MDC II Exam I EXAM 2025 QUESTIONS AND CORRECT ANSWER, Exams of Public Health

Download MDC II Exam I EXAM 2025 QUESTIONS AND CORRECT ANSWER and more Exams Public Health in PDF only on Docsity! MDC II Exam I EXAM 2025 QUESTIONS AND CORRECT ANSWER A nurse is caring for a patient who presents to the emergency department with a nagging cough. They also have unusual bleeding, and changes to their bowel and bladder habit. Based on these findings what is the anticipated diagnosis? A. Cancer B. Influenza C. Sclerosis of the liver D. Gastritis - answer>>>A. Cancer A nurse is caring for a patient who presents with new onset of seizures, confusion, and muscle tremors. Their laboratory results show hypomagnesia. Which of the following could cause hypomagnesia? A. Bleeding B. Decreased water intake C. Addison's disease D. Alcoholism - answer>>>Alcoholism A nurse is caring for a patient with a diagnosis of hypernatremia. Which of the following assessments would you expect to see? A. Hypothermia B. Increased thirst C. Headache D. Muscle cramping - answer>>>B. increased thirst A nurse is caring for an 84 year old with nausea and they've been vomiting for 3 days. They vomited this morning before they arrived. Upon assessment the nurse notes an elevated HR, dry oral mucus membranes, and poor skin turgor. What is the priority intervention? A. Schedule small feedings B. Administer antiemetic C. Obtain an order for IV access and start fluids D. Monitor output but documenting episodes of incontinence - answer>>>C. Obtain an order for IV access and start fluids A nurse is caring for a newly diagnosed leukemia patient. They recently completed their first round of chemotherapy. Which of the following would you include in patient and family education? A. The patient is at an increased risk for developing mucositis B. The patient may resume normal activity following discharge C. The patient does not have an increased risk for bleeding D. The patient will not experience any pain as a result of the leukemia - answer>>>A. The patient is at an increased risk for developing mucositis A nurse is providing education to a patient and family about radiation as part of their cancer treatment for a brain tumor. Which of the following is NOT a side effect of radiation? A. alopecia B. cerebral edema C. skin irritation D. constipation - answer>>>D. constipation Cancer management requires a collaborative approach including a multidisciplinary team. Determining the plan after diagnosis is which collaborative intervention? A. Developing a treatment plan B. Providing education C. Formulating the care team D. Establishing the nursing plan of care - answer>>>A. Developing a treatment plan The nurse is caring for a 56 year old female patient, brought into the emergency room by her family with complaints of fever over the past 3 days. The patient recently completed a cycle of chemotherapy. Upon assessment, the nurse also notes that the patient's temperature is 103.6, HR 128, and a RR of 28 bpm, BP 88/60. The doctor orders CBC, CMP, and ABG. What would you expect to find in her lab work? A. decreased potassium B. decreased sodium C. a normal WBC D. decreased absolute neutrophil count (ANC) - answer>>>Decreased ANC A patient presents to the emergency department with increased SOB, and pitting edema in lower extremities. The patient saw his PCP who increased his Lasix. The patient has a history of heart failure and diabetes. The laboratory findings are: sodium 150, and potassium 2.5. Which of the following electrolyte imbalances is the patient exhibiting? A. hyponatremia, hypocalcemia B. hypernatremia, hyperkalemia C. hypernatremia, hypokalemia D. hypernatremia, hypocalcemia - answer>>>C. Hypernatremia, hypokalemia A patient diagnosed with cancer who has exhausted all treatment options. They have been given less than 6 months to live. What are they a good candidate for? A. palliative care B. home care C. hospice care D. outpatient care - answer>>>C. Hospice care The nurse is caring for a 46 y/o female who presents to the emergency room with fever, N/V, fatigue, over the past couple of days. She's recently been diagnosed with breast cancer and is undergoing chemotherapy. The patient's lab results reveal the following: Sodium 150, potassium 3.2, calcium 15. Which of the following fluid and electrolyte imbalances is the patient exhibiting? A. hypervolemia, hypercalcemia, hyperkalemia B. hypovolemia, hypernatremia, hypokalemia, hypercalcemia C. hyponatremia, hypercalcemia D. hypovolemia, hyperkalemia - answer>>>B. Hypovolemia, hypernatremia, hypokalemia, hypercalcemia A nurse is talking to a patient who is diagnosed with liver cancer 9 months ago. The family is requesting assistance to deal with the diagnosis. The nurse provides the family with information about palliative care. Which of the following is not a goal of palliative care? A. To prevent symptoms and side effects of treatment B. To provide family support C. To provide education D. To provide financial assistance - answer>>>D. To provide financial assistance Treatment plans for cancer patient's can include a single type of treatment or a combination type depending on the cancer type. Which of the following is NOT a cancer treatment option? A. surgical treatment