CBCN study plan
CBCN · Give each week a clear focus.
8 weeks · About 7 hours per week
Treatment Modalities and Management of Side Effects
Classify the major systemic therapy families (cytotoxic chemotherapy, endocrine therapy, HER2-directed agents, CDK4/6 inhibitors, immunotherapy, antibody-drug conjugates, PARP inhibitors) by mechanism and the patient profile each is used for
Construct a drug-by-toxicity matrix for at least 15 high-yield agents, tagging each toxicity as acute, cumulative, delayed, or infusion-related
Sequence the surgical phases of breast cancer care (breast-conserving surgery, mastectomy, sentinel node biopsy, axillary dissection, reconstruction) and list two preoperative and two postoperative nursing priorities for each
Explain radiation delivery approaches and the associated skin, fatigue, and pulmonary management bundles
Your checkpoint
A one-page agent/toxicity matrix covering 15 drugs with mechanism, indication, three key toxicities, and one monitoring parameter each; scored 90% or higher on a self-written recall quiz drawn from that matrix.
Treatment Modalities and Management of Side Effects & Symptom Management and Supportive Care
Translate two common regimens into a nursing care calendar that marks premedication, expected nadir window, lab checkpoints, and assessment questions for each visit
Differentiate febrile neutropenia from other causes of fever in the treated patient and state the immediate response bundle and escalation triggers
Contrast extravasation management for vesicant versus irritant versus non-vesicant agents, including the first three actions for each
Match antiemetic prophylaxis to emetogenic risk tier and identify when to add a neurokinin-1 antagonist, olanzapine, or breakthrough dosing
Your checkpoint
Two completed regimen care calendars with nadir windows, monitoring checkpoints, and a companion one-page extravasation quick-reference card.
Symptom Management and Supportive Care
Grade eight common treatment toxicities (mucositis, diarrhea, hand-foot syndrome, peripheral neuropathy, fatigue, skin reaction, nausea, constipation) and pair each grade with a specific nursing action
Design a stepped cancer pain plan covering opioid initiation, bowel prophylaxis, breakthrough dosing principles, and opioid-safety teaching points
Outline lymphedema risk-reduction teaching and identify the clinical findings and timing that warrant referral to a certified lymphedema therapist
Select combined pharmacologic and nonpharmacologic interventions for chemotherapy-induced peripheral neuropathy, cancer-related fatigue, and insomnia, citing the rationale for each
Your checkpoint
A symptom triage sheet mapping 10 clinical scenarios to a severity grade, first nursing action, and escalation trigger, with rationale notes.
Screening, Diagnosis, and Staging
Compare screening modalities by age and risk category, stating the recommended interval, the modality's key limitation, and the population for which it is not appropriate
Interpret BI-RADS assessment categories and state the follow-up or biopsy implication of each
Sequence the diagnostic pathway from an abnormal finding through imaging, tissue sampling, and pathology reporting, including what the nurse confirms at each handoff
Explain TNM staging and stage grouping, and connect stage, grade, and biomarker status (ER, PR, HER2, Ki-67) to prognosis and treatment direction
Your checkpoint
An annotated staging algorithm plus a 30-question timed mixed set on domains 2, 3, and 4 scored at 80% or higher, with errors logged by domain.
Breast Health and Risk Assessment
Compare validated risk-assessment tools (Gail-style models, Tyrer-Cuzick, BRCA-focused models), stating what each estimates and where each under- or over-estimates risk
Differentiate average, moderate, and high lifetime risk categories and specify the surveillance each category implies
Apply hereditary referral criteria and explain the patient and family implications of a pathogenic variant in BRCA1, BRCA2, PALB2, or TP53
Summarize risk-reducing options, including chemoprevention agents, risk-reducing surgery, and modifiable lifestyle factors, with the strength of evidence behind each
Your checkpoint
A risk-stratification one-pager plus a completed three-generation pedigree exercise with a written referral decision and justification.
Survivorship, Psychosocial, and Coordinated Care & Symptom Management and Supportive Care
Select validated screening tools for distress, anxiety, depression, and financial toxicity, and state the score or finding that triggers referral
Build a survivorship plan covering surveillance schedule, late cardiac and bone effects, fertility and sexual health, and recurrence-awareness teaching
Apply teach-back and plain-language techniques when reviewing a treatment or survivorship plan, and document a shared decision-making exchange
Map care-coordination handoffs among surgery, medical oncology, radiation oncology, rehabilitation, and primary care, naming the information that must travel with the patient
Your checkpoint
A complete survivorship care plan for one hypothetical patient, including surveillance dates, late-effect monitoring, psychosocial follow-up, and coordination responsibilities.
Treatment Modalities and Management of Side Effects & Symptom Management and Supportive Care & Survivorship, Psychosocial, and Coordinated Care
Re-audit the running weak-topic log from weeks 1 through 6 and close at least five identified gaps with targeted study and self-testing
Explain cultural, spiritual, caregiver, and sexual- and gender-minority considerations that shape breast cancer communication and decision-making
Complete timed case-based item sets across all five domains and categorize each error as knowledge, misread, or reasoning failure
Rehearse handling of ethical and care-coordination scenarios such as fertility preservation urgency, clinical trial enrollment, and transition to palliative care
Your checkpoint
A gap-closure log showing five resolved weak topics plus a 60-question timed mixed set scored at 75% or higher with error categorization.
Breast Health and Risk Assessment & Screening, Diagnosis, and Staging & Treatment Modalities and Management of Side Effects & Symptom Management and Supportive Care & Survivorship, Psychosocial, and Coordinated Care
Complete two timed 100-question mixed practice sets and analyze item-level errors by domain and by error type
Review a condensed high-yield fact sheet for each domain, prioritizing items missed twice or more
Rehearse test-day pacing, flagging, and break strategy using the same timing as the actual exam
Consolidate the highest-risk recall facts into a single last-look sheet organized by domain
Your checkpoint
Two full-length timed practice sets scored at 80% or higher, with an error-analysis sheet and a finalized one-page last-look review sheet.
Milestones
Week 2: Can state nadir timing and monitoring checkpoints for two regimens from memory, and name the first three actions for a suspected extravasation without notes.
Week 4: Scores 80% or higher on a 30-question timed set covering domains 2, 3, and 4, with a written list of the five weakest topics.
Week 6: Produces an unassisted survivorship care plan and a risk-stratification one-pager that an instructor or peer reviewer marks as complete and accurate.
Week 8: Scores 80% or higher on both full-length timed practice sets, with no single domain below 70%.