CARE II) RASMUSSEN COLLEGE
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The document, "MDC 2 Exam 1 (Multidimensional Care II) Rasmussen College," covers key topics in
oncology, including cancer progression stages, cellular mutations, and metastasis, as well as endocrine
and renal disorders, such as SIADH, and medication management. The document provides 62 questions
with correct answers and detailed explanations/rationales, offering a comprehensive review of cancer
care and related medical concepts. Students can use this resource to study, review, and understand
complex concepts, facilitating exam preparation and knowledge retention.
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EXAM QUESTIONS
QUESTION 1
A nurse is caring for a client who has been diagnosed with a type of cancer that progresses through
various stages. What are the typical stages of cell growth in cancer development that the nurse
should understand and recognize?
A) Induction, Proliferation, Metastasis, and Invasion
B) Initiation, Promotion, Progression, and Metastasis
C) Differentiation, Mitosis, Meiosis, and Epigenesis
D) Tumor Formation, Invasion, Metastasis, and Immunosuppression
CORRECT ANSWER
B) Initiation, Promotion, Progression, and Metastasis
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, RATIONALE: The correct answer is B) Initiation, Promotion, Progression, and Metastasis. These stages refer to the
sequence in which cancer develops from a normal cell to a tumor cell. Initiation occurs when a cell becomes abnormal,
promotion refers to the growth of abnormal cells, progression is the further development of cancer cells, and metastasis
is the spread of cancer cells to other parts of the body.
QUESTION 2
Which of the following best describes the initial phase in the development of cancerous cells?
A) Normal cells undergo apoptosis due to cellular damage.
B) Cells undergo genetic mutations leading to oncogenesis.
C) The immune system eliminates cancerous cells through immune surveillance.
D) Cancer cells arise from the rapid division of healthy cells.
CORRECT ANSWER
B) Cells undergo genetic mutations leading to oncogenesis.
RATIONALE: The initiation phase in cancer development involves the transformation of normal cells into cancerous cells
through genetic mutations. This process is irreversible, leading to the development of malignant cells. Options A and C
are incorrect because apoptosis is a programmed cell death that occurs in damaged or unwanted cells, and immune
surveillance is a mechanism by which the immune system detects and eliminates cancer cells. Option D is incorrect
because cancer cells do not arise from the rapid division of healthy cells, but rather from the transformation of normal
cells through genetic mutations.
QUESTION 3
A client arrives at the emergency department with a history of estrogen-positive breast cancer and a
recent exposure to a known carcinogen. What factor contributes to the enhanced cell growth that
leads to a mutation?
A) Increased production of tumor suppressor genes
B) Enhanced DNA repair mechanisms
C) Repeated exposure to carcinogen, which promotes cell growth
D) Decreased production of oncogenes
CORRECT ANSWER
C) Repeated exposure to carcinogen, which promotes cell growth
RATIONALE: Repeated exposure to carcinogens is a key factor that contributes to enhanced cell growth, leading to
mutations in cancer cells. This exposure can overwhelm normal cellular repair mechanisms, resulting in uncontrolled cell
growth. The other options are incorrect because tumor suppressor genes and DNA repair mechanisms typically work to
prevent cancer, and decreased production of oncogenes would not promote cell growth.
QUESTION 4
The nurse is assessing a patient who has been diagnosed with metastatic cancer and is concerned
about the growth rate of the tumor.
A) The tumor grows slowly with a gradual increase in the production of malignant cells over time.
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, B) The tumor grows rapidly, but it does not produce its own blood supply until it reaches a significant
size.
C) The tumor doubles in size every 2-3 months due to an increase in the production of malignant cells.
D) The tumor grows at a moderate rate, but its growth is limited by the patient's immune system.
CORRECT ANSWER
C) The tumor doubles in size every 2-3 months due to an increase in the production of malignant cells.
RATIONALE: The correct answer reflects the concept of exponential growth, where a tumor's size increases rapidly due
to an increase in the production of malignant cells. This is consistent with the original question, which stated that a
tumor can have 1 billion cells after reaching 1 cm in size. Options A and B are incorrect because they describe slow or
moderate growth rates, which are not consistent with the concept of exponential growth. Option D is also incorrect
because it implies that the tumor's growth is limited by the patient's immune system, which is not directly related to the
concept of tumor growth.
QUESTION 5
What is the purpose of cancer cell metastasis, a process in which the disease spreads from its original
site to other parts of the body?
A) Formation of a new tumor at the primary site
B) Invasion of surrounding tissues by cancer cells
C) Movement of cells from the primary site and establishing remote colonies
D) Immune system response to cancer cells
CORRECT ANSWER
C) Movement of cells from the primary site and establishing remote colonies
RATIONALE: Cancer cell metastasis involves the spread of cancer cells from the primary site to other parts of the body,
establishing new colonies and increasing the severity of the disease. This process is a hallmark of advanced cancer.
Options A and B describe aspects of primary tumor growth but do not accurately reflect the purpose of metastasis.
Option D is incorrect because the immune system response to cancer cells is not the purpose of metastasis.
QUESTION 6
A nurse should identify that the characteristic of rapidly dividing cells without a specific function,
lacking contact inhibition, and displaying an abnormal nuclear-to-cytoplasmic ratio is indicative of a
tumor type.
A) Benign neoplasm
B) Malignant neoplasm
C) Inflammatory response
D) Immune reaction
CORRECT ANSWER
B) Malignant neoplasm
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