Lewis Medical Surgical
Nursing: Chap 46 Upper GI
Problems Exam Questions with
Answers
User [Date] [Course title]
, After change-of-shift report, which patient would the nurse assess first?
a. A 42-yr-old patient who has acute gastritis and ongoing epigastric pain
b. A 70-yr-old patient with a hiatal hernia who experiences frequent heartburn c. A 60-yr-old patient
with nausea and vomiting who is lethargic with dry mucosa
d. A 53-yr-old patient who has dumping syndrome after a recent partial gastrectomy - Correct Answer:
ANS: C A patient with nausea and vomiting who is lethargic with dry mucosa is at high risk for problems
such as aspiration, dehydration, and fluid and electrolyte disturbances. The other patients will also need
to be assessed, but the information about them indicates symptoms that are typical for their diagnoses
and are not life threatening.
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 - Correct 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 - Correct 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
Nursing: Chap 46 Upper GI
Problems Exam Questions with
Answers
User [Date] [Course title]
, After change-of-shift report, which patient would the nurse assess first?
a. A 42-yr-old patient who has acute gastritis and ongoing epigastric pain
b. A 70-yr-old patient with a hiatal hernia who experiences frequent heartburn c. A 60-yr-old patient
with nausea and vomiting who is lethargic with dry mucosa
d. A 53-yr-old patient who has dumping syndrome after a recent partial gastrectomy - Correct Answer:
ANS: C A patient with nausea and vomiting who is lethargic with dry mucosa is at high risk for problems
such as aspiration, dehydration, and fluid and electrolyte disturbances. The other patients will also need
to be assessed, but the information about them indicates symptoms that are typical for their diagnoses
and are not life threatening.
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 - Correct 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 - Correct 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
