NSG 6435 Exam test quiz with
answers graded A+
The nurse is caring for a client with deep partial-thickness burns who is anxious about the upcoming
dressing change, is in severe pain, and is nauseated. Which of the following actions will be most
useful in decreasing the client's nausea? - ANS✅✅Administer the prescribed morphine sulphate
before dressing changes.
The nurse is caring for a client who has been NPO during treatment for nausea and vomiting caused
by gastric irritation and is to start oral intake. Which of the following menu choices should the nurse
offer to the client? - ANS✅✅A dish of lemon gelatin
The nurse is caring for a client who is receiving chemotherapy and develops a Candida albicans oral
infection. Which of the following actions should the nurse anticipate? - ANS✅✅Administration of
nystatin oral tablets
The nurse is assessing the mouth of a client who uses smokeless tobacco for signs of oral cancer.
Which of the following findings is of most concern? - ANS✅✅Red, velvety patches on the buccal
mucosa
To decrease the risk for cancers of the tongue and buccal mucosa, which of the following
information should the nurse include when teaching a client who is seen for an annual physical
examination in the outpatient clinic? - ANS✅✅Avoid use of cigarettes and smokeless tobacco.
The nurse is assessing a client with gastro-esophageal reflux disease (GERD) who is experiencing
increasing discomfort. Which of the following client statements indicate that additional client
education about GERD is needed? - ANS✅✅"I eat small meals throughout the day and have a
bedtime snack."
The nurse is admitting a client with a stroke who is unconscious and unresponsive to stimuli and
learns from the client's family that the client has a history of gastro-esophageal reflux disease
(GERD). Which of the following assessment parameters should the nurse plan to assess frequently? -
ANS✅✅Breath sounds
The nurse is caring for a client with recurring heartburn who receives a new prescription for
esomeprazole (Proton pump inhibitor). Which of the following information should the nurse include
when teaching the client about this medication? - ANS✅✅It treats gastro-esophageal reflux
disease by decreasing stomach acid production.
, The nurse is teaching a client with gastro-esophageal reflux disease (GERD) about recommended
dietary modifications. Which of the following diet choices for a snack 2 hours before bedtime
indicates that the teaching has been effective? - ANS✅✅Cherry gelatin and fruit
The nurse is assessing a client who recently has been experiencing frequent heartburn in the clinic.
Which of the following information should the nurse include in the teaching plan? - ANS✅✅Proton
pump inhibitors
The nurse is caring for an older-adult client who has diagnosed with esophageal cancer and the
client tells the nurse, "I know that my chances are not very good, but I do not feel ready to die yet."
Which of the following responses by the nurse is best? - ANS✅✅"Having this new diagnosis must
be very hard for you."
Which of the following information should the nurse include when teaching a client with newly
diagnosed gastro-esophageal reflux disease (GERD)? - ANS✅✅"It will be helpful to keep the head
of your bed elevated on blocks."
The nurse is caring for a client who has just arrived on the postoperative unit after having a
laparoscopic esophagectomy for treatment of esophageal cancer. Which of the following nursing
actions should be included in the postoperative plan of care? - ANS✅✅Elevate the head of the bed
to at least 30 degrees.
Which of the following information should the nurse plan to teach to a client with newly diagnosed
achalasia? - ANS✅✅Endoscopic procedures may be used for treatment.
The nurse is caring for a client who is nauseated, vomiting up blood-streaked fluid and has acute
gastritis. Which of the following assessments should the nurse ask the client about to determine
possible risk factors for gastritis? - ANS✅✅Use of nonsteroidal anti-inflammatory drugs (NSAIDs)
Cobalamin injections have been prescribed for a client with chronic atrophic gastritis. Which of the
following client statements indicate that the teaching regarding the injections has been effective? -
ANS✅✅"The cobalamin injections will prevent me from becoming anemic."
