EXAM 2026|2027 ACTUAL COMPLETE REAL EXAM
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A client with dementia with Lewy bodies is particularly vulnerable to
which complication?
A. Stroke
B. Urinary tract infection
C. Myocardial infarction
D. Pneumonia
Answer: D. Pneumonia
Rationale: Dementia with Lewy bodies can be associated with
swallowing dysfunction, impaired mobility, and autonomic and
neurological abnormalities. These factors can increase the risk of
aspiration and respiratory complications, including pneumonia.
Which description best characterizes dementia?
A. A syndrome resulting only in memory loss
B. A disease characterized by abrupt behavioral changes
C. A syndrome characterized by cognitive dysfunction and impaired
memory
D. A disease caused exclusively by reduced cerebral blood flow
Answer: C. A syndrome characterized by cognitive dysfunction and
impaired memory
,Rationale: Dementia is a syndrome involving decline in cognitive
function that interferes with daily functioning. Depending on the cause,
affected domains may include memory, language, executive function,
visuospatial abilities, and judgment. It is not exclusively caused by
reduced cerebral blood flow.
A 30-year-old woman is diagnosed with cancer, and testing reveals that
the cancer has spread to regional lymph nodes. Using the simplified
four-stage framework, which stage is most consistent with regional
lymph-node involvement?
A. Stage III
B. Stage II
C. Stage I
D. Stage IV
Answer: A. Stage III
Rationale: In the simplified staging framework, stage I generally
represents localized disease, stage II represents a larger or more locally
advanced tumor, stage III commonly involves regional lymph-node or
more extensive local involvement, and stage IV indicates distant
metastasis. Exact staging varies by cancer type.
A 30-year-old man with HIV is diagnosed with persistent Epstein-Barr
virus infection. Which malignancy is associated with EBV infection and
may occur in immunocompromised individuals?
A. Kaposi sarcoma
B. T-cell leukemia
C. T-cell lipoma
D. B-cell lymphoma
,Answer: D. B-cell lymphoma
Rationale: Epstein-Barr virus is associated with several B-cell
lymphoproliferative disorders, particularly in immunocompromised
individuals. HIV-associated immunosuppression increases the risk of
certain lymphomas.
A nurse is discussing a preinvasive epithelial tumor of glandular or
squamous-cell origin. Which term describes this lesion?
A. Carcinoma in situ
B. Metastatic cancer
C. Dysplastic cancer
D. Tumor differentiation
Answer: A. Carcinoma in situ
Rationale: Carcinoma in situ refers to malignant epithelial cells that
remain confined to the tissue of origin and have not invaded through
the basement membrane. It is considered a preinvasive form of cancer.
A patient has a tissue growth that has been diagnosed as cancer. Which
term best describes this growth?
A. Meningioma
B. Lipoma
C. Malignant tumor
D. Hypertrophy
Answer: C. Malignant tumor
Rationale: A malignant tumor consists of cancerous cells capable of
uncontrolled growth and, depending on the cancer, invasion into
, surrounding tissues and metastasis to distant sites. Meningioma and
lipoma are specific tumor types, while hypertrophy refers to
enlargement of existing cells rather than neoplastic growth.
A primary care provider is evaluating a patient for cancer and
considers measuring a tumor marker. Which substance can serve as a
tumor marker?
A. Enzymes
B. Neurotransmitters
C. Red blood cells
D. Apoptotic cells
Answer: A. Enzymes
Rationale: Tumor markers are measurable substances produced by
cancer cells or by the body in response to cancer. Depending on the
malignancy, tumor markers may include enzymes, proteins, hormones,
antigens, or other biological substances. They are generally used in
conjunction with other diagnostic information rather than as a stand-
alone cancer diagnosis.
What is the effect of telomerase activation in cancer cells?
A. It enhances mutation repair.
B. It permits repeated cell division.
C. It causes cancerous cells to differentiate normally.
D. It limits mitosis of malignant cells.
Answer: B. It permits repeated cell division.