NURB 3060 END TERM EXAM QUESTIONS
WITH 100% CORRECT ANSWERS
The nurse is caring for a client in a medical-surgical unit. In reviewing the assessment notes
(see above), the nurse considers which findings to be indicative of the need for a focused
oral assessment?
weight change
A hospitalized client continues to exhibit residual effects of a stroke. Which symptom is the
priority concern?
Dysphagia
A nurse is assessing a child who got lost on a camping trip in November and was exposed
all night to the elements. Which finding about the lips would support a diagnosis of hypoxia
in this client?
Cyanotic
A nurse finds crepitus when palpating over a client's maxillary sinuses. Which of the
following should the nurse most suspect in this client?
A large amount of exudate in the sinuses
The tongue is attached to the hyoid bone and styloid process of the temporal bone and is
connected to the floor of the mouth by the
frenulum.
When inspecting the mouth, the nurse focuses on lateral and vertical surfaces of the tongue
and its base, because these are regions where:
Cancers often occur.
A nurse assesses a client who is reporting a sore throat and difficult, painful swallowing.
The nurse observes that the client's tonsils are touching each other. What ranking (grade
scale) should the nurse document for tonsillitis?
, 4+
The health care provider documented that a client is experiencing edema of the left
maxillary sinus. Where on the diagram provided should the nurse expect to observe this
swelling?
During an oral assessment, the nurse identifies that client has white patches in his mouth.
How would this be documented in the medical record?
Leukoplakia
When inspecting a client's teeth, the nurse notes gingival hyperplasia. What should the
nurse assess to determine the cause for this finding?
medications
The submandibular glands open under the tongue through openings called
Wharton ducts.
A staff educator from the hospital is providing an event for the hospital staff. The educator
is talking about health promotion activities for people with diseases of the nose, mouth,
throat, and sinuses. What would the educator include in the presentation?
How to reduce periodontal disease
A nurse is examining the nose of a client diagnosed with an upper respiratory tract
infection. Which characteristics of the nasal mucosa should the nurse expect to find during
assessment of a client with an upper respiratory tract infection?
Red, swollen, with purulent discharge
The nurse is caring for a client admitted to the medical surgical unit with neck tenderness,
drooling, and dysphagia. In reviewing the orders from the health care provider (see above),
which order should the nurse question?
regular diet as tolerated
While conducting a comprehensive assessment on a new client, the client states, "I've had
these mouth and tongue sores for a few weeks that do not seem to heal." The nurse assesses
WITH 100% CORRECT ANSWERS
The nurse is caring for a client in a medical-surgical unit. In reviewing the assessment notes
(see above), the nurse considers which findings to be indicative of the need for a focused
oral assessment?
weight change
A hospitalized client continues to exhibit residual effects of a stroke. Which symptom is the
priority concern?
Dysphagia
A nurse is assessing a child who got lost on a camping trip in November and was exposed
all night to the elements. Which finding about the lips would support a diagnosis of hypoxia
in this client?
Cyanotic
A nurse finds crepitus when palpating over a client's maxillary sinuses. Which of the
following should the nurse most suspect in this client?
A large amount of exudate in the sinuses
The tongue is attached to the hyoid bone and styloid process of the temporal bone and is
connected to the floor of the mouth by the
frenulum.
When inspecting the mouth, the nurse focuses on lateral and vertical surfaces of the tongue
and its base, because these are regions where:
Cancers often occur.
A nurse assesses a client who is reporting a sore throat and difficult, painful swallowing.
The nurse observes that the client's tonsils are touching each other. What ranking (grade
scale) should the nurse document for tonsillitis?
, 4+
The health care provider documented that a client is experiencing edema of the left
maxillary sinus. Where on the diagram provided should the nurse expect to observe this
swelling?
During an oral assessment, the nurse identifies that client has white patches in his mouth.
How would this be documented in the medical record?
Leukoplakia
When inspecting a client's teeth, the nurse notes gingival hyperplasia. What should the
nurse assess to determine the cause for this finding?
medications
The submandibular glands open under the tongue through openings called
Wharton ducts.
A staff educator from the hospital is providing an event for the hospital staff. The educator
is talking about health promotion activities for people with diseases of the nose, mouth,
throat, and sinuses. What would the educator include in the presentation?
How to reduce periodontal disease
A nurse is examining the nose of a client diagnosed with an upper respiratory tract
infection. Which characteristics of the nasal mucosa should the nurse expect to find during
assessment of a client with an upper respiratory tract infection?
Red, swollen, with purulent discharge
The nurse is caring for a client admitted to the medical surgical unit with neck tenderness,
drooling, and dysphagia. In reviewing the orders from the health care provider (see above),
which order should the nurse question?
regular diet as tolerated
While conducting a comprehensive assessment on a new client, the client states, "I've had
these mouth and tongue sores for a few weeks that do not seem to heal." The nurse assesses
