MDC III EXAM 1 (RASMUSSEN) EXAM 300 ACTUAL
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALE LATEST UPDATE ALREADY GRADED A+
Each question is completely unique, covering distinct topics including breast,
prostate, ovarian, cervical, testicular, bladder, and endometrial cancers, along
with benign conditions, infections, medication side effects, surgical
complications, radiation therapy management, and patient education. No two
questions test the exact same fact, clinical presentation, drug mechanism, or
nursing intervention. The questions progress logically through different body
systems, diagnostic tests, treatment modalities, and oncologic emergencies.
This bank provides thorough preparation for Rasmussen's MDC III Exam 1
without any repetition of content across the 300 items.
Question 1
A patient is diagnosed with invasive ductal carcinoma. Which finding is a classic
sign of inflammatory breast cancer?
A) A palpable, firm, non-tender mass
B) Peau d'orange appearance of the breast skin
C) A small, movable nodule in the upper outer quadrant
D) Nipple retraction without other skin changes
Correct Answer: B
Rationale: Peau d'orange is a classic sign of inflammatory breast cancer, caused by
lymphatic obstruction by cancer cells. This gives the skin a dimpled, orange-peel
appearance. Inflammatory breast cancer is aggressive and often does not present
with a distinct mass.
Question 2
A 20-year-old sexually active male reports symptoms of a low-grade fever,
headache, malaise, muscle aches, sore throat, and a rash on his hands and feet.
What condition does the nurse anticipate?
A) HIV
,B) HPV
C) Syphilis
D) Gonorrhea
Correct Answer: C
Rationale: These symptoms are characteristic of secondary syphilis, which
develops 6 weeks to 6 months after initial infection. The rash commonly appears
on the palms of the hands and soles of the feet. The patient may also experience
patchy hair loss.
Question 3
The nurse is teaching a patient about breast self-examination. Current guidelines
recommend that women at average risk should begin screening mammograms at
what age?
A) 30
B) 35
C) 40
D) 45
Correct Answer: D
Rationale: Current guidelines recommend that women at average risk begin annual
screening mammograms at age 45. Women may choose to begin as early as age 40.
Clinical breast exams are no longer routinely recommended.
Question 4
Postmenopausal bleeding is most commonly associated with which type of cancer?
A) Ovarian cancer
B) Cervical cancer
C) Endometrial cancer
D) Vaginal cancer
Correct Answer: C
Rationale: Endometrial cancer typically presents with postmenopausal bleeding in
90% of cases. This is the most common gynecologic malignancy in the United
States. Any postmenopausal bleeding requires immediate evaluation.
Question 5
A patient with prostate cancer is receiving androgen deprivation therapy. Which
side effect should the nurse monitor for?
A) Weight loss
,B) Increased libido
C) Osteoporosis
D) Hypertension
Correct Answer: C
Rationale: Androgen deprivation therapy reduces testosterone levels, leading to
bone loss and increased risk for osteoporosis and fractures. Other side effects
include hot flashes, decreased libido, and gynecomastia.
Question 6
A female patient reports pain during sexual intercourse. Which term accurately
describes this symptom?
A) Dysmenorrhea
B) Dyspareunia
C) Menorrhagia
D) Metrorrhagia
Correct Answer: B
Rationale: Dyspareunia is the medical term for painful sexual intercourse.
Dysmenorrhea is painful menstruation. Menorrhagia is heavy menstrual bleeding.
Metrorrhagia is bleeding between periods.
Question 7
The nurse is caring for a patient with testicular cancer. Which assessment finding
is a classic early sign?
A) Scrotal pain and swelling
B) A hard, painless, unilateral testicular mass
C) Blood in the urine
D) Fever and chills
Correct Answer: B
Rationale: Testicular cancer typically presents as a hard, painless, unilateral
testicular mass. Early detection through testicular self-examination improves
outcomes. Pain may occur in advanced disease but is not the classic early
presentation.
Question 8
A patient with human papillomavirus infection is at increased risk for which type
of cancer?
A) Ovarian
, B) Endometrial
C) Cervical
D) Vulvar
Correct Answer: C
Rationale: HPV, especially types 16 and 18, is responsible for nearly all cases of
cervical cancer. Routine Pap smears and HPV vaccination are key preventive
measures.
Question 9
The nurse is assessing a patient with benign prostatic hyperplasia. Which symptom
is most commonly reported?
A) Hematuria
B) Urinary retention
C) Nocturia
D) Flank pain
Correct Answer: C
Rationale: Nocturia, or awakening at night to urinate, is one of the most common
and bothersome symptoms of BPH. Other symptoms include frequency, urgency,
and weak urinary stream.
Question 10
A patient is receiving radiation therapy for breast cancer. Which skin reaction
requires immediate nursing intervention?
A) Mild erythema
B) Dry desquamation
C) Moist desquamation with weeping
D) Localized pruritus
Correct Answer: C
Rationale: Moist desquamation with weeping indicates a severe skin reaction that
increases infection risk. The radiation oncologist should be notified immediately,
and specialized wound care may be required.
Question 11
The nurse is providing discharge teaching to a patient after a radical mastectomy.
Which instruction is appropriate?
