NUR 2392 | Exam 3 | Independent Practice Examination 1
, NUR 2392 EXAM 3
MULTIDIMENSIONAL CARE II
Rasmussen University
100-Question Original Practice Examination 2026/2027 Edition
1. A client receiving chemotherapy reports painful oral ulcers and cannot tolerateregular meals. Which nursing action
is most appropriate?
A) Recommend alcohol-based mouthwash after each meal
B) Assess mucositis severity and offer bland soft foods with gentle oral care
C) Encourage spicy acidic foods
D) Stop all oral assessment until chemotherapy ends
Correct Answer: Assess mucositis severity and offer bland soft foods with gentle oral care
Rationale: Chemotherapy can injure rapidly dividing oral epithelium. Gentle saline or prescribed rinses, nonirritating foods, pain
control, and hydration can support intake. Severe mucositis requires evaluation of infection, nutrition, and treatment
implications.
2. A client with neutropenia develops a white removable coating and sore tongue. Whichcondition should the nurse
consider?
A) Oropharyngeal candidiasis
B) Leukoplakia as certainty
C) Normal saliva deposits
D) Dental caries alone
Correct Answer: Oropharyngeal candidiasis
Rationale: Thrush often creates removable white plaques with erythematous mucosa underneath, especially during
immunosuppression or antibiotic exposure. Assessment should distinguish it from nonremovable leukoplakia. Antifungal
treatment and oral hygiene may be needed.
3. A client who smokes has a persistent nonremovable white patch inside the cheek.What is the best nursing
response?
A) Arrange assessment of possible leukoplakia
B) Scrape forcefully until it bleeds
C) Assure that malignancy is impossible
D) Treat indefinitely with oral antibiotics
Correct Answer: Arrange assessment of possible leukoplakia
Rationale: A persistent nonremovable white oral lesion may be leukoplakia and carries variable dysplasia risk. Tobacco exposure
adds concern. Dental or specialist assessment is more appropriate than assuming infection or normal mucosal variation.
4. A client has a velvety red oral lesion persisting for weeks. Which finding is mostconcerning?
NUR 2392 | Exam 3 | Independent Practice Examination 2
, A) Red color excludes abnormal tissue
B) All red lesions are normal after meals
C) Erythroplakia warrants prompt evaluation for dysplasia or malignancy
D) Only tooth sensitivity matters
Correct Answer: Erythroplakia warrants prompt evaluation for dysplasia or malignancy
Rationale: Erythroplakia may have a higher rate of significant dysplasia than many white lesions. Persistence and risk factors
warrant expert examination and possible biopsy. The nurse should avoid assigning a benign cause solely from appearance.
5. A postoperative client has dry mouth and thick oral secretions. Which interventionsupports comfort and safety?
A) Withhold all oral hygiene
B) Use lemon-glycerin swabs repeatedly despite irritation
C) Provide frequent oral assessment and moisture care
D) Offer hard candy while the client is obtunded
Correct Answer: Provide frequent oral assessment and moisture care
Rationale: Dry mucosa increases discomfort and oral injury risk. Appropriate oral care, hydration assessment, and safe moisture
measures help. Aspiration precautions and level of consciousness determine what can be given by mouth.
6. A client with painful swollen parotid glands has fever and purulent drainage from theduct. Which condition is
plausible?
A) Simple xerostomia only
B) Normal age-related gland change
C) Acute bacterial sialadenitis
D) Uncomplicated allergic rhinitis
Correct Answer: Acute bacterial sialadenitis
Rationale: Tender gland enlargement with purulence suggests infection, often associated with dehydration or impaired salivary
flow. The nurse should assess hydration, oral health, systemic illness, and need for antimicrobial or procedural evaluation.
7. A client reports difficulty swallowing liquids and coughs when drinking water after astroke. What is the priority?
A) Offer thin liquids rapidly to strengthen muscles
B) Place the client flat for meals
C) Ignore intermittent coughing
D) Keep oral intake on hold until swallowing safety is evaluated
Correct Answer: Keep oral intake on hold until swallowing safety is evaluated
Rationale: Cough during liquids suggests possible aspiration. Swallow screening or speech-language assessment guides diet
consistency and precautions. Unrecognized aspiration can cause pneumonia or malnutrition.
