SCRIPT 2026 COMPLETE QUESTIONS AND
ANSWERS GRADED A+
◉Monthly Self-Breast Exam (SBE). Answer: Teaching: Same day
each month; 5-7 days after menstruation (postmenopausal: choose a
consistent date)
◉Inspection in SBE. Answer: Observe breasts in mirror for
dimpling, edema, asymmetry, nipple inversion, or discharge
◉Palpation (Standing). Answer: Use finger pads; circular pattern
from outer breast toward nipple
◉Palpation (Supine). Answer: Pillow under shoulder to spread
breast tissue evenly
◉Purpose of SBE. Answer: Detect new lumps, thickening, or
changes and report promptly
,◉Teaching Point for SBE. Answer: SBE is a supplement to—not a
replacement for—mammography and clinical breast exams
◉Colon Cancer. Answer: Malignant tumor in the large intestine
(colon or rectum)
◉Benign polyps. Answer: Often begins as benign polyps that
become cancerous over time
◉Risk Factors for Colon Cancer. Answer: Age > 50, family history of
colorectal cancer or polyps, diet high in red/processed meats, low in
fiber, inflammatory bowel disease (Crohn's, ulcerative colitis),
sedentary lifestyle, obesity, smoking, alcohol use
◉Signs & Symptoms of Colon Cancer. Answer: Change in bowel
habits (diarrhea, constipation), blood in stool (bright red or
dark/occult), unexplained weight loss, fatigue, anemia, abdominal
pain or cramping
◉Screening & Diagnosis. Answer: Colonoscopy (gold standard),
fecal occult blood test (FOBT) / fecal immunochemical test (FIT),
sigmoidoscopy, imaging studies, and biopsy for confirmation
◉Colonoscopy. Answer: Gold standard for screening and diagnosis
of colon cancer
,◉Treatment Options for Colon Cancer. Answer: Surgical resection
(polypectomy, partial/total colectomy), chemotherapy, radiation
therapy (more common with rectal cancer), targeted
therapy/immunotherapy for advanced disease
◉Postoperative Care. Answer: Monitor for bleeding, infection,
bowel function, anastomotic leak/wound dehiscence
◉Nursing Considerations. Answer: Teach early screening (begin at
age 45 or earlier with risk factors), promote dietary modification,
physical activity, and smoking cessation
◉Fecal occult blood test (FOBT). Answer: Used for screening and
diagnosis, best for lower-risk individuals
◉Fecal immunochemical test (FIT). Answer: Used for screening and
diagnosis, best for lower-risk individuals
◉Primary Prevention. Answer: Stop cancer from developing in the
first place.
◉Secondary Prevention. Answer: Detect cancer early in
asymptomatic individuals through screening and early diagnosis.
, ◉Tertiary Prevention. Answer: Manage diagnosed cancer to prevent
recurrence, complications, or secondary malignancies.
◉Focus of Primary Prevention. Answer: Health education, lifestyle
modification, vaccination, environmental safety.
◉Goal of Primary Prevention. Answer: Stop cancer from developing
in the first place.
◉Focus of Secondary Prevention. Answer: Early detection,
screening programs, identifying precancerous or early-stage
cancers.
◉Goal of Secondary Prevention. Answer: Catch cancer early, when
it's most treatable.
◉Focus of Tertiary Prevention. Answer: Cancer survivorship care,
monitoring and follow-up, rehabilitation, management of long-term
side effects.
◉Examples of Tertiary Prevention. Answer: Follow-up scans after
breast cancer treatment, hormone therapy to prevent recurrence,
screening for new cancers in survivors.