©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED 10:15AM A+
NUR 122 EXAM 1 Questions And Answers
|Latest 2025 | Guaranteed Pass.
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 - Answer✔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 - Answer✔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 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
1
,©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED 10:15AM A+
B. Lip lubricant
C. Warm saline rinses
D. Ultra-soft toothbrush
E. Disposable foam brushes
F. Bicarbonate mouth rinse - Answer✔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."
F. "Our family eats Mexican dishes several times weekly." - Answer✔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 - Answer✔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
2
,©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED 10:15AM A+
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."
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." -
Answer✔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 - Answer✔Correct Answers: A, B, D
Rationale: Clients with GERD benefit from weight loss (if needed), avoidance of eating before
bed (so that reflux is minimized), and by avoiding constrictive clothing which increase
abdominal pressure. The head - not the foot - of the bed should be elevated to optimize gravity.
Fatty foods should be avoided by clients with GERD, as these can increase reflux.
A client who had the Stretta procedure to treat severe GERD is being discharged. Which client
statement requires further nursing teaching? (Select all that apply.)
A. "Dysphagia after this procedure is normal".
3
, ©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED 10:15AM A+
B. "It's important to stop my proton pump inhibitor."
C. "I will not take NSAIDs and aspirin for at least 10 days."
D. "I might cough up some blood following this procedure."
E. "Today I will drink clear liquids and tomorrow I can eat soft food." - Answer✔Correct
Answers: A, B, D
Rationale: The nurse will provide further teaching by educating the patient to report dysphagia
and bleeding after the procedure, as these are not normal post-procedure findings. The nurse
will also clarify that PPI therapy should continue post-procedure. Continued use can be
reevaluated after the efficacy of the procedure is determined in follow-up visits. The client has
demonstrated understanding by saying that NSAIDs and aspirin should be avoided for at least
10days, as this increases the risk of bleeding. Additionally, these drugs can be irritating to the
gastric mucosa, so avoidance even longer might be recommended by the primary health care
provider. The client also has demonstrated understanding by remaining on a clear liquid diet for
at least 24 hours post-procedure before advancing to a soft diet the following day.
A public health nurse is assessing community clients for oral health disorders. Which client is
identified at highest risk?
A. 23-year old with 3 dental fillings
B. 34-year-old with schizophrenia
C. 55-year-old with stable angina
D. 62-year-old with irritable bowel syndrome - Answer✔Correct Answer: B
Rationale: The nurse identifies that the client with schizophrenia is at highest risk for oral health
disorders. The population with mental health disorders is at high risk for this health deviation.
The client who has dental fillings demonstrates receiving dental care, which decreases risk.
Stable angina and irritable bowel syndrome do not raise risk for oral health disorders.
The nurse is caring for a client diagnosed with peptic ulcer disease (PUD). For which potential
complications will the nurse monitor? (Select all that apply.)
A. Pneumonia
B. Peritonitis
C. Anemia
D. Stroke
E. Hypotension
F. Cirrhosis - Answer✔Answer: B, C, E
4
NUR 122 EXAM 1 Questions And Answers
|Latest 2025 | Guaranteed Pass.
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 - Answer✔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 - Answer✔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 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
1
,©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED 10:15AM A+
B. Lip lubricant
C. Warm saline rinses
D. Ultra-soft toothbrush
E. Disposable foam brushes
F. Bicarbonate mouth rinse - Answer✔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."
F. "Our family eats Mexican dishes several times weekly." - Answer✔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 - Answer✔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
2
,©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED 10:15AM A+
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."
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." -
Answer✔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 - Answer✔Correct Answers: A, B, D
Rationale: Clients with GERD benefit from weight loss (if needed), avoidance of eating before
bed (so that reflux is minimized), and by avoiding constrictive clothing which increase
abdominal pressure. The head - not the foot - of the bed should be elevated to optimize gravity.
Fatty foods should be avoided by clients with GERD, as these can increase reflux.
A client who had the Stretta procedure to treat severe GERD is being discharged. Which client
statement requires further nursing teaching? (Select all that apply.)
A. "Dysphagia after this procedure is normal".
3
, ©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED 10:15AM A+
B. "It's important to stop my proton pump inhibitor."
C. "I will not take NSAIDs and aspirin for at least 10 days."
D. "I might cough up some blood following this procedure."
E. "Today I will drink clear liquids and tomorrow I can eat soft food." - Answer✔Correct
Answers: A, B, D
Rationale: The nurse will provide further teaching by educating the patient to report dysphagia
and bleeding after the procedure, as these are not normal post-procedure findings. The nurse
will also clarify that PPI therapy should continue post-procedure. Continued use can be
reevaluated after the efficacy of the procedure is determined in follow-up visits. The client has
demonstrated understanding by saying that NSAIDs and aspirin should be avoided for at least
10days, as this increases the risk of bleeding. Additionally, these drugs can be irritating to the
gastric mucosa, so avoidance even longer might be recommended by the primary health care
provider. The client also has demonstrated understanding by remaining on a clear liquid diet for
at least 24 hours post-procedure before advancing to a soft diet the following day.
A public health nurse is assessing community clients for oral health disorders. Which client is
identified at highest risk?
A. 23-year old with 3 dental fillings
B. 34-year-old with schizophrenia
C. 55-year-old with stable angina
D. 62-year-old with irritable bowel syndrome - Answer✔Correct Answer: B
Rationale: The nurse identifies that the client with schizophrenia is at highest risk for oral health
disorders. The population with mental health disorders is at high risk for this health deviation.
The client who has dental fillings demonstrates receiving dental care, which decreases risk.
Stable angina and irritable bowel syndrome do not raise risk for oral health disorders.
The nurse is caring for a client diagnosed with peptic ulcer disease (PUD). For which potential
complications will the nurse monitor? (Select all that apply.)
A. Pneumonia
B. Peritonitis
C. Anemia
D. Stroke
E. Hypotension
F. Cirrhosis - Answer✔Answer: B, C, E
4
