,NUR 2502 Exam 1 | Multidimensional Care III (2026) Actual Q&A
PDF | Rasmussen College
1. A nurse is teaching a community group about breast cancer risk factors. Which factor is
classified as non-modifiable?
A) Obesity
B) Alcohol consumption
C) Genetics, including BRCA1 and BRCA2 mutations
D) Lack of physical exercise
Correct Answer: Genetics, including BRCA1 and BRCA2 mutations
Rationale: Non-modifiable risk factors are those that cannot be changed. Genetic mutations
like BRCA1 and BRCA2, age, family history, early menarche, and late menopause are non-
modifiable. Obesity, alcohol consumption, and lack of exercise are modifiable lifestyle factors
that patients can change to reduce their risk.
2. A patient is diagnosed with ductal carcinoma in situ (DCIS). Which statement accurately
describes this condition?
A) Cancer cells have invaded the surrounding breast tissue
B) Cancer cells are contained within the mammary duct
C) It is a benign condition with no risk of progression
D) It commonly metastasizes to bone and liver
Correct Answer: Cancer cells are contained within the mammary duct
Rationale: DCIS is a noninvasive breast cancer in which malignant cells are confined to the
mammary duct and have not penetrated the basement membrane. It can progress to
invasive cancer if untreated. Invasive ductal carcinoma extends beyond the duct.
3. The nurse is assessing a patient with metastatic breast cancer. Which site is most
commonly affected by metastasis?
,A) Pancreas
B) Brain, bones, liver, and lungs
C) Kidneys
D) Spleen
Correct Answer: Brain, bones, liver, and lungs
Rationale: Breast cancer commonly metastasizes to the brain, bones, liver, and lungs via the
blood and lymphatic systems. The course and treatment of metastatic breast cancer depend
on the site affected and the level of functional impairment.
4. A patient asks the nurse about her risk for endometrial cancer. Which factor is most
significant in increasing this risk?
A) Multiparity
B) Early menopause
C) Unopposed estrogen therapy
D) Low body mass index
Correct Answer: Unopposed estrogen therapy
Rationale: Endometrial cancer is strongly linked to unopposed estrogen stimulation, such as
from estrogen-only hormone therapy, obesity, or anovulatory cycles. Early menopause and
multiparity are protective, while low BMI reduces risk.
5. The nurse is providing teaching to a patient after a cervical ablation procedure. Which
instruction should be included?
A) Resume sexual intercourse immediately
B) Use tampons for menstrual bleeding
C) Avoid intercourse, tampons, and douching for the recommended period
D) Take a hot bath daily
Correct Answer: Avoid intercourse, tampons, and douching for the recommended period
, Rationale: After cervical ablation, patients should avoid intercourse, tampons, and douching
for the recommended period to prevent infection and promote healing. They should also
report any vaginal bleeding, foul-smelling drainage, or fever.
6. A patient asks how often she should have a Pap test. What is the nurse's best response
based on current guidelines?
A) "Every year starting at age 18."
B) "Every 3 years from age 21 to 65."
C) "Only after menopause."
D) "Based on guidelines; typically every 3 years with cytology or every 5 years with HPV co-
testing."
Correct Answer: Based on guidelines; typically every 3 years with cytology or every 5 years
with HPV co-testing.
Rationale: Current guidelines recommend Pap testing every 3 years for women aged 21–65,
or every 5 years when combined with HPV testing. Annual screening is no longer
recommended.
7. A patient with uterine leiomyoma (fibroids) asks about common symptoms. Which
symptom should the nurse include in the teaching?
A) Light, infrequent menstrual periods
B) Abdominal distention and heavy menstrual bleeding
C) Painless vaginal discharge
D) Weight loss
Correct Answer: Abdominal distention and heavy menstrual bleeding
Rationale: Uterine leiomyomas commonly present with abdominal distention, uterine
enlargement, and heavy menstrual bleeding. A CBC may reveal iron deficiency anemia from
chronic blood loss.
