Rasmussen University
LANIF · 2CDM
★ ★
R School of Nursing
EST. 1900
EMPOWERED LEARNING. INSPIRED FUTURES.
MDC2 — Final Examination
CO M P R E H E N S I V E · G I · E N D O C R I N E · O N CO LO G Y · D I A B E T E S
INSTITUTION Rasmussen University COURSE CODE MDC2
PROGRAM Associate of Science in Nursing — ACADEMIC YEAR
ADN
EXAM TITLE MDC2 Final Examination — COURSE TITLE Multidimensional Care II
Comprehensive
TOTAL QUESTIONS 110 Questions FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each multiple-choice question.
▸ Content covers all major systems: GI disorders, endocrine conditions, diabetes mellitus, oncology, and
fluid/electrolytes.
▸ Normal lab values, diagnostic tests, and nursing interventions are integrated throughout rationales.
▸ Correct answers and clinical rationales appear below each question for board review purposes.
▸ All clinical data reflects current evidence-based nursing practice.
, COMPREHENSIVE FINAL EXAMINATION Questions 1 – 110
1. What is stomatitis and what are its signs and symptoms?
A. Inflammation of the stomach lining; epigastric pain and heartburn
B. Inflammation within the oral cavity; ranging from dry, painful mouth to open ulcerations,
placing the patient at risk for infection. Can alter nutrition status due to difficulty
eating/swallowing. Severe cases can obstruct the airway
C. Inflammation of the peritoneum; rigid abdomen and rebound tenderness
D. Inflammation of the appendix; RLQ pain and fever
CORRECT ANSWER B — Oral cavity inflammation ranging from dry/painful mouth to open
ulcerations; infection risk, altered nutrition, potential airway obstruction.
RATIONALE Stomatitis encompasses any inflammatory condition of the oral mucosa. S/S
progress from dry, painful mouth to open ulcerations. These ulcerations increase
infection risk (especially in immunocompromised patients), alter nutrition
(difficulty eating/swallowing), and in severe cases can obstruct the airway. Oral
candidiasis presents as white plaque-like lesions on tongue, palate, pharynx, and
buccal mucosa — when wiped away, the underlying surface is red and sore.
Assessment includes: dysphagia, nutrition changes, oral hygiene habits, oral
trauma, stress, and medication history (OTC, herbs, supplements).
, 2. What are the causes of stomatitis?
A. Only bacterial infections from poor oral hygiene
B. Primary: aphthous (noninfectious) stomatitis, herpes simplex stomatitis, traumatic ulcers.
Secondary: opportunistic viruses, fungi, or bacteria in immunocompromised patients, or
drugs such as chemotherapy
C. Only chemotherapy and radiation therapy
D. Only fungal infections from Candida albicans
CORRECT ANSWER B — Primary: aphthous stomatitis, herpes simplex, traumatic ulcers.
Secondary: opportunistic infections in immunocompromised,
chemotherapy drugs.
RATIONALE Primary stomatitis (most common) includes aphthous (noninfectious/canker
sores), herpes simplex stomatitis, and traumatic ulcers (mechanical injury).
Secondary stomatitis results from opportunistic viruses, fungi (Candida albicans
— oral thrush), or bacteria in immunocompromised patients (HIV, chemotherapy,
transplant). Chemotherapy-induced mucositis is a significant secondary cause.
Treatment depends on the cause: antifungals (Nystatin, Diflucan), antivirals,
topical anesthetics, and meticulous oral care with soft toothbrushes, non-alcohol
rinses, and adequate hydration.
LANIF · 2CDM
★ ★
R School of Nursing
EST. 1900
EMPOWERED LEARNING. INSPIRED FUTURES.
MDC2 — Final Examination
CO M P R E H E N S I V E · G I · E N D O C R I N E · O N CO LO G Y · D I A B E T E S
INSTITUTION Rasmussen University COURSE CODE MDC2
PROGRAM Associate of Science in Nursing — ACADEMIC YEAR
ADN
EXAM TITLE MDC2 Final Examination — COURSE TITLE Multidimensional Care II
Comprehensive
TOTAL QUESTIONS 110 Questions FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each multiple-choice question.
▸ Content covers all major systems: GI disorders, endocrine conditions, diabetes mellitus, oncology, and
fluid/electrolytes.
▸ Normal lab values, diagnostic tests, and nursing interventions are integrated throughout rationales.
▸ Correct answers and clinical rationales appear below each question for board review purposes.
▸ All clinical data reflects current evidence-based nursing practice.
, COMPREHENSIVE FINAL EXAMINATION Questions 1 – 110
1. What is stomatitis and what are its signs and symptoms?
A. Inflammation of the stomach lining; epigastric pain and heartburn
B. Inflammation within the oral cavity; ranging from dry, painful mouth to open ulcerations,
placing the patient at risk for infection. Can alter nutrition status due to difficulty
eating/swallowing. Severe cases can obstruct the airway
C. Inflammation of the peritoneum; rigid abdomen and rebound tenderness
D. Inflammation of the appendix; RLQ pain and fever
CORRECT ANSWER B — Oral cavity inflammation ranging from dry/painful mouth to open
ulcerations; infection risk, altered nutrition, potential airway obstruction.
RATIONALE Stomatitis encompasses any inflammatory condition of the oral mucosa. S/S
progress from dry, painful mouth to open ulcerations. These ulcerations increase
infection risk (especially in immunocompromised patients), alter nutrition
(difficulty eating/swallowing), and in severe cases can obstruct the airway. Oral
candidiasis presents as white plaque-like lesions on tongue, palate, pharynx, and
buccal mucosa — when wiped away, the underlying surface is red and sore.
Assessment includes: dysphagia, nutrition changes, oral hygiene habits, oral
trauma, stress, and medication history (OTC, herbs, supplements).
, 2. What are the causes of stomatitis?
A. Only bacterial infections from poor oral hygiene
B. Primary: aphthous (noninfectious) stomatitis, herpes simplex stomatitis, traumatic ulcers.
Secondary: opportunistic viruses, fungi, or bacteria in immunocompromised patients, or
drugs such as chemotherapy
C. Only chemotherapy and radiation therapy
D. Only fungal infections from Candida albicans
CORRECT ANSWER B — Primary: aphthous stomatitis, herpes simplex, traumatic ulcers.
Secondary: opportunistic infections in immunocompromised,
chemotherapy drugs.
RATIONALE Primary stomatitis (most common) includes aphthous (noninfectious/canker
sores), herpes simplex stomatitis, and traumatic ulcers (mechanical injury).
Secondary stomatitis results from opportunistic viruses, fungi (Candida albicans
— oral thrush), or bacteria in immunocompromised patients (HIV, chemotherapy,
transplant). Chemotherapy-induced mucositis is a significant secondary cause.
Treatment depends on the cause: antifungals (Nystatin, Diflucan), antivirals,
topical anesthetics, and meticulous oral care with soft toothbrushes, non-alcohol
rinses, and adequate hydration.
