RASMUSSEN COLLEGE MDC 2 EXAM 1
COMPREHENSIVE PRACTICE EXAMINATION
2026/2027 QUESTIONS WITH VERIFIED
ANSWERS AND EXPERT RATIONALES
MEDICAL-SURGICAL NURSING II | GRADED A+
| GUARANTEED SUCCESS
EXAMINATION TITLE: Rasmussen College MDC 2 Exam 1 —
Comprehensive Practice Examination 2026/2027
DOMAINS COVERED:
• Domain 1: Oncology and Cancer Care (Questions 1-40)
• Domain 2: Radiation and Chemotherapy (Questions 41-65)
• Domain 3: Hematologic Disorders (Questions 66-85)
• Domain 4: Cardiovascular Disorders (Questions 86-110)
• Domain 5: Respiratory Disorders (Questions 111-135)
• Domain 6: Endocrine Disorders (Questions 136-155)
• Domain 7: Gastrointestinal Disorders (Questions 156-175)
• Domain 8: Neurological Disorders (Questions 176-195)
• Domain 9: Renal and Urinary Disorders (Questions 196-210)
• Domain 10: Fluid, Electrolyte, and Acid-Base Balance (Questions 211-220)
DOMAIN 1: ONCOLOGY AND CANCER CARE
Questions 1-40
,Question 1:
A patient has a positive family history of colon cancer. Which recommendation
should the nurse provide to this patient?
A) Encourage baseline colonoscopy screening
B) Strict physical activity
C) Encourage the patient to increase dietary intake of red meat
D) Encourage the patient to reduce intake of fiber
Rationale: Patients with a family history of colon cancer should undergo baseline
colonoscopy screening at age 40 or 10 years before the age of onset of the
youngest affected relative.
Question 2:
The patient asks the nurse how radiation works to destroy cancer cells. How should
the nurse respond?
A) "The goal of radiation therapy is to destroy the cancer cells while
minimizing further damage to the body."
B) "The goal of radiation therapy is to destroy the cancer cells at any cost."
C) "The goal of radiation therapy is to promote cell proliferation."
D) "The goal of radiation therapy is to destroy all cells in the body."
Rationale: The goal of radiation therapy is to destroy cancer cells while
minimizing damage to healthy tissues.
Question 3:
A patient asks the nurse to explain what radiation "dose" refers to. Which response
is correct?
A) It refers to the amount of radiation absorbed
B) It refers to the amount of local treatment
C) It refers to the amount of radiation being delivered
D) It refers to ionization liquification
Rationale: Radiation dose refers to the amount of radiation being delivered to the
target area.
,Question 4:
A patient asks the nurse to explain the difference between a benign tumor and a
malignant tumor. What is an appropriate response?
A) "Don't worry about it. The point is you're okay."
B) "A benign tumor is normal cells growing in the wrong place; a malignant
tumor is abnormal cells that can invade and spread."
C) "A benign tumor is cancerous; a malignant tumor is not."
D) "There is no difference between benign and malignant tumors."
Rationale: Benign tumors are noncancerous growths that do not invade
surrounding tissues or metastasize. Malignant tumors are cancerous, can invade
tissues, and metastasize.
Question 5:
Which of the following is a characteristic of a malignant tumor?
A) Well-defined borders
B) Invasive and metastatic potential
C) Slow growth
D) Encapsulated
Rationale: Malignant tumors are characterized by invasiveness and the ability to
metastasize to distant sites.
Question 6:
A patient is diagnosed with cancer and is experiencing cachexia. Which finding is
consistent with this condition?
A) Weight gain
B) Weight loss and muscle wasting
C) Increased appetite
D) Fluid retention
Rationale: Cancer cachexia is characterized by weight loss, muscle wasting, and
decreased appetite.
, Question 7:
Which of the following is a risk factor for cancer?
A) Age < 40
B) Tobacco use
C) High-fiber diet
D) Regular exercise
Rationale: Tobacco use is a significant risk factor for many cancers, including
lung, oral, and bladder cancers.
Question 8:
A patient is receiving chemotherapy and develops stomatitis. Which nursing
intervention is most appropriate?
A) Encourage use of a soft-bristled toothbrush and saline rinses
B) Encourage use of a firm-bristled toothbrush
C) Encourage mouthwash with alcohol
D) Encourage consumption of citrus fruits
Rationale: Stomatitis requires gentle oral care with a soft-bristled toothbrush and
non-irritating rinses.
Question 9:
A patient is receiving chemotherapy and reports nausea and vomiting. Which
intervention should the nurse implement first?
A) Administer prescribed antiemetics
B) Encourage the patient to eat a large meal
C) Increase fluid intake
D) Provide a cold compress
Rationale: Antiemetics should be administered as prescribed to manage
chemotherapy-induced nausea and vomiting.
