EXAM 4 NUR 504 | COMPREHENSIVE NURSING STUDY GUIDE, PRACTICE
QUESTIONS & ANSWERS 2026/2027
d. Maxillary - ANS ✔✔A physician has just directly examined a patient's sinuses. Which sinuses could
these have been?
a. Ethmoidal
b. Superciliary
c. Sphenoidal
d. Maxillary
a. The mucosa in the upper part of the nasal cavity - ANS ✔✔Where are olfactory receptors located?
a. The mucosa in the upper part of the nasal cavity
b. The nasal vestibule
c. The inferior nasal turbinate
d. The nasopharynx
d. An antihistamine - ANS ✔✔Which of the following best describes diphenhydramine?
a. A pain reliever
b. A decongestant
c. An expectorant
d. An antihistamine
a. Beta blockers - ANS ✔✔A patient complains of nasal congestion. Which medication is most likely
responsible?
a. Beta blockers
b. Aspirin
c. Ginkgo biloba
d. Hormone replacement therapy
c. Allergies - ANS ✔✔A patient presents with pale, boggy turbinates. What is the most likely reason?
a. Scratching
b. Infection
c. Allergies
d. A healthy patient
a. RAST - ANS ✔✔A patient presents with congestion, clear rhinorrhea, sinus pain, and patches of
eczema. Knowing that there is a risk of anaphylaxis, what test can the physician recommend that will be
safe for the patient and help target the specific reason for the symptoms?
a. RAST
b. The TSH test
c. Eosinophil counts
d. Ultrasound of the facial sinuses
b. Increased vascularity - ANS ✔✔Which of the following is related to nosebleeds in a pregnant patient?
a. Drop in progesterone
b. Increased vascularity
, c. Increased circulation fluid volume
d. Normal spikes in blood pressure
b. The nasopharynx leads to the oropharynx, which leads to the laryngopharynx. - ANS ✔✔Which of the
following is true?
a. The oropharynx contains the pharyngeal tonsils.
b. The nasopharynx leads to the oropharynx, which leads to the laryngopharynx.
c. The laryngopharynx grasps food and moves it toward the esophagus.
d. The oropharynx connects with the submandibular gland to promote salivation and swallowing.
c. Very sore, and may interfere with swallowing - ANS ✔✔Sore throats associated with bacterial
infections are described as what?
a. A mild and untroubling soreness
b. Scratchy or itchy
c. Very sore, and may interfere with swallowing
d. Ticklish
b. It is associated with rapid onset. - ANS ✔✔Which of the following is true of bacterial pharyngitis?
a. There are no diagnostic tests.
b. It is associated with rapid onset.
c. It most often presents in the winter or early spring.
d. A quick beta strep can be used for diagnosis.
a. Through vasoconstriction - ANS ✔✔How can smoking affect the gums?
a. Through vasoconstriction
b. By finely coating them with tar so saliva cannot clean them
c. Through sloughing by the physical action of smoking
d. Dilating the blood vessels and increasing likelihood of bleeding
a. Varicose veins on the underside of the tongue - ANS ✔✔Which of the following is a common
consideration for the geriatric patient?
a. Varicose veins on the underside of the tongue
b. Increased saliva production
c. Heightened sense of taste
d. Overly moist oral mucosa
False - ANS ✔✔Only the nasal cavity is lined with cilia.
True - ANS ✔✔Nasal sprays, if used more than three days, may lead to "rebound congestion."
False - ANS ✔✔Cocaine use may lead to nasal polyps.
False - ANS ✔✔A typical physical examination of a patient's mouth includes palpation of lips, gums,
tongue, and lymph nodes
False - ANS ✔✔Rhinitis is the most frequent cause of tooth and mouth pain.
False - ANS ✔✔Asymmetrical movement of the uvula is a normal response in Caucasian populations.
QUESTIONS & ANSWERS 2026/2027
d. Maxillary - ANS ✔✔A physician has just directly examined a patient's sinuses. Which sinuses could
these have been?
a. Ethmoidal
b. Superciliary
c. Sphenoidal
d. Maxillary
a. The mucosa in the upper part of the nasal cavity - ANS ✔✔Where are olfactory receptors located?
a. The mucosa in the upper part of the nasal cavity
b. The nasal vestibule
c. The inferior nasal turbinate
d. The nasopharynx
d. An antihistamine - ANS ✔✔Which of the following best describes diphenhydramine?
a. A pain reliever
b. A decongestant
c. An expectorant
d. An antihistamine
a. Beta blockers - ANS ✔✔A patient complains of nasal congestion. Which medication is most likely
responsible?
a. Beta blockers
b. Aspirin
c. Ginkgo biloba
d. Hormone replacement therapy
c. Allergies - ANS ✔✔A patient presents with pale, boggy turbinates. What is the most likely reason?
a. Scratching
b. Infection
c. Allergies
d. A healthy patient
a. RAST - ANS ✔✔A patient presents with congestion, clear rhinorrhea, sinus pain, and patches of
eczema. Knowing that there is a risk of anaphylaxis, what test can the physician recommend that will be
safe for the patient and help target the specific reason for the symptoms?
a. RAST
b. The TSH test
c. Eosinophil counts
d. Ultrasound of the facial sinuses
b. Increased vascularity - ANS ✔✔Which of the following is related to nosebleeds in a pregnant patient?
a. Drop in progesterone
b. Increased vascularity
, c. Increased circulation fluid volume
d. Normal spikes in blood pressure
b. The nasopharynx leads to the oropharynx, which leads to the laryngopharynx. - ANS ✔✔Which of the
following is true?
a. The oropharynx contains the pharyngeal tonsils.
b. The nasopharynx leads to the oropharynx, which leads to the laryngopharynx.
c. The laryngopharynx grasps food and moves it toward the esophagus.
d. The oropharynx connects with the submandibular gland to promote salivation and swallowing.
c. Very sore, and may interfere with swallowing - ANS ✔✔Sore throats associated with bacterial
infections are described as what?
a. A mild and untroubling soreness
b. Scratchy or itchy
c. Very sore, and may interfere with swallowing
d. Ticklish
b. It is associated with rapid onset. - ANS ✔✔Which of the following is true of bacterial pharyngitis?
a. There are no diagnostic tests.
b. It is associated with rapid onset.
c. It most often presents in the winter or early spring.
d. A quick beta strep can be used for diagnosis.
a. Through vasoconstriction - ANS ✔✔How can smoking affect the gums?
a. Through vasoconstriction
b. By finely coating them with tar so saliva cannot clean them
c. Through sloughing by the physical action of smoking
d. Dilating the blood vessels and increasing likelihood of bleeding
a. Varicose veins on the underside of the tongue - ANS ✔✔Which of the following is a common
consideration for the geriatric patient?
a. Varicose veins on the underside of the tongue
b. Increased saliva production
c. Heightened sense of taste
d. Overly moist oral mucosa
False - ANS ✔✔Only the nasal cavity is lined with cilia.
True - ANS ✔✔Nasal sprays, if used more than three days, may lead to "rebound congestion."
False - ANS ✔✔Cocaine use may lead to nasal polyps.
False - ANS ✔✔A typical physical examination of a patient's mouth includes palpation of lips, gums,
tongue, and lymph nodes
False - ANS ✔✔Rhinitis is the most frequent cause of tooth and mouth pain.
False - ANS ✔✔Asymmetrical movement of the uvula is a normal response in Caucasian populations.