The nurse is caring for a client with peptic ulcer disease associated with the presence of Helicobacter
pylori and is being treated with triple drug therapy. Which of the following medications should the
nurse include in the client teaching ? (2 antibiotics and 1 proton pump inhibitor) -
ANS✅✅Amoxicillin, clarithromycin and omeprazole
answers graded A+
The nurse is caring for a client with deep partial-thickness burns who is anxious about the upcoming
dressing change, is in severe pain, and is nauseated. Which of the following actions will be most
useful in decreasing the client's nausea? - ANS✅✅Administer the prescribed morphine sulphate
before dressing changes.
The nurse is caring for a client who has been NPO during treatment for nausea and vomiting caused
by gastric irritation and is to start oral intake. Which of the following menu choices should the nurse
offer to the client? - ANS✅✅A dish of lemon gelatin
The nurse is caring for a client who is receiving chemotherapy and develops a Candida albicans oral
infection. Which of the following actions should the nurse anticipate? - ANS✅✅Administration of
nystatin oral tablets
The nurse is assessing the mouth of a client who uses smokeless tobacco for signs of oral cancer.
Which of the following findings is of most concern? - ANS✅✅Red, velvety patches on the buccal
mucosa
To decrease the risk for cancers of the tongue and buccal mucosa, which of the following
information should the nurse include when teaching a client who is seen for an annual physical
examination in the outpatient clinic? - ANS✅✅Avoid use of cigarettes and smokeless tobacco.
The nurse is assessing a client with gastro-esophageal reflux disease (GERD) who is experiencing
increasing discomfort. Which of the following client statements indicate that additional client
education about GERD is needed? - ANS✅✅"I eat small meals throughout the day and have a
bedtime snack."
The nurse is admitting a client with a stroke who is unconscious and unresponsive to stimuli and
learns from the client's family that the client has a history of gastro-esophageal reflux disease
(GERD). Which of the following assessment parameters should the nurse plan to assess frequently? -
ANS✅✅Breath sounds
The nurse is caring for a client with recurring heartburn who receives a new prescription for
esomeprazole (Proton pump inhibitor). Which of the following information should the nurse include
when teaching the client about this medication? - ANS✅✅It treats gastro-esophageal reflux
disease by decreasing stomach acid production.
, The nurse is teaching a client with gastro-esophageal reflux disease (GERD) about recommended
dietary modifications. Which of the following diet choices for a snack 2 hours before bedtime
indicates that the teaching has been effective? - ANS✅✅Cherry gelatin and fruit
The nurse is assessing a client who recently has been experiencing frequent heartburn in the clinic.
Which of the following information should the nurse include in the teaching plan? - ANS✅✅Proton
pump inhibitors
The nurse is caring for an older-adult client who has diagnosed with esophageal cancer and the
client tells the nurse, "I know that my chances are not very good, but I do not feel ready to die yet."
Which of the following responses by the nurse is best? - ANS✅✅"Having this new diagnosis must
be very hard for you."
Which of the following information should the nurse include when teaching a client with newly
diagnosed gastro-esophageal reflux disease (GERD)? - ANS✅✅"It will be helpful to keep the head
of your bed elevated on blocks."
The nurse is caring for a client who has just arrived on the postoperative unit after having a
laparoscopic esophagectomy for treatment of esophageal cancer. Which of the following nursing
actions should be included in the postoperative plan of care? - ANS✅✅Elevate the head of the bed
to at least 30 degrees.
Which of the following information should the nurse plan to teach to a client with newly diagnosed
achalasia? - ANS✅✅Endoscopic procedures may be used for treatment.
The nurse is caring for a client who is nauseated, vomiting up blood-streaked fluid and has acute
gastritis. Which of the following assessments should the nurse ask the client about to determine
possible risk factors for gastritis? - ANS✅✅Use of nonsteroidal anti-inflammatory drugs (NSAIDs)
Cobalamin injections have been prescribed for a client with chronic atrophic gastritis. Which of the
following client statements indicate that the teaching regarding the injections has been effective? -
ANS✅✅"The cobalamin injections will prevent me from becoming anemic."
The nurse is caring for a client with peptic ulcer disease associated with the presence of Helicobacter
pylori and is being treated with triple drug therapy. Which of the following medications should the
nurse include in the client teaching ? (2 antibiotics and 1 proton pump inhibitor) -
ANS✅✅Amoxicillin, clarithromycin and omeprazole
