpectomy contains a single tumor deposit measuring 1.5 mm. How is this nodal finding classified?
Correct answer: B - Micrometastasis, pN1mi
Which newly diagnosed patient requires systemic staging imaging, such as CT and bone scan, at the time of diagnosis?
Correct answer: C - A patient with stage IIIA disease and elevated alkaline phosphatase
A 38-year-old premenopausal woman with ER-positive breast cancer arrives to begin adjuvant therapy. Her orders include anastrozole daily, with no ovarian suppression ordered. Which action should the nurse take FIRST?
Correct answer: B - Contact the prescriber to clarify the order before administering
A woman taking tamoxifen reports bothersome hot flashes and asks about medication to relieve them. Which agent should be AVOIDED in this patient?
Correct answer: C - Paroxetine
A woman with metastatic breast cancer to the spine reports new mid-back pain that worsens when she lies flat. She has no weakness, numbness, or bowel or bladder changes. Which action is MOST appropriate?
Correct answer: B - Notify the provider for urgent MRI and corticosteroids
A patient receiving adjuvant chemotherapy calls the clinic reporting a temperature of 38.5°C (101.3°F). Her absolute neutrophil count drawn that morning was 350/mm³. Which action is the PRIORITY?
Correct answer: D - Arrange immediate blood cultures followed by IV antibiotics
A woman taking letrozole reports vaginal dryness and painful intercourse that is affecting her relationship. Which intervention should the nurse recommend FIRST?
Correct answer: A - Nonhormonal moisturizers and lubricants
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