Nrsg 105 Exam Practice 2-Questions with
complete solutions
Tell the patient that these vesicles are indicative of herpes simplex I or cold sores and that
they will heal in 4 to 10 days
During an assessment of a 26 year old at the clinic for "a spot on my lip I think is cancer," the
nurse notices a group of clear vesicles with an erythematous base around them located at the lip-
skin border. The patient mentions that she just returned from Hawaii. What would be the most
appropriate response by the nurse?
When the patient first noticed the lesion
While performing an assessment of the mouth, the nurse notices that the patient has a 1-cm
ulceration that is crusted with an elevated border and located on the outer third of the lower lip.
What other information would be most important for the nurse to assess?
"Swollen and bleeding gums can be caused by the change in hormonal balance in your
system during pregnancy."
A pregnant woman states that she is concerned about her gums because she has noticed they are
swollen and have started bleeding. What would be an appropriate response by the nurse?
Candidiasis.
A 40-year-old patient who has just finished chemotherapy for breast cancer tells the nurse that
she is concerned about her mouth. During the assessment the nurse finds areas of buccal mucosa
that are raw and red with some bleeding, as well as other areas that have a white, cheesy coating.
The nurse recognizes that this abnormality is:
,"Black, hairy tongue is a fungal infection caused by all the antibiotics you have received."
The nurse is assessing a patient in the hospital who has received numerous antibiotics and
notices that his tongue appears to be black and hairy. In response to his concern, what would the
nurse say?
Acquired immunodeficiency syndrome (AIDS).
The nurse is assessing a patient with a history of intravenous drug abuse. In assessing his mouth,
the nurse notices a dark red confluent macule on the hard palate. This could be an early sign of:
This elevated area is a sucking tubercle caused from the friction of breastfeeding or bottle-
feeding and is normal."
A mother brings her 4-month-old infant to the clinic with concerns regarding a small pad in the
middle of the upper lip that has been there since 1 month of age. The infant has no health
problems. On physical examination, the nurse notices a 0.5-cm, fleshy, elevated area in the
middle of the upper lip. No evidence of inflammation or drainage is observed. What would the
nurse tell this mother?
"This is a normal number of teeth for an 18 month old."
A mother is concerned because her 18-month-old toddler has 12 teeth. She is wondering if this is
normal for a child of this age. The nurse's best response would be:
Tongue that looks smoother in appearance
When examining the mouth of an older patient, the nurse recognizes which finding is due to the
aging process?
Allergic rhinitis
, When examining the nares of a 45-year-old patient who has complaints of rhinorrhea, itching of
the nose and eyes, and sneezing, the nurse notices the following: pale turbinates, swelling of the
turbinates, and clear rhinorrhea. Which of these conditions is most likely the cause?
Smooth glossy dorsal surface.
When assessing the tongue of an adult, the nurse knows that an abnormal finding would be
Ulceration on the side of the tongue with rolled edges
The nurse is performing an assessment. Which of these findings would cause the greatest
concern?
Rheumatic fever
A patient has been diagnosed with strep throat. The nurse is aware that without treatment, which
complication may occur?
Using these nasal medications irritates the lining of the nose and may cause rebound
swelling."
During a checkup, a 22-year-old woman tells the nurse that she uses an over-the-counter nasal
spray because of her allergies. She also states that it does not work as well as it used to when she
first started using it. The best response by the nurse would be:
A bifid uvula may occur in some Native-American groups.
During an oral examination of a 4-year-old Native-American child, the nurse notices that her
uvula is partially split. Which of these statements is accurate?
Maxillary sinusitis.
complete solutions
Tell the patient that these vesicles are indicative of herpes simplex I or cold sores and that
they will heal in 4 to 10 days
During an assessment of a 26 year old at the clinic for "a spot on my lip I think is cancer," the
nurse notices a group of clear vesicles with an erythematous base around them located at the lip-
skin border. The patient mentions that she just returned from Hawaii. What would be the most
appropriate response by the nurse?
When the patient first noticed the lesion
While performing an assessment of the mouth, the nurse notices that the patient has a 1-cm
ulceration that is crusted with an elevated border and located on the outer third of the lower lip.
What other information would be most important for the nurse to assess?
"Swollen and bleeding gums can be caused by the change in hormonal balance in your
system during pregnancy."
A pregnant woman states that she is concerned about her gums because she has noticed they are
swollen and have started bleeding. What would be an appropriate response by the nurse?
Candidiasis.
A 40-year-old patient who has just finished chemotherapy for breast cancer tells the nurse that
she is concerned about her mouth. During the assessment the nurse finds areas of buccal mucosa
that are raw and red with some bleeding, as well as other areas that have a white, cheesy coating.
The nurse recognizes that this abnormality is:
,"Black, hairy tongue is a fungal infection caused by all the antibiotics you have received."
The nurse is assessing a patient in the hospital who has received numerous antibiotics and
notices that his tongue appears to be black and hairy. In response to his concern, what would the
nurse say?
Acquired immunodeficiency syndrome (AIDS).
The nurse is assessing a patient with a history of intravenous drug abuse. In assessing his mouth,
the nurse notices a dark red confluent macule on the hard palate. This could be an early sign of:
This elevated area is a sucking tubercle caused from the friction of breastfeeding or bottle-
feeding and is normal."
A mother brings her 4-month-old infant to the clinic with concerns regarding a small pad in the
middle of the upper lip that has been there since 1 month of age. The infant has no health
problems. On physical examination, the nurse notices a 0.5-cm, fleshy, elevated area in the
middle of the upper lip. No evidence of inflammation or drainage is observed. What would the
nurse tell this mother?
"This is a normal number of teeth for an 18 month old."
A mother is concerned because her 18-month-old toddler has 12 teeth. She is wondering if this is
normal for a child of this age. The nurse's best response would be:
Tongue that looks smoother in appearance
When examining the mouth of an older patient, the nurse recognizes which finding is due to the
aging process?
Allergic rhinitis
, When examining the nares of a 45-year-old patient who has complaints of rhinorrhea, itching of
the nose and eyes, and sneezing, the nurse notices the following: pale turbinates, swelling of the
turbinates, and clear rhinorrhea. Which of these conditions is most likely the cause?
Smooth glossy dorsal surface.
When assessing the tongue of an adult, the nurse knows that an abnormal finding would be
Ulceration on the side of the tongue with rolled edges
The nurse is performing an assessment. Which of these findings would cause the greatest
concern?
Rheumatic fever
A patient has been diagnosed with strep throat. The nurse is aware that without treatment, which
complication may occur?
Using these nasal medications irritates the lining of the nose and may cause rebound
swelling."
During a checkup, a 22-year-old woman tells the nurse that she uses an over-the-counter nasal
spray because of her allergies. She also states that it does not work as well as it used to when she
first started using it. The best response by the nurse would be:
A bifid uvula may occur in some Native-American groups.
During an oral examination of a 4-year-old Native-American child, the nurse notices that her
uvula is partially split. Which of these statements is accurate?
Maxillary sinusitis.
