CBCN study materials
CBCN study resources

CBCN study plan

CBCN · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

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.

Week 2

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.

Week 3

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.

Week 4

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.

Week 5

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.

Week 6

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.

Week 7

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.

Week 8

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%.