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NUR2502 MULTIDIMENSIONAL CARE 3
(MDC 3) PRACTICE QUESTION BANK
2026-2027 ACADEMIC YEAR
[Cite your source here.]
# SECTION 1: ONCOLOGY AND REPRODUCTIVE HEALTH
## Question 1
A 58-year-old female client presents to the clinic for a routine checkup. She reports that she has
never had any preventive screenings. The nurse identifies which of the following as the
STRONGEST risk factor for developing breast cancer in this client?
A) Having her first child at age 25
B) Late onset of menarche
C) History of breastfeeding
D) Dense breast tissue
**Correct Answer: D**
**Rationale:** Dense breast tissue is a significant risk factor for breast cancer because it
contains more glandular and connective tissue, which can obscure tumors on mammograms and
is associated with increased cancer risk . Risk factors are categorized as non-modifiable and
modifiable. Dense breast tissue falls under non-modifiable risks along with advanced age,
genetics (BRCA1/BRCA2 mutations), family history, early menarche, and late menopause .
,2|Page
**Why the other options are incorrect:**
- **A:** Having a first child at age 25 is actually associated with a lower risk of breast cancer.
Early full-term pregnancy (before age 30) is protective, while nulliparity or first birth after age
30 increases risk.
- **B:** Late onset of menarche (after age 14) is associated with lower breast cancer risk. Early
menarche (before age 12) is a risk factor.
- **C:** Breastfeeding is a protective factor and lowers the risk of breast cancer, not a risk
factor.
---
## Question 2
A nurse is providing community education on breast cancer screening. According to current
guidelines, when should women begin routine screening mammograms?
A) Age 35
B) Age 40
C) Age 45
D) Age 50
**Correct Answer: C**
**Rationale:** Current screening guidelines recommend that women at average risk begin
routine screening mammograms at age 45 . Women aged 45-54 should have annual
mammograms, and those aged 55 and older may transition to biennial screening or continue
annual screening. Women should also be educated on breast self-awareness and reporting
changes to their healthcare provider .
**Why the other options are incorrect:**
,3|Page
- **A:** Age 35 is too early for routine screening in average-risk women; screening at this age
may be considered for women with known genetic mutations or strong family history.
- **B:** Age 40 may be considered for screening with shared decision-making based on
individual risk factors, but routine screening begins at age 45.
- **D:** Age 50 is the age when women may transition to biennial screening, but screening
should have begun at age 45.
---
## Question 3
A nurse is caring for a client diagnosed with ductal carcinoma in situ (DCIS). Which statement
accurately describes this type of breast cancer?
A) It is an invasive cancer that has spread to surrounding tissues
B) It is a non-invasive cancer confined to the milk ducts
C) It is the most aggressive form of breast cancer
D) It originates in the lobules of the breast
**Correct Answer: B**
**Rationale:** Ductal carcinoma in situ (DCIS) is a non-invasive breast cancer where abnormal
cells are contained within the milk ducts and have not invaded surrounding breast tissue . It is
considered stage 0 breast cancer and is highly treatable. Lobular carcinoma in situ (LCIS)
originates in the lobules . Both are non-invasive but have different management approaches.
**Why the other options are incorrect:**
- **A:** DCIS is non-invasive; it has not spread to surrounding tissues. Invasive ductal
carcinoma (IDC) is the most common invasive type.
- **C:** DCIS is not the most aggressive form of breast cancer; it is stage 0 and highly curable.
Inflammatory breast cancer and triple-negative breast cancer are more aggressive.
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- **D:** DCIS originates in the milk ducts, not the lobules. LCIS originates in the lobules.
---
## Question 4
A client presents with a breast lump that is firm, immovable, and has an irregular border. The
skin over the lump appears dimpled, resembling an orange peel (peau d'orange). The nurse
suspects which type of breast cancer?
A) Ductal carcinoma in situ (DCIS)
B) Invasive ductal carcinoma (IDC)
C) Lobular carcinoma in situ (LCIS)
D) Inflammatory breast cancer
**Correct Answer: B**
**Rationale:** Peau d'orange (skin dimpling resembling an orange peel) is a classic sign of
invasive breast cancer, most commonly invasive ductal carcinoma (IDC). This occurs due to
cancer cells blocking lymphatic drainage, causing edema and skin changes . A firm, immovable,
irregular mass is also characteristic of invasive breast cancer. These findings require prompt
biopsy for definitive diagnosis .
**Why the other options are incorrect:**
- **A:** DCIS is non-invasive and typically does not present with peau d'orange or a palpable
mass; it is often detected on mammography as microcalcifications.
- **C:** LCIS is non-invasive and often asymptomatic; it is usually an incidental finding on
biopsy.
- **D:** Inflammatory breast cancer presents with erythema, warmth, and edema (peau
d'orange) but typically without a distinct mass. It is a rare and aggressive form.