8. A client with dysphagia is being fed after an approved swallow evaluation. Whichposition is safest?
A) Flat supine
B) Trendelenburg
NUR 2392 | Exam 3 | Independent Practice Examination 3
, NUR 2392 EXAM 3
MULTIDIMENSIONAL CARE II
Rasmussen University
100-Question Original Practice Examination 2026/2027 Edition
1. A client receiving chemotherapy reports painful oral ulcers and cannot tolerateregular meals. Which nursing action
is most appropriate?
A) Recommend alcohol-based mouthwash after each meal
B) Assess mucositis severity and offer bland soft foods with gentle oral care
C) Encourage spicy acidic foods
D) Stop all oral assessment until chemotherapy ends
Correct Answer: Assess mucositis severity and offer bland soft foods with gentle oral care
Rationale: Chemotherapy can injure rapidly dividing oral epithelium. Gentle saline or prescribed rinses, nonirritating foods, pain
control, and hydration can support intake. Severe mucositis requires evaluation of infection, nutrition, and treatment
implications.
2. A client with neutropenia develops a white removable coating and sore tongue. Whichcondition should the nurse
consider?
A) Oropharyngeal candidiasis
B) Leukoplakia as certainty
C) Normal saliva deposits
D) Dental caries alone
Correct Answer: Oropharyngeal candidiasis
Rationale: Thrush often creates removable white plaques with erythematous mucosa underneath, especially during
immunosuppression or antibiotic exposure. Assessment should distinguish it from nonremovable leukoplakia. Antifungal
treatment and oral hygiene may be needed.
3. A client who smokes has a persistent nonremovable white patch inside the cheek.What is the best nursing
response?
A) Arrange assessment of possible leukoplakia
B) Scrape forcefully until it bleeds
C) Assure that malignancy is impossible
D) Treat indefinitely with oral antibiotics
Correct Answer: Arrange assessment of possible leukoplakia
Rationale: A persistent nonremovable white oral lesion may be leukoplakia and carries variable dysplasia risk. Tobacco exposure
adds concern. Dental or specialist assessment is more appropriate than assuming infection or normal mucosal variation.
4. A client has a velvety red oral lesion persisting for weeks. Which finding is mostconcerning?
NUR 2392 | Exam 3 | Independent Practice Examination 2
, A) Red color excludes abnormal tissue
B) All red lesions are normal after meals
C) Erythroplakia warrants prompt evaluation for dysplasia or malignancy
D) Only tooth sensitivity matters
Correct Answer: Erythroplakia warrants prompt evaluation for dysplasia or malignancy
Rationale: Erythroplakia may have a higher rate of significant dysplasia than many white lesions. Persistence and risk factors
warrant expert examination and possible biopsy. The nurse should avoid assigning a benign cause solely from appearance.
5. A postoperative client has dry mouth and thick oral secretions. Which interventionsupports comfort and safety?
A) Withhold all oral hygiene
B) Use lemon-glycerin swabs repeatedly despite irritation
C) Provide frequent oral assessment and moisture care
D) Offer hard candy while the client is obtunded
Correct Answer: Provide frequent oral assessment and moisture care
Rationale: Dry mucosa increases discomfort and oral injury risk. Appropriate oral care, hydration assessment, and safe moisture
measures help. Aspiration precautions and level of consciousness determine what can be given by mouth.
6. A client with painful swollen parotid glands has fever and purulent drainage from theduct. Which condition is
plausible?
A) Simple xerostomia only
B) Normal age-related gland change
C) Acute bacterial sialadenitis
D) Uncomplicated allergic rhinitis
Correct Answer: Acute bacterial sialadenitis
Rationale: Tender gland enlargement with purulence suggests infection, often associated with dehydration or impaired salivary
flow. The nurse should assess hydration, oral health, systemic illness, and need for antimicrobial or procedural evaluation.
7. A client reports difficulty swallowing liquids and coughs when drinking water after astroke. What is the priority?
A) Offer thin liquids rapidly to strengthen muscles
B) Place the client flat for meals
C) Ignore intermittent coughing
D) Keep oral intake on hold until swallowing safety is evaluated
Correct Answer: Keep oral intake on hold until swallowing safety is evaluated
Rationale: Cough during liquids suggests possible aspiration. Swallow screening or speech-language assessment guides diet
consistency and precautions. Unrecognized aspiration can cause pneumonia or malnutrition.
8. A client with dysphagia is being fed after an approved swallow evaluation. Whichposition is safest?
A) Flat supine
B) Trendelenburg
NUR 2392 | Exam 3 | Independent Practice Examination 3