Question 10:
Which of the following is a side effect of chemotherapy?
COMPREHENSIVE PRACTICE EXAMINATION
2026/2027 QUESTIONS WITH VERIFIED
ANSWERS AND EXPERT RATIONALES
MEDICAL-SURGICAL NURSING II | GRADED A+
| GUARANTEED SUCCESS
EXAMINATION TITLE: Rasmussen College MDC 2 Exam 1 —
Comprehensive Practice Examination 2026/2027
DOMAINS COVERED:
• Domain 1: Oncology and Cancer Care (Questions 1-40)
• Domain 2: Radiation and Chemotherapy (Questions 41-65)
• Domain 3: Hematologic Disorders (Questions 66-85)
• Domain 4: Cardiovascular Disorders (Questions 86-110)
• Domain 5: Respiratory Disorders (Questions 111-135)
• Domain 6: Endocrine Disorders (Questions 136-155)
• Domain 7: Gastrointestinal Disorders (Questions 156-175)
• Domain 8: Neurological Disorders (Questions 176-195)
• Domain 9: Renal and Urinary Disorders (Questions 196-210)
• Domain 10: Fluid, Electrolyte, and Acid-Base Balance (Questions 211-220)
DOMAIN 1: ONCOLOGY AND CANCER CARE
Questions 1-40
,Question 1:
A patient has a positive family history of colon cancer. Which recommendation
should the nurse provide to this patient?
A) Encourage baseline colonoscopy screening
B) Strict physical activity
C) Encourage the patient to increase dietary intake of red meat
D) Encourage the patient to reduce intake of fiber
Rationale: Patients with a family history of colon cancer should undergo baseline
colonoscopy screening at age 40 or 10 years before the age of onset of the
youngest affected relative.
Question 2:
The patient asks the nurse how radiation works to destroy cancer cells. How should
the nurse respond?
A) "The goal of radiation therapy is to destroy the cancer cells while
minimizing further damage to the body."
B) "The goal of radiation therapy is to destroy the cancer cells at any cost."
C) "The goal of radiation therapy is to promote cell proliferation."
D) "The goal of radiation therapy is to destroy all cells in the body."
Rationale: The goal of radiation therapy is to destroy cancer cells while
minimizing damage to healthy tissues.
Question 3:
A patient asks the nurse to explain what radiation "dose" refers to. Which response
is correct?
A) It refers to the amount of radiation absorbed
B) It refers to the amount of local treatment
C) It refers to the amount of radiation being delivered
D) It refers to ionization liquification
Rationale: Radiation dose refers to the amount of radiation being delivered to the
target area.
,Question 4:
A patient asks the nurse to explain the difference between a benign tumor and a
malignant tumor. What is an appropriate response?
A) "Don't worry about it. The point is you're okay."
B) "A benign tumor is normal cells growing in the wrong place; a malignant
tumor is abnormal cells that can invade and spread."
C) "A benign tumor is cancerous; a malignant tumor is not."
D) "There is no difference between benign and malignant tumors."
Rationale: Benign tumors are noncancerous growths that do not invade
surrounding tissues or metastasize. Malignant tumors are cancerous, can invade
tissues, and metastasize.
Question 5:
Which of the following is a characteristic of a malignant tumor?
A) Well-defined borders
B) Invasive and metastatic potential
C) Slow growth
D) Encapsulated
Rationale: Malignant tumors are characterized by invasiveness and the ability to
metastasize to distant sites.
Question 6:
A patient is diagnosed with cancer and is experiencing cachexia. Which finding is
consistent with this condition?
A) Weight gain
B) Weight loss and muscle wasting
C) Increased appetite
D) Fluid retention
Rationale: Cancer cachexia is characterized by weight loss, muscle wasting, and
decreased appetite.
, Question 7:
Which of the following is a risk factor for cancer?
A) Age < 40
B) Tobacco use
C) High-fiber diet
D) Regular exercise
Rationale: Tobacco use is a significant risk factor for many cancers, including
lung, oral, and bladder cancers.
Question 8:
A patient is receiving chemotherapy and develops stomatitis. Which nursing
intervention is most appropriate?
A) Encourage use of a soft-bristled toothbrush and saline rinses
B) Encourage use of a firm-bristled toothbrush
C) Encourage mouthwash with alcohol
D) Encourage consumption of citrus fruits
Rationale: Stomatitis requires gentle oral care with a soft-bristled toothbrush and
non-irritating rinses.
Question 9:
A patient is receiving chemotherapy and reports nausea and vomiting. Which
intervention should the nurse implement first?
A) Administer prescribed antiemetics
B) Encourage the patient to eat a large meal
C) Increase fluid intake
D) Provide a cold compress
Rationale: Antiemetics should be administered as prescribed to manage
chemotherapy-induced nausea and vomiting.
Question 10:
Which of the following is a side effect of chemotherapy?