NUR2502 MULTIDIMENSIONAL CARE 3
(MDC 3) PRACTICE QUESTION BANK
2026-2027 ACADEMIC YEAR
[Cite your source here.]
# SECTION 1: ONCOLOGY AND REPRODUCTIVE HEALTH
## Question 1
A 58-year-old female client presents to the clinic for a routine checkup. She reports that she has
never had any preventive screenings. The nurse identifies which of the following as the
STRONGEST risk factor for developing breast cancer in this client?
A) Having her first child at age 25
B) Late onset of menarche
C) History of breastfeeding
D) Dense breast tissue
**Correct Answer: D**
**Rationale:** Dense breast tissue is a significant risk factor for breast cancer because it
contains more glandular and connective tissue, which can obscure tumors on mammograms and
is associated with increased cancer risk . Risk factors are categorized as non-modifiable and
modifiable. Dense breast tissue falls under non-modifiable risks along with advanced age,
genetics (BRCA1/BRCA2 mutations), family history, early menarche, and late menopause .
,2|Page
**Why the other options are incorrect:**
- **A:** Having a first child at age 25 is actually associated with a lower risk of breast cancer.
Early full-term pregnancy (before age 30) is protective, while nulliparity or first birth after age
30 increases risk.
- **B:** Late onset of menarche (after age 14) is associated with lower breast cancer risk. Early
menarche (before age 12) is a risk factor.
- **C:** Breastfeeding is a protective factor and lowers the risk of breast cancer, not a risk
factor.
---
## Question 2
A nurse is providing community education on breast cancer screening. According to current
guidelines, when should women begin routine screening mammograms?
A) Age 35
B) Age 40
C) Age 45
D) Age 50
**Correct Answer: C**
**Rationale:** Current screening guidelines recommend that women at average risk begin
routine screening mammograms at age 45 . Women aged 45-54 should have annual
mammograms, and those aged 55 and older may transition to biennial screening or continue
annual screening. Women should also be educated on breast self-awareness and reporting
changes to their healthcare provider .
**Why the other options are incorrect:**
,3|Page
- **A:** Age 35 is too early for routine screening in average-risk women; screening at this age
may be considered for women with known genetic mutations or strong family history.
- **B:** Age 40 may be considered for screening with shared decision-making based on
individual risk factors, but routine screening begins at age 45.
- **D:** Age 50 is the age when women may transition to biennial screening, but screening
should have begun at age 45.
---
## Question 3
A nurse is caring for a client diagnosed with ductal carcinoma in situ (DCIS). Which statement
accurately describes this type of breast cancer?
A) It is an invasive cancer that has spread to surrounding tissues
B) It is a non-invasive cancer confined to the milk ducts
C) It is the most aggressive form of breast cancer
D) It originates in the lobules of the breast
**Correct Answer: B**
**Rationale:** Ductal carcinoma in situ (DCIS) is a non-invasive breast cancer where abnormal
cells are contained within the milk ducts and have not invaded surrounding breast tissue . It is
considered stage 0 breast cancer and is highly treatable. Lobular carcinoma in situ (LCIS)
originates in the lobules . Both are non-invasive but have different management approaches.
**Why the other options are incorrect:**
- **A:** DCIS is non-invasive; it has not spread to surrounding tissues. Invasive ductal
carcinoma (IDC) is the most common invasive type.
- **C:** DCIS is not the most aggressive form of breast cancer; it is stage 0 and highly curable.
Inflammatory breast cancer and triple-negative breast cancer are more aggressive.
, 4|Page
- **D:** DCIS originates in the milk ducts, not the lobules. LCIS originates in the lobules.
---
## Question 4
A client presents with a breast lump that is firm, immovable, and has an irregular border. The
skin over the lump appears dimpled, resembling an orange peel (peau d'orange). The nurse
suspects which type of breast cancer?
A) Ductal carcinoma in situ (DCIS)
B) Invasive ductal carcinoma (IDC)
C) Lobular carcinoma in situ (LCIS)
D) Inflammatory breast cancer
**Correct Answer: B**
**Rationale:** Peau d'orange (skin dimpling resembling an orange peel) is a classic sign of
invasive breast cancer, most commonly invasive ductal carcinoma (IDC). This occurs due to
cancer cells blocking lymphatic drainage, causing edema and skin changes . A firm, immovable,
irregular mass is also characteristic of invasive breast cancer. These findings require prompt
biopsy for definitive diagnosis .
**Why the other options are incorrect:**
- **A:** DCIS is non-invasive and typically does not present with peau d'orange or a palpable
mass; it is often detected on mammography as microcalcifications.
- **C:** LCIS is non-invasive and often asymptomatic; it is usually an incidental finding on
biopsy.
- **D:** Inflammatory breast cancer presents with erythema, warmth, and edema (peau
d'orange) but typically without a distinct mass. It is a rare and aggressive form.