B. radiation C. chemotherapy D. vegan diet - answer>>>Vegan diet What is your normal value for serum sodium? A. 125-135 B. 136-145 C. 140-150 D. 120-130 - answer>>>B. 136-145 What is the step in which a normal cell becomes damaged? This step is irreversible and leads to cancer development. A. Initiation B. Cellular regulation C. Metastases D. Promotion - answer>>>Initiation What does the nurse expect to find when the left palmar flexion happens in response to a blood pressure being inflated? A. Hypoglycemia, Positive Chvostek's sign B. Hypocalcemia, Positive Chvostek's sign C. Melanomas D. Sarcomas - answer>>>lymphoma A nurse is caring for a patient who is on a fluid restriction and is preparing for discharge. Which of the following should be included in their education? (SATA) a. Explain the purpose of the fluid restriction b. Teach the patient and family about performing daily weights c. Determine the patient's dietary preferences when planning a diet after discharge d. Advise the patient to not follow the fluid restrictions at home. e. Advise them increase salt to their food to increase the flavor - answer>>>a. Explain the purpose of the fluid restriction b. Teach the patient and family about performing daily weights c. Determine the patient's dietary preferences when planning a diet after discharge A patient has a positive family history of colon cancer. Which of the following is a recommendation you would want them to adhere to? A. Encourage baseline colonoscopy screening B. Strict physical activity C. Encourage the patient to increase dietary intake of red meats D. Encourage the patient to reduce intake of fiber - answer>>>A. Encourage baseline colonoscopy screening The patient asks the nurse how radiation works to destroy cancer cells. How would you respond? A. The goal of radiation therapy is to destroy the cancer cells, while minimizing further damage to the body B. The goal of localized radiation therapy is to kill all of the rapidly dividing cells throughout the body C. The goal of radiation therapy is to localize the tumor and reverse it back to normal tissue D. The goal of radiation therapy is to promote cell proliferation - answer>>>A. The goal of radiation therapy is to destroy the cancer cells, while minimizing further damage to the body A patient asks the nurse to explain what radiation "exposure" 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 - answer>>>C. It refers to the amount of radiation being delivered 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 at the wrong time. But they are not cancerous." C. "A benign tumor will kill you, whereas a malignant tumor cannot." D. "A benign tumor has not undergone apoptosis, whereas a malignant tumor has." - answer>>>B. "A benign tumor is normal cells growing in the wrong place at the wrong time. But they are not cancerous." A patient is undergoing chemotherapy and is receiving education about the reduction of infection risk. Which action reduces the risk of infection? A. Live vaccine B. Hand hygiene C. Weight bearing exercises D. Monitor for bruising - answer>>>B. Hand hygiene A patient would like to know what it means that her breast cancer has metastasized. A. irreversible damage has caused tumor growth B. a tumor has sent chemical signals to develop its own vasculature C. cancer cells have moved from their primary site D. repeated exposure lead to mutation - answer>>>C. Cancer cells have moved from their primary site The patient who has undergone which procedure is at most risk for hypocalcemia? A. Thyroidectomy B. Adrenalectomy C. Pancreactectomy D. Gastectomy - answer>>>A. Thyroidectomy What serum laboratory value does the nurse expect to see with a patient who is hypokalemic? A. Calcium less than 8.0 mEq/L B. Potassium less than 5.0 mEq/L C. Calcium less than 11.0 mEq/L D. Potassium less than 3.5 mEq/L - answer>>>D. Potassium less than 3.5 mEq/L The nurses uses which phrase to describe palliative care? B. "I'm going to eat ham instead of chicken." C. "I'll go to the emergency room if I have difficulty breathing." - answer>>>B. "I'm going to eat ham instead of chicken." A nurse is caring for a patient who's being treated for hypokalemia. Which of the following is correct statement regarding potassium administration? A. Infuse at a rate no greater than 40 mEq/hr B. Administer IM or IV C. Administer IV push D. Administer via an infusion pump - answer>>>D. Administer via an infusion pump A nurse is caring for a patient who is undergoing external radiation treatment for liver cancer, what information do you need to provide to the patient and family? A. The importance of maintaining the external markings on the skin for future treatment B. Family should avoid contact with the patient C. The treatments can last 4-6 hours D. Radiation treatment has very few side effects - answer>>>A. the importance of maintaining the external markings on the skin for future treatment A nurse is caring for a 90 year old female patient. She was admitted for N/V and diarrhea for 5 days. Her HR is 130 bpm, her BP is 96/50, her mucus membranes are dry. She has poor skin turgor. Which of the following is an appropriate fluid replacement? A. Isotonic B. Hypotonic C. Hypertonic D. Colloids - answer>>>A. Isotonic