CARE II) RASMUSSEN COLLEGE
NURSING
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This document, "MDC 2 Exam 1 (Multidimensional Care II) Rasmussen College Nursing," covers specific
topics in oncology and cancer care, including benign and malignant growths, tumor characteristics,
cancer cell differences, cancer diagnosis, treatment, and discharge teaching. It provides 98 questions
with correct answers and detailed explanations, allowing students to review and understand key
concepts. By utilizing this document, students can effectively study and review oncology and cancer care
concepts, reinforcing their knowledge and preparing them for exams by analyzing the correct answers
and rationales provided for each question.
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EXAM QUESTIONS
QUESTION 1
A nurse is caring for a client who has undergone a biopsy and is awaiting results. The client reports an
abnormal growth on their skin, but the nurse knows the growth is not cancerous. What is the best
description of the client's growth?
A) A malignant tumor that is spreading rapidly
B) A benign growth that is causing discomfort
C) A precancerous lesion that requires immediate treatment
D) A congenital defect that has been present since birth
CORRECT ANSWER
B) A benign growth that is causing discomfort
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, RATIONALE: The client's growth is not cancerous, which rules out options A and C. While the growth may be causing
discomfort, it's not necessarily causing harm, so option B is the most accurate description. Option D is incorrect because
there's no indication that the growth has been present since birth. A benign growth is a normal cell growing in the
wrong place at the wrong time.
QUESTION 2
A client arrives at the emergency department with a benign tumor, and the physician requests a
description of its characteristics. Which of the following best describes benign cell features?
A) Highly aggressive and invasive
B) Rapidly growing, with a large nuclear-to-cytoplasmic ratio
C) Slow growing, with orderly growth and tight adherence
D) Abnormal chromosomes and uncontrolled migration
CORRECT ANSWER
C) Slow growing, with orderly growth and tight adherence
RATIONALE: Benign tumors are characterized by slow growth, orderly growth patterns, and tight adherence to
surrounding tissue. These features are indicative of a non-malignant tumor that does not require immediate
intervention.
QUESTION 3
The nurse is assessing a patient who reports a benign growth on her skin. The nurse notes that the
growth looks similar to which type of cell?
A) Cancerous cell
B) Healthy cell
C) Infected cell
D) Abnormal cell
CORRECT ANSWER
B) Healthy cell
RATIONALE: A benign growth appears similar to a healthy cell since it is non-malignant and not cancerous. A cancerous
cell (A) would indicate a malignancy, which contradicts the definition of benign. An infected cell (C) and an abnormal cell
(D) do not accurately describe the characteristics of a benign growth.
QUESTION 4
A patient has a prescription for hormone replacement therapy due to benign growths in the
reproductive system. Which growths may be treated with this therapy?
A) Fibroid tumors in the skin
B) Uterine fibroids and endometriosis
C) Nasal polyps in the respiratory tract
D) Moles on the skin surface
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, CORRECT ANSWER
B) Uterine fibroids and endometriosis
RATIONALE: Uterine fibroids and endometriosis are examples of benign growths in the reproductive system that may be
treated with hormone replacement therapy. Fibroid tumors typically refer to skin growths, nasal polyps are related to the
respiratory tract, and moles are benign skin lesions.
QUESTION 5
The nurse receives report on four clients, including a 75-year-old man recently diagnosed with a type
of cancer known to rapidly progress if left untreated. Upon reviewing the client's chart, the nurse
identifies that cancerous cells are present and are harming the surrounding healthy tissues, posing a
threat to his life.
A) Benign cells are responsible for the client's diagnosis and symptoms.
B) Cancerous cells are non-aggressive and will not spread to other parts of the body.
C) Malignant cells are indicative of cancer and can be life-threatening if not treated.
D) The client's cancer diagnosis is likely due to genetic factors from his family history.
CORRECT ANSWER
C) Malignant cells are indicative of cancer and can be life-threatening if not treated.
RATIONALE: The presence of malignant cells is a hallmark of cancer and can lead to harm of normal body tissues and
death if left untreated. This client's diagnosis with a rapidly progressing cancer type necessitates aggressive treatment
to prevent further harm and death.
QUESTION 6
A client reports a family history of cancer and asks the nurse how cancer cells are different from
normal cells. The nurse explains that a key characteristic of cancer cells is their ability to
A) Maintain contact inhibition, which helps prevent rapid cell division.
B) Replicate slowly and adhered tightly to surrounding tissue.
C) Undergo rapid or continuous division, losing cellular regulation.
D) Adhere loosely to surrounding tissue and migrate freely.
CORRECT ANSWER
C) Undergo rapid or continuous division, losing cellular regulation.
RATIONALE: Cancer cells exhibit rapid or continuous division, which is a result of losing cellular regulation. This
characteristic allows them to proliferate uncontrollably, forming tumors. Options A, B, and D describe behaviors typical
of normal cells, which cancer cells do not exhibit.
QUESTION 7
A nurse observes a patient who has been experiencing an unusual change in bowel patterns, including
persistent diarrhea for several weeks. Which of the following is a potential warning sign of cancer?
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, A) A rash on the skin that appears and disappears quickly
B) A persistent change in bowel patterns, such as diarrhea or constipation
C) Unexplained weight loss due to a poor appetite
D) A minor cough that resolves on its own within a day
CORRECT ANSWER
B) A persistent change in bowel patterns, such as diarrhea or constipation
RATIONALE: Persistent changes in bowel patterns, such as diarrhea or constipation, are a potential warning sign of
cancer. The other options are not directly related to changes in bowel patterns or are more common symptoms of other
conditions.
QUESTION 8
After reviewing the client's chart, a nurse notes that the client with a history of lung cancer is at risk
for cancer progression due to a family history of cancer and smoking. Which stage of cancer
development is the most advanced and responsible for the spread of cancer cells to other parts of the
body?
A) Initiation
B) Promotion
C) Progression
D) Metastasis
CORRECT ANSWER
D) Metastasis
RATIONALE: Metastasis is the stage of cancer development where cancer cells have spread to other parts of the body,
making it the most advanced stage of cancer development. Initiation refers to the first step in cancer development,
where normal cells begin to mutate. Promotion involves the activation of oncogenes and the suppression of tumor
suppressor genes. Progression involves the growth and spread of cancer cells.
QUESTION 9
The healthcare provider prescribes chemotherapy for a client with a malignant tumor. The client's
initial response to cancer treatment is characterized by cell damage that is reversible. This stage is
not considered a malignant process. However, if the damage becomes irreversible, the client
progresses to which stage?
A) Proliferation (Stage of malignancy)
B) Invasion (Stage of malignancy)
C) Metastasis (Stage of malignancy)
D) Initiation (Stage of malignancy)
CORRECT ANSWER
D) Initiation (Stage of malignancy)
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