MDC 2 Exam 1 Study Guide with Questions and
Answers
BOLD - my answer
BLUE - correct answer
1. A tumor was staged: T4, N3, M0. What does this mean?
a. The tumor is large, has not metastasized, and has much node involvement
b. A small tumor that is showing signs of increased mass from a previous scan
c. The tumor has 4 points of origin, 3 nodes involved, and may metastasize in the
next week
d. The tumor is small and has minimal nodal involvement
2. A client asked the nurse to explain the difference between benign and malignant. What
is an appropriate response by the nurse?
a. Do not worry about that. The point is you are okay.
b. A benign tumor is normal cells growing at the wrong place or at the wrong
time, but they are not cancerous.
c. A benign tumor will kill you whereas a malignant tumor will not
d. A benign tumor has not undergone apoptosis but a malignant tumor has
3. A nurse is caring for a 90-year-old female client admitted for nausea, vomiting, and
diarrhea for the past 5 days. Heart rate is 130, BP is 96/50, mucous membranes are dry
and there is poor skin turgor. Which of the following is an appropriate fluid replacement?
a. Isotonic
b. Hypotonic
c. Hypertonic
d. Colloids
4. A client who has undergone which surgical procedure is most at risk for hypocalcemia?
a. Thyroidectomy
b. Adrenalectomy
c. Pancreatectomy
d. Gastrectomy
5. A client asked the nurse to explain what radiation exposure refers to. Which of these is
correct?
a. That refers to the amount of radiation absorbed
b. That refers to the amount of local treatment only
c. That refers to the amount of radiation delivered
d. That refers to ionizing liquidation
6. An outdoor construction worker with profuse diaphoresis is at risk for which of the
following conditions?
a. Hypervolemia
b. Hypermagnesemia
c. Hyponatremia
d. Hypoxia
7. A nurse is caring for an 84-year-old with nausea who has been vomiting for the past 3
days and as recently as this morning. Upon assessment, the nurse notes an elevated
, heart rate, dry oral mucous membranes, and poor skin turgor. What priority intervention
would be based on these assessment findings?
a. Schedule small feedings
b. Administer antiemetics
c. Obtain an order IV access and start fluids
d. Monitor output by documenting episodes of incontinence
8. A nurse is caring for a recently diagnosed cancer patient who is exhibiting signs of
superior vena cava syndrome. Which of the following is a priority medical treatment for
the relief of airway obstruction?
a. Fluid restriction
b. High dose radiation
c. Chemotherapy
d. Immunotherapy
9. Calculate a client’s intake from 7a-3p. At breakfast, the client drank 2 cups of coffee and
a 4oz glass of orange juice. At lunch, the client had 8oz of chicken broth and an 8oz diet
coke. The client has normal saline infusing at 100 mL/hr. What is the combined oral and
IV intake for the shift?
a. 1880
10. A nurse is caring for a client recently diagnosed with lung cancer. Based on testing, there
is no indication that the cancer has spread to other organs. The client is scheduled for
surgery to have a lobectomy performed. This is classified as which type of surgical
treatment?
a. Prophylactic
b. Diagnostic
c. Curative
d. Palliative
11. Treatment plans for cancer patients can include a single type of treatment or a
combination based on the type of cancer. Which of the following is not a cancer
treatment option?
a. Surgical treatment
b. Radiation therapy
c. Chemotherapy
d. Vegan Diet
12. A nurse is caring for a 72-year-old client with a diagnosis of dehydration. Which of the
following nursing diagnoses should not be included in the plan of care?
a. Safety: fall risk
b. Fluid volume overload
c. Fluid volume deficit
d. Knowledge deficit
13. A nurse is providing education to a client and family that is undergoing radiation as part
of his cancer treatment for a brain tumor. Which of the following is not a side effect of
radiation?
a. Alopecia
b. Cerebral edema
Answers
BOLD - my answer
BLUE - correct answer
1. A tumor was staged: T4, N3, M0. What does this mean?
a. The tumor is large, has not metastasized, and has much node involvement
b. A small tumor that is showing signs of increased mass from a previous scan
c. The tumor has 4 points of origin, 3 nodes involved, and may metastasize in the
next week
d. The tumor is small and has minimal nodal involvement
2. A client asked the nurse to explain the difference between benign and malignant. What
is an appropriate response by the nurse?
a. Do not worry about that. The point is you are okay.
b. A benign tumor is normal cells growing at the wrong place or at the wrong
time, but they are not cancerous.
c. A benign tumor will kill you whereas a malignant tumor will not
d. A benign tumor has not undergone apoptosis but a malignant tumor has
3. A nurse is caring for a 90-year-old female client admitted for nausea, vomiting, and
diarrhea for the past 5 days. Heart rate is 130, BP is 96/50, mucous membranes are dry
and there is poor skin turgor. Which of the following is an appropriate fluid replacement?
a. Isotonic
b. Hypotonic
c. Hypertonic
d. Colloids
4. A client who has undergone which surgical procedure is most at risk for hypocalcemia?
a. Thyroidectomy
b. Adrenalectomy
c. Pancreatectomy
d. Gastrectomy
5. A client asked the nurse to explain what radiation exposure refers to. Which of these is
correct?
a. That refers to the amount of radiation absorbed
b. That refers to the amount of local treatment only
c. That refers to the amount of radiation delivered
d. That refers to ionizing liquidation
6. An outdoor construction worker with profuse diaphoresis is at risk for which of the
following conditions?
a. Hypervolemia
b. Hypermagnesemia
c. Hyponatremia
d. Hypoxia
7. A nurse is caring for an 84-year-old with nausea who has been vomiting for the past 3
days and as recently as this morning. Upon assessment, the nurse notes an elevated
, heart rate, dry oral mucous membranes, and poor skin turgor. What priority intervention
would be based on these assessment findings?
a. Schedule small feedings
b. Administer antiemetics
c. Obtain an order IV access and start fluids
d. Monitor output by documenting episodes of incontinence
8. A nurse is caring for a recently diagnosed cancer patient who is exhibiting signs of
superior vena cava syndrome. Which of the following is a priority medical treatment for
the relief of airway obstruction?
a. Fluid restriction
b. High dose radiation
c. Chemotherapy
d. Immunotherapy
9. Calculate a client’s intake from 7a-3p. At breakfast, the client drank 2 cups of coffee and
a 4oz glass of orange juice. At lunch, the client had 8oz of chicken broth and an 8oz diet
coke. The client has normal saline infusing at 100 mL/hr. What is the combined oral and
IV intake for the shift?
a. 1880
10. A nurse is caring for a client recently diagnosed with lung cancer. Based on testing, there
is no indication that the cancer has spread to other organs. The client is scheduled for
surgery to have a lobectomy performed. This is classified as which type of surgical
treatment?
a. Prophylactic
b. Diagnostic
c. Curative
d. Palliative
11. Treatment plans for cancer patients can include a single type of treatment or a
combination based on the type of cancer. Which of the following is not a cancer
treatment option?
a. Surgical treatment
b. Radiation therapy
c. Chemotherapy
d. Vegan Diet
12. A nurse is caring for a 72-year-old client with a diagnosis of dehydration. Which of the
following nursing diagnoses should not be included in the plan of care?
a. Safety: fall risk
b. Fluid volume overload
c. Fluid volume deficit
d. Knowledge deficit
13. A nurse is providing education to a client and family that is undergoing radiation as part
of his cancer treatment for a brain tumor. Which of the following is not a side effect of
radiation?
a. Alopecia
b. Cerebral edema
