LEWIS MEDICAL SURGICAL NURSING 12TH
EDITION ALL CHAPTERS EXAMINATION
TEST 2026 FULL QUESTIONS AND
ACCURATE SOLUTIONS GRADED A+
⩥ Which item would the nurse offer to the patient restarting oral intake
after being NPO due to nausea and vomiting?
a. Glass of orange juice
b. Dish of lemon gelatin
c. Cup of coffee with cream
d. Bowl of hot chicken broth. Answer: ANS: B Clear cool liquids are
usually the first foods started after a patient has been nauseated. Acidic
foods such as orange juice, very hot foods, and coffee are poorly
tolerated when patients have been nauseated.
⩥ A woman receiving chemotherapy for breast cancer develops a
Candida albicans oral infection. Which intervention would the nurse
anticipate?
a. Nystatin tablets
b. Antiviral agents
c. Referral to a dentist
d. Hydrogen peroxide rinses. Answer: ANS: A C. albicans infections are
treated with an antifungal such as nystatin. Peroxide rinses would be
painful. Oral saltwater rinses may be used but will not cure the infection.
,Antiviral agents are used for viral infections such as herpes simplex.
Referral to a dentist is indicated for gingivitis but not for Candida
infection
⩥ Which finding in the mouth of a patient who uses smokeless tobacco
is suggestive of oral cancer?
a. Bleeding during tooth brushing
b. Painful blisters at the lip border
c. Red patches on the buccal mucosa
d. Curdlike plaques on the posterior tongue. Answer: ANS: C A red,
velvety patch suggests erythroplasia, which has a high incidence (>50%)
of progression to squamous cell carcinoma. The other lesions are
suggestive of acute processes (e.g., gingivitis, oral candidiasis, herpes
simplex).
⩥ Which information will the nurse include when teaching adults to
decrease the risk for cancers of the tongue and buccal mucosa?
a. Use sunscreen even on cloudy days.
b. Avoid cigarettes and smokeless tobacco.
c. Complete antibiotic courses used to treat throat infections.
d. Use antivirals to treat herpes simplex virus (HSV) infections. Answer:
ANS: B Tobacco use greatly increases the risk for oral cancer. Acute
throat infections do not increase the risk for oral cancer, although
chronic irritation of the oral mucosa does increase risk. Sun exposure
does not increase the risk for cancers of the buccal mucosa, although it
, increases risk for cancer of the lip. Human papillomavirus (HPV)
infection is associated with an increased risk, but HSV infection is not a
risk factor for oral cancer
⩥ A patient who has gastroesophageal reflux disease (GERD) is
experiencing increasing discomfort. Which patient statement to the nurse
indicates a need for additional teaching about GERD?
a. ―I quit smoking years ago, but I chew gum.‖
b. ―I eat small meals and have a bedtime snack.‖
c. ―I take antacids between meals and at bedtime each night.‖
d. ―I sleep with the head of the bed elevated on 4-inch blocks.‖.
Answer: ANS: B GERD is exacerbated by eating late at night, and the
nurse would plan to teach the patient to avoid eating within 3 hours of
bedtime. Smoking cessation, taking antacids, and elevating the head of
the bed are appropriate actions to control symptoms of GERD.
⩥ A patient with a stroke is unconscious and unresponsive to stimuli.
After learning that the patient has a history of gastroesophageal reflux
disease (GERD), which assessment would the nurse plan to make more
frequently than is routine?
a. Apical pulse
b. Bowel sounds
c. Breath sounds
d. Abdominal girth. Answer: ANS: C Because GERD may cause
aspiration, the unconscious patient is at risk for developing aspiration
EDITION ALL CHAPTERS EXAMINATION
TEST 2026 FULL QUESTIONS AND
ACCURATE SOLUTIONS GRADED A+
⩥ Which item would the nurse offer to the patient restarting oral intake
after being NPO due to nausea and vomiting?
a. Glass of orange juice
b. Dish of lemon gelatin
c. Cup of coffee with cream
d. Bowl of hot chicken broth. Answer: ANS: B Clear cool liquids are
usually the first foods started after a patient has been nauseated. Acidic
foods such as orange juice, very hot foods, and coffee are poorly
tolerated when patients have been nauseated.
⩥ A woman receiving chemotherapy for breast cancer develops a
Candida albicans oral infection. Which intervention would the nurse
anticipate?
a. Nystatin tablets
b. Antiviral agents
c. Referral to a dentist
d. Hydrogen peroxide rinses. Answer: ANS: A C. albicans infections are
treated with an antifungal such as nystatin. Peroxide rinses would be
painful. Oral saltwater rinses may be used but will not cure the infection.
,Antiviral agents are used for viral infections such as herpes simplex.
Referral to a dentist is indicated for gingivitis but not for Candida
infection
⩥ Which finding in the mouth of a patient who uses smokeless tobacco
is suggestive of oral cancer?
a. Bleeding during tooth brushing
b. Painful blisters at the lip border
c. Red patches on the buccal mucosa
d. Curdlike plaques on the posterior tongue. Answer: ANS: C A red,
velvety patch suggests erythroplasia, which has a high incidence (>50%)
of progression to squamous cell carcinoma. The other lesions are
suggestive of acute processes (e.g., gingivitis, oral candidiasis, herpes
simplex).
⩥ Which information will the nurse include when teaching adults to
decrease the risk for cancers of the tongue and buccal mucosa?
a. Use sunscreen even on cloudy days.
b. Avoid cigarettes and smokeless tobacco.
c. Complete antibiotic courses used to treat throat infections.
d. Use antivirals to treat herpes simplex virus (HSV) infections. Answer:
ANS: B Tobacco use greatly increases the risk for oral cancer. Acute
throat infections do not increase the risk for oral cancer, although
chronic irritation of the oral mucosa does increase risk. Sun exposure
does not increase the risk for cancers of the buccal mucosa, although it
, increases risk for cancer of the lip. Human papillomavirus (HPV)
infection is associated with an increased risk, but HSV infection is not a
risk factor for oral cancer
⩥ A patient who has gastroesophageal reflux disease (GERD) is
experiencing increasing discomfort. Which patient statement to the nurse
indicates a need for additional teaching about GERD?
a. ―I quit smoking years ago, but I chew gum.‖
b. ―I eat small meals and have a bedtime snack.‖
c. ―I take antacids between meals and at bedtime each night.‖
d. ―I sleep with the head of the bed elevated on 4-inch blocks.‖.
Answer: ANS: B GERD is exacerbated by eating late at night, and the
nurse would plan to teach the patient to avoid eating within 3 hours of
bedtime. Smoking cessation, taking antacids, and elevating the head of
the bed are appropriate actions to control symptoms of GERD.
⩥ A patient with a stroke is unconscious and unresponsive to stimuli.
After learning that the patient has a history of gastroesophageal reflux
disease (GERD), which assessment would the nurse plan to make more
frequently than is routine?
a. Apical pulse
b. Bowel sounds
c. Breath sounds
d. Abdominal girth. Answer: ANS: C Because GERD may cause
aspiration, the unconscious patient is at risk for developing aspiration
