1|Page
NUR 122 EXAM 1 / ACTUAL TEST QUESTIONS &
CERTIFIED SOLUTIONS / 100% CORRECT / ALREADY
GRADED A+
A nurse is caring for a client with recurrent aphthous stomatitis (RAS) who asks
about food choices while healing. Which food will the nurse suggest?
A. Half of an orange
B. Chocolate pudding
C. Chips with hummus
D. Glass of tomato juice - (answers)Correct Answer: B
Rationale: Chocolate pudding is likely to be the most soothing food choice for a
client with RAS.The orange and glass of tomato juice are acidic, which will inflict
pain. Although plain hummusmay be a good choice (as long as it is not flavored
with spicy additives), the chips are hard andsalty, which will cause oral
discomfort.
A nurse is caring for four clients. Which individual does the nurse identify at the
highest risk for development of oral cancer?
A. 28-year-old with human papilloma virus (HPV) infection
B. 30-year-old with recurrent aphthous stomatitis (RAS)
C. 55-year-old who quit chewing tobacco 5 years ago
D. 76-year-old who is sometimes negligent in denture care - (answers)Correct
Answer: A
Rationale: HPV is directly correlated to development of oral cancer, so the
individual with this infection is at highest risk. Recurrent aphthous stomatitis and
intermittent negligence in denture care do not pose a higher risk for oral cancer
,2|Page
than HPV. The individual who stopped chewing tobacco 5 years ago have already
decreased their risk.
When providing discharge teaching about mouth care, which substance will the
nurse teach the client with oral cancer to avoid? (Select all that apply.)
A. Mouthwash
B. Lip lubricant
C. Warm saline rinses
D. Ultra-soft toothbrush
E. Disposable foam brushes
F. Bicarbonate mouth rinse - (answers)Correct Answers: A, E
Rationale: The nurse will teach the client with oral cancer to avoid mouthwash
(alcohol can irritate mucous membranes), and disposable foam brushes (which do
not control plaque, and dry the mouth). Lip lubricant, warm saline or bicarbonate
rinses, and use of an ultra-soft toothbrush can be encourage.
Which client statement about GERD triggers requires further nursing teaching?
(Select all that apply.)
A. "I will decrease my alcohol intake."
B. "Smoking 1-2 cigarettes a day won't hurt."
C. "My plan is to eat six small meals daily."
D. "Tomato-based foods should be avoided."
E. "I love soda but I am going to stop drinking it."
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F. "Our family eats Mexican dishes several times weekly." - (answers)Correct
Answers: B, F
Rationale: The nurse will need to provide further teaching when the client states
that continued smoking is acceptable, because smoking influences the tone of the
lower esophageal sphincter(LES). The nurse will also provide further teaching
regarding spicy dishes like Mexican foods, as spicy foods can increase episodes of
GERD.
A community health nurse is screening clients for esophageal cancer. Which client
is identifiedat highest risk?
A. 22-year-old who drinks a glass of beer weekly.
B. 44-year-old who smokes a pack of cigarettes daily.
C. 50-year-old who takes over-the-counter omeprazole.
D. 63-year old who uses protein supplements regularly - (answers)Correct
Answer: B
Rationale: The nurse identifies the 44-year-old patient who smokes a pack of
cigarettes daily asat the highest risk for developing esophageal cancer. Drinking a
glass of beer weekly is not highconsumption; taking over-the-counter omeprazole
reflects treatment of GERD; and using proteinsupplements daily demonstrates
addressing the possibility of malnutrition
The nurse is caring for a client with esophageal cancer who is scheduled for
surgery. When the client asks, "Is this treatment going to cure me?", which is the
appropriate nursing response? (Select all that apply.)
A. "The surgery has been useful for many patients so it should work for you."
B. "You can beat this disease if you just put your mind to it and do not give up."
, 4|Page
C. "Yes, and you have the best surgeon around who specializes in cancer
treatment."
D. "Your surgeon can give more information about the effectiveness of this
treatment."
E. "It sounds like you are concerned about surgical outcomes; let's talk about your
feelings." - (answers)Correct Answers: D, F
Rationale: The nurse will respond by addressing the client's question, as well as
the possible fear that accompanies it. The surgeon obtains informed consent and
will share information aboutthe evidence-based outcomes of the surgery
(including whether a surgery is curative or palliativein nature); the nurse can
witness the informed consent. The nurse will address the client's emotions by
verbalizing the implied (stating that it sounds like the client is concerned out the
outcome) and asking if the client would like to talk. The nurse should not indicate
that the surgery should work for the client since it worked for others, nor should
the nurse give false hope by telling the client that they can beat the disease if
they will themselves to do it. Although the client may be treated by a surgeon
with a favorable reputation, it is not appropriate to answer "yes", because this
implies that the surgery will be curative in nature.
A nurse is caring for a 34-year-old client newly diagnosed with GERD. Which
lifestyle change will the nurse suggest? (Select all that apply)
A. Lose weight if needed
B. Do not eat before bed
C. Elevate the foot of your bed by 6-12 inches
D. Avoid pants with a tight waistband or belt
E. Eat fatty foods to minimize ongoing hunger - (answers)Correct Answers: A, B, D
NUR 122 EXAM 1 / ACTUAL TEST QUESTIONS &
CERTIFIED SOLUTIONS / 100% CORRECT / ALREADY
GRADED A+
A nurse is caring for a client with recurrent aphthous stomatitis (RAS) who asks
about food choices while healing. Which food will the nurse suggest?
