## PART 1: Chapters 1–11 — Questions 1–75
### Chapter 1: Cancer Overview and Pathophysiology
— Questions 1–7
**Q1.** The primary characteristic that distinguishes malignant from benign tumors is:
A. Ability to metastasize
B. Slow growth
C. Encapsulation
D. Localized growth
**Correct Answer: A**
**Rationale:** Malignant tumors can metastasize. Benign tumors are typically slow-growing,
encapsulated, and localized.
---
**Q2.** Which of the following is a carcinogen?
A. Tobacco smoke
B. Vitamin C
C. Water
D. Fiber
**Correct Answer: A**
**Rationale:** Tobacco smoke is a known carcinogen. Vitamin C, water, and fiber are not
carcinogens.
,---
**Q3.** The process by which cancer cells spread to distant sites is called:
A. Metastasis
B. Apoptosis
C. Angiogenesis
D. Carcinogenesis
**Correct Answer: A**
**Rationale:** Metastasis is the spread to distant sites. Apoptosis is programmed cell death,
angiogenesis is blood vessel formation, and carcinogenesis is cancer development.
---
**Q4.** Which of the following is a sign of cancer?
A. Unexplained weight loss
B. Stable weight
C. Good appetite
D. Normal vital signs
**Correct Answer: A**
**Rationale:** Unexplained weight loss may indicate cancer. Stable weight, good appetite, and
normal vitals are not concerning.
---
,**Q5.** The nurse should report which of the following?
A. New lump or mass
B. Stable condition
C. Good appetite
D. Normal vital signs
**Correct Answer: A**
**Rationale:** New lump or mass must be reported. Stable condition, good appetite, and
normal vitals are not concerning.
---
**Q6.** Which of the following is a goal of cancer care?
A. Maintain comfort and dignity
B. Restrain the patient
C. Ignore the patient
D. Delay care
**Correct Answer: A**
**Rationale:** Cancer care maintains comfort and dignity. Restraints, ignoring, and delaying
care are inappropriate.
---
**Q7.** The nurse should assist patients with cancer by:
A. Following the care plan
, B. Ignoring the plan
C. Delaying care
D. Avoiding communication
**Correct Answer: A**
**Rationale:** Follow the care plan. Ignoring, delaying, and avoiding communication are
inappropriate.
---
### Chapter 2: Prevention and Early Detection — Questions 8–14
**Q8.** The primary goal of cancer prevention is to:
A. Reduce risk and detect cancer early
B. Ignore risk factors
C. Delay care
D. Avoid communication
**Correct Answer: A**
**Rationale:** Cancer prevention reduces risk and detects early. Ignoring risk, delaying care,
and avoiding communication are inappropriate.
---
**Q9.** Which of the following is a primary prevention activity?
A. Immunization against HPV
B. Mammography
### Chapter 1: Cancer Overview and Pathophysiology
— Questions 1–7
**Q1.** The primary characteristic that distinguishes malignant from benign tumors is:
A. Ability to metastasize
B. Slow growth
C. Encapsulation
D. Localized growth
**Correct Answer: A**
**Rationale:** Malignant tumors can metastasize. Benign tumors are typically slow-growing,
encapsulated, and localized.
---
**Q2.** Which of the following is a carcinogen?
A. Tobacco smoke
B. Vitamin C
C. Water
D. Fiber
**Correct Answer: A**
**Rationale:** Tobacco smoke is a known carcinogen. Vitamin C, water, and fiber are not
carcinogens.
,---
**Q3.** The process by which cancer cells spread to distant sites is called:
A. Metastasis
B. Apoptosis
C. Angiogenesis
D. Carcinogenesis
**Correct Answer: A**
**Rationale:** Metastasis is the spread to distant sites. Apoptosis is programmed cell death,
angiogenesis is blood vessel formation, and carcinogenesis is cancer development.
---
**Q4.** Which of the following is a sign of cancer?
A. Unexplained weight loss
B. Stable weight
C. Good appetite
D. Normal vital signs
**Correct Answer: A**
**Rationale:** Unexplained weight loss may indicate cancer. Stable weight, good appetite, and
normal vitals are not concerning.
---
,**Q5.** The nurse should report which of the following?
A. New lump or mass
B. Stable condition
C. Good appetite
D. Normal vital signs
**Correct Answer: A**
**Rationale:** New lump or mass must be reported. Stable condition, good appetite, and
normal vitals are not concerning.
---
**Q6.** Which of the following is a goal of cancer care?
A. Maintain comfort and dignity
B. Restrain the patient
C. Ignore the patient
D. Delay care
**Correct Answer: A**
**Rationale:** Cancer care maintains comfort and dignity. Restraints, ignoring, and delaying
care are inappropriate.
---
**Q7.** The nurse should assist patients with cancer by:
A. Following the care plan
, B. Ignoring the plan
C. Delaying care
D. Avoiding communication
**Correct Answer: A**
**Rationale:** Follow the care plan. Ignoring, delaying, and avoiding communication are
inappropriate.
---
### Chapter 2: Prevention and Early Detection — Questions 8–14
**Q8.** The primary goal of cancer prevention is to:
A. Reduce risk and detect cancer early
B. Ignore risk factors
C. Delay care
D. Avoid communication
**Correct Answer: A**
**Rationale:** Cancer prevention reduces risk and detects early. Ignoring risk, delaying care,
and avoiding communication are inappropriate.
---
**Q9.** Which of the following is a primary prevention activity?
A. Immunization against HPV
B. Mammography