PDF | Rasmussen College
1. A nurse is teaching a community group about breast cancer risk factors. Which factor is
classified as non-modifiable?
A) Obesity
B) Alcohol consumption
C) Genetics, including BRCA1 and BRCA2 mutations
D) Lack of physical exercise
Correct Answer: Genetics, including BRCA1 and BRCA2 mutations
Rationale: Non-modifiable risk factors are those that cannot be changed. Genetic mutations
like BRCA1 and BRCA2, age, family history, early menarche, and late menopause are non-
modifiable. Obesity, alcohol consumption, and lack of exercise are modifiable lifestyle factors
that patients can change to reduce their risk.
2. A patient is diagnosed with ductal carcinoma in situ (DCIS). Which statement accurately
describes this condition?
A) Cancer cells have invaded the surrounding breast tissue
B) Cancer cells are contained within the mammary duct
C) It is a benign condition with no risk of progression
D) It commonly metastasizes to bone and liver
Correct Answer: Cancer cells are contained within the mammary duct
Rationale: DCIS is a noninvasive breast cancer in which malignant cells are confined to the
mammary duct and have not penetrated the basement membrane. It can progress to
invasive cancer if untreated. Invasive ductal carcinoma extends beyond the duct.
3. The nurse is assessing a patient with metastatic breast cancer. Which site is most
commonly affected by metastasis?
,A) Pancreas
B) Brain, bones, liver, and lungs
C) Kidneys
D) Spleen
Correct Answer: Brain, bones, liver, and lungs
Rationale: Breast cancer commonly metastasizes to the brain, bones, liver, and lungs via the
blood and lymphatic systems. The course and treatment of metastatic breast cancer depend
on the site affected and the level of functional impairment.
4. A patient asks the nurse about her risk for endometrial cancer. Which factor is most
significant in increasing this risk?
A) Multiparity
B) Early menopause
C) Unopposed estrogen therapy
D) Low body mass index
Correct Answer: Unopposed estrogen therapy
Rationale: Endometrial cancer is strongly linked to unopposed estrogen stimulation, such as
from estrogen-only hormone therapy, obesity, or anovulatory cycles. Early menopause and
multiparity are protective, while low BMI reduces risk.
5. The nurse is providing teaching to a patient after a cervical ablation procedure. Which
instruction should be included?
A) Resume sexual intercourse immediately
B) Use tampons for menstrual bleeding
C) Avoid intercourse, tampons, and douching for the recommended period
D) Take a hot bath daily
Correct Answer: Avoid intercourse, tampons, and douching for the recommended period
, Rationale: After cervical ablation, patients should avoid intercourse, tampons, and douching
for the recommended period to prevent infection and promote healing. They should also
report any vaginal bleeding, foul-smelling drainage, or fever.
6. A patient asks how often she should have a Pap test. What is the nurse's best response
based on current guidelines?
A) "Every year starting at age 18."
B) "Every 3 years from age 21 to 65."
C) "Only after menopause."
D) "Based on guidelines; typically every 3 years with cytology or every 5 years with HPV co-
testing."
Correct Answer: Based on guidelines; typically every 3 years with cytology or every 5 years
with HPV co-testing.
Rationale: Current guidelines recommend Pap testing every 3 years for women aged 21–65,
or every 5 years when combined with HPV testing. Annual screening is no longer
recommended.
7. A patient with uterine leiomyoma (fibroids) asks about common symptoms. Which
symptom should the nurse include in the teaching?
A) Light, infrequent menstrual periods
B) Abdominal distention and heavy menstrual bleeding
C) Painless vaginal discharge
D) Weight loss
Correct Answer: Abdominal distention and heavy menstrual bleeding
Rationale: Uterine leiomyomas commonly present with abdominal distention, uterine
enlargement, and heavy menstrual bleeding. A CBC may reveal iron deficiency anemia from
chronic blood loss.