A. Half of an orange
B. Chocolate pudding
C. Chips with hummus
D. Glass of tomato juice - (answers)Correct Answer: B
Rationale: Chocolate pudding is likely to be the most soothing food choice for a
client with RAS.The orange and glass of tomato juice are acidic, which will inflict
pain. Although plain hummusmay be a good choice (as long as it is not flavored
with spicy additives), the chips are hard andsalty, which will cause oral
discomfort.
A nurse is caring for four clients. Which individual does the nurse identify at the
highest risk for development of oral cancer?
A. 28-year-old with human papilloma virus (HPV) infection
B. 30-year-old with recurrent aphthous stomatitis (RAS)
C. 55-year-old who quit chewing tobacco 5 years ago
D. 76-year-old who is sometimes negligent in denture care - (answers)Correct
Answer: A
Rationale: HPV is directly correlated to development of oral cancer, so the
individual with this infection is at highest risk. Recurrent aphthous stomatitis and
intermittent negligence in denture care do not pose a higher risk for oral cancer
,2|Page
than HPV. The individual who stopped chewing tobacco 5 years ago have already
decreased their risk.
When providing discharge teaching about mouth care, which substance will the
nurse teach the client with oral cancer to avoid? (Select all that apply.)
A. Mouthwash
B. Lip lubricant
C. Warm saline rinses
D. Ultra-soft toothbrush
E. Disposable foam brushes
F. Bicarbonate mouth rinse - (answers)Correct Answers: A, E
Rationale: The nurse will teach the client with oral cancer to avoid mouthwash
(alcohol can irritate mucous membranes), and disposable foam brushes (which do
not control plaque, and dry the mouth). Lip lubricant, warm saline or bicarbonate
rinses, and use of an ultra-soft toothbrush can be encourage.
Which client statement about GERD triggers requires further nursing teaching?
(Select all that apply.)
A. "I will decrease my alcohol intake."
B. "Smoking 1-2 cigarettes a day won't hurt."
C. "My plan is to eat six small meals daily."
D. "Tomato-based foods should be avoided."
E. "I love soda but I am going to stop drinking it."
,3|Page
F. "Our family eats Mexican dishes several times weekly." - (answers)Correct
Answers: B, F
Rationale: The nurse will need to provide further teaching when the client states
that continued smoking is acceptable, because smoking influences the tone of the
lower esophageal sphincter(LES). The nurse will also provide further teaching
regarding spicy dishes like Mexican foods, as spicy foods can increase episodes of
GERD.
A community health nurse is screening clients for esophageal cancer. Which client
is identifiedat highest risk?
A. 22-year-old who drinks a glass of beer weekly.
B. 44-year-old who smokes a pack of cigarettes daily.
C. 50-year-old who takes over-the-counter omeprazole.
D. 63-year old who uses protein supplements regularly - (answers)Correct
Answer: B
Rationale: The nurse identifies the 44-year-old patient who smokes a pack of
cigarettes daily asat the highest risk for developing esophageal cancer. Drinking a
glass of beer weekly is not highconsumption; taking over-the-counter omeprazole
reflects treatment of GERD; and using proteinsupplements daily demonstrates
addressing the possibility of malnutrition
The nurse is caring for a client with esophageal cancer who is scheduled for
surgery. When the client asks, "Is this treatment going to cure me?", which is the
appropriate nursing response? (Select all that apply.)
A. "The surgery has been useful for many patients so it should work for you."
B. "You can beat this disease if you just put your mind to it and do not give up."
, 4|Page
C. "Yes, and you have the best surgeon around who specializes in cancer
treatment."
D. "Your surgeon can give more information about the effectiveness of this
treatment."
E. "It sounds like you are concerned about surgical outcomes; let's talk about your
feelings." - (answers)Correct Answers: D, F
Rationale: The nurse will respond by addressing the client's question, as well as
the possible fear that accompanies it. The surgeon obtains informed consent and
will share information aboutthe evidence-based outcomes of the surgery
(including whether a surgery is curative or palliativein nature); the nurse can
witness the informed consent. The nurse will address the client's emotions by
verbalizing the implied (stating that it sounds like the client is concerned out the
outcome) and asking if the client would like to talk. The nurse should not indicate
that the surgery should work for the client since it worked for others, nor should
the nurse give false hope by telling the client that they can beat the disease if
they will themselves to do it. Although the client may be treated by a surgeon
with a favorable reputation, it is not appropriate to answer "yes", because this
implies that the surgery will be curative in nature.
A nurse is caring for a 34-year-old client newly diagnosed with GERD. Which
lifestyle change will the nurse suggest? (Select all that apply)
A. Lose weight if needed
B. Do not eat before bed
C. Elevate the foot of your bed by 6-12 inches
D. Avoid pants with a tight waistband or belt
E. Eat fatty foods to minimize ongoing hunger - (answers)Correct Answers: A, B, D