A) Perform all exercises on the operative side immediately
B) Avoid blood pressure measurements on the operative arm
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALE LATEST UPDATE ALREADY GRADED A+
Each question is completely unique, covering distinct topics including breast,
prostate, ovarian, cervical, testicular, bladder, and endometrial cancers, along
with benign conditions, infections, medication side effects, surgical
complications, radiation therapy management, and patient education. No two
questions test the exact same fact, clinical presentation, drug mechanism, or
nursing intervention. The questions progress logically through different body
systems, diagnostic tests, treatment modalities, and oncologic emergencies.
This bank provides thorough preparation for Rasmussen's MDC III Exam 1
without any repetition of content across the 300 items.
Question 1
A patient is diagnosed with invasive ductal carcinoma. Which finding is a classic
sign of inflammatory breast cancer?
A) A palpable, firm, non-tender mass
B) Peau d'orange appearance of the breast skin
C) A small, movable nodule in the upper outer quadrant
D) Nipple retraction without other skin changes
Correct Answer: B
Rationale: Peau d'orange is a classic sign of inflammatory breast cancer, caused by
lymphatic obstruction by cancer cells. This gives the skin a dimpled, orange-peel
appearance. Inflammatory breast cancer is aggressive and often does not present
with a distinct mass.
Question 2
A 20-year-old sexually active male reports symptoms of a low-grade fever,
headache, malaise, muscle aches, sore throat, and a rash on his hands and feet.
What condition does the nurse anticipate?
A) HIV
,B) HPV
C) Syphilis
D) Gonorrhea
Correct Answer: C
Rationale: These symptoms are characteristic of secondary syphilis, which
develops 6 weeks to 6 months after initial infection. The rash commonly appears
on the palms of the hands and soles of the feet. The patient may also experience
patchy hair loss.
Question 3
The nurse is teaching a patient about breast self-examination. Current guidelines
recommend that women at average risk should begin screening mammograms at
what age?
A) 30
B) 35
C) 40
D) 45
Correct Answer: D
Rationale: Current guidelines recommend that women at average risk begin annual
screening mammograms at age 45. Women may choose to begin as early as age 40.
Clinical breast exams are no longer routinely recommended.
Question 4
Postmenopausal bleeding is most commonly associated with which type of cancer?
A) Ovarian cancer
B) Cervical cancer
C) Endometrial cancer
D) Vaginal cancer
Correct Answer: C
Rationale: Endometrial cancer typically presents with postmenopausal bleeding in
90% of cases. This is the most common gynecologic malignancy in the United
States. Any postmenopausal bleeding requires immediate evaluation.
Question 5
A patient with prostate cancer is receiving androgen deprivation therapy. Which
side effect should the nurse monitor for?
A) Weight loss
,B) Increased libido
C) Osteoporosis
D) Hypertension
Correct Answer: C
Rationale: Androgen deprivation therapy reduces testosterone levels, leading to
bone loss and increased risk for osteoporosis and fractures. Other side effects
include hot flashes, decreased libido, and gynecomastia.
Question 6
A female patient reports pain during sexual intercourse. Which term accurately
describes this symptom?
A) Dysmenorrhea
B) Dyspareunia
C) Menorrhagia
D) Metrorrhagia
Correct Answer: B
Rationale: Dyspareunia is the medical term for painful sexual intercourse.
Dysmenorrhea is painful menstruation. Menorrhagia is heavy menstrual bleeding.
Metrorrhagia is bleeding between periods.
Question 7
The nurse is caring for a patient with testicular cancer. Which assessment finding
is a classic early sign?
A) Scrotal pain and swelling
B) A hard, painless, unilateral testicular mass
C) Blood in the urine
D) Fever and chills
Correct Answer: B
Rationale: Testicular cancer typically presents as a hard, painless, unilateral
testicular mass. Early detection through testicular self-examination improves
outcomes. Pain may occur in advanced disease but is not the classic early
presentation.
Question 8
A patient with human papillomavirus infection is at increased risk for which type
of cancer?
A) Ovarian
, B) Endometrial
C) Cervical
D) Vulvar
Correct Answer: C
Rationale: HPV, especially types 16 and 18, is responsible for nearly all cases of
cervical cancer. Routine Pap smears and HPV vaccination are key preventive
measures.
Question 9
The nurse is assessing a patient with benign prostatic hyperplasia. Which symptom
is most commonly reported?
A) Hematuria
B) Urinary retention
C) Nocturia
D) Flank pain
Correct Answer: C
Rationale: Nocturia, or awakening at night to urinate, is one of the most common
and bothersome symptoms of BPH. Other symptoms include frequency, urgency,
and weak urinary stream.
Question 10
A patient is receiving radiation therapy for breast cancer. Which skin reaction
requires immediate nursing intervention?
A) Mild erythema
B) Dry desquamation
C) Moist desquamation with weeping
D) Localized pruritus
Correct Answer: C
Rationale: Moist desquamation with weeping indicates a severe skin reaction that
increases infection risk. The radiation oncologist should be notified immediately,
and specialized wound care may be required.
Question 11
The nurse is providing discharge teaching to a patient after a radical mastectomy.
Which instruction is appropriate?
A) Perform all exercises on the operative side immediately
B) Avoid blood pressure measurements on the operative arm
