Chapter 45 NCLEX style questions

A patient tells the nurse that it feels like food is "sticking" in the lower portion of the esophagus. What motility disorder does the nurse suspect these symptoms indicate? a. Achalasia b. Diffuse spasm c. Gastroesophageal reflex disease d. Hiatal hernia

a. Achalasia

The nurse is performing an assessment for a patient who presents to the clinic with a lip lesion. The lesion is erythemic, is fissuring, and has white hyperkeratosis. What does the nurse suspect that these findings are charac- teristic of? a. Actinic cheilitis b. Human papillomavirus lesionoldizzog c. Frey syndrome d. Sialadenitis

a. Actinic cheilitis

A nurse inspects the Stensen duct of the parotid gland to determine inflammation and possible obstruction. What area in the oral cavity would the nurse assess? a. Buccal mucosa next to the upper molars b. Dorsum of the tongue c. Roof of the mouth next to the incisors d. Posterior segment of the tongue near the uvula

a. Buccal mucosa next to the upper molars

The nurse is obtaining a history on a patient who comes to the clinic. What symptom described by the patient is one of the first symptoms associated with esophageal disease? a. Dysphagia b. Malnutrition C. Pain d. Regurgitation of food

a. Dysphagia

A patient has been taking a 10-day course of antibiotics for pneumonia and now reports white patches that look like milk curds in the mouth. What treatment will the nurse educate the patient about? a. Nystatin b. Cephalexin c. Fluocinolone acetonide oral base gel d. Acyclovir

a. Nystatin

The nurse is caring for a patient after drain- age of a dentoalveolar or periapical abscess. What should the care of the patient include in the postoperative phase? (Select all that apply.) a. Soft diet after 24 hours b. Fluid restriction for the first 48 hours because the gums are swollen and painful c. External heat by pad or compress to hasten the resolution of the inflammatory swelling d. Warm saline mouthwashes every 2 hours while awake e. Gargle with peroxide and saline every 4 hours

a. Soft diet after 24 hours c. External heat by pad or compress to hasten the resolution of the inflammatory swelling d. Warm saline mouthwashes every 2 hours while awake

The nurse is caring for a patient with a radical neck dissection and observes serosanguineous secretions in the wound suction unit during the first postoperative day. What amount of drainage in the wound unit should the nurse expect to observe? a. Between 40 and 80 mL b. Approximately 80 to 120 mL c. Between 120 and 160 mL d. Greater than 160 mL

b. Approximately 80 to 120 mL

A patient is brought to the emergency depart- ment by a family member, who states that the patient "drank drain cleaner." What interven- tion does the nurse anticipate providing to treat this patient? (Select all that apply.) a. Administering an irritant that will stimu- late vomiting b. Aspirating secretions from the pharynx if respirations are affected c. Neutralizing the chemical d. Washing the esophagus with large volumes of water e. Administering activated charcoal

b. Aspirating secretions from the pharynx if respirations are affected c. Neutralizing the chemical d. Washing the esophagus with large volumes of water

A patient is experiencing painful, inflamed, and swollen gums, and when brushing the teeth, the gums bleed. What common disease of the oral tissue does the nurse understand these symptoms indicate? a. Candidiasis b. Gingivitis c. Herpes simplex d. Cancer of the oral mucosa

b. Gingivitis

A patient comes to the clinic reporting a sore throat. When assessing the patient, the nurse observes a reddened ulcerated lesion on the lip that the patient states has been there for a couple of weeks but is painless. What should the nurse consult with the healthcare pro- vider about regarding testing? а. HIV b. Syphilis C. Gonorrhea d. Herpes simplex uents

b. Syphilis

A patient reports an inflamed salivary gland below the right ear. The nurse documents probable inflammation of which gland? a. The buccal gland b. The parotid gland c. The sublingual gland d. The submandibular gland

b. The parotid gland

An older adult patient who has been living at home alone is diagnosed with parotitis. What causative bacteria does the nurse suspect is the cause of the parotitis? a. Methicillin-resistant Streptococcus aureus (MRSA) b. Pneumococcus c. Staphylococcus aureus d. Streptococcus viridans

c. Staphylococcus aureus

A patient describes a burning sensation in the esophagus, pain when swallowing, and fre- quent indigestion. What does the nurse suspect that these clinical manifestations indicate? a. This is an indication that the patient has peptic ulcer disease b. This is an indication that the patient may have esophageal cancer c. These symptoms indicate gastroesophageal reflux disease d. The clinical manifestations indicate diverticulitis

c. These symptoms indicate gastroesophageal reflux disease

A patient has been diagnosed with Zenker diverticulum. What treatment does the nurse anticipate educating the patient about? a. A low-residue diet b. Chemotherapeutic agents c. Radiation therapy d. Surgical removal of the diverticulumo

d. Surgical removal of the diverticulum

A patient who has positive human immune deficiency virus (HIV) comes to the clinic reporting white patches with rough hairlike projections on the tongue. The nurse observes the lesions on the lateral border of the tongue. What abnormality of the mouth does the nurse determine these lesions are? a. Aphthous stomatitis b. Nicotine stomatitis c. Erythroplakia d. Hairy leukoplakia

d. Hairy leukoplakia