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Adult Health 1 NSG 3250 Chapter 39 Oral and Esophageal Disorders Exam Review – 34 NCLEX Questions and Answers on GERD, Barrett Esophagus, Oral Cancer, Neck Dissection, NG Tubes & Gastrostomy Care | Galen College of Nursing

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This comprehensive Adult Health 1 (NSG 3250) exam review document contains 34 NCLEX-style questions with verified answers focused on Chapter 39: Management of Patients with Oral and Esophageal Disorders. The material provides detailed coverage of oral cancer, esophageal disorders, gastroesophageal reflux disease (GERD), Barrett esophagus, esophageal cancer, hiatal hernia, esophageal diverticulum, mandibular fractures, neck dissection surgery, graft assessment, nasogastric tube management, gastrostomy care, enteral feedings, aspiration prevention, oral hygiene, dysphagia, airway management, and postoperative oral-esophageal nursing care. The questions are designed to strengthen nursing assessment skills, clinical judgment, gastrointestinal and airway management knowledge, and evidence-based interventions commonly tested in Adult Health and Medical-Surgical Nursing courses. This study resource is especially beneficial for nursing students preparing for Adult Health examinations, NCLEX-RN preparation, gastrointestinal and head-and-neck disorder competency testing, and clinical evaluations involving oral and esophageal conditions. The content emphasizes essential nursing concepts such as airway assessment following neck dissection, graft perfusion monitoring, prevention of aspiration, enteral feeding safety, NG tube care, gastrostomy management, postoperative communication support, swallowing assessment, nutritional support for oral cancer clients, GERD management strategies, and psychosocial adaptation following facial or neck surgeries. The structured question-and-answer format promotes active recall, exam readiness, and mastery of oral and esophageal nursing principles necessary for safe patient care in acute and rehabilitative settings. The material aligns with evidence-based gastrointestinal and medical-surgical nursing principles presented in Lewis’s Medical-Surgical Nursing: Assessment and Management of Clinical Problems (Harding, Kwong, Roberts, Hagler & Reinisch, Elsevier, 2023), Brunner & Suddarth’s Textbook of Medical-Surgical Nursing (Hinkle & Cheever, Wolters Kluwer, 2022), and current gastrointestinal and oncology care guidelines supported by the American Gastroenterological Association (AGA), the American Cancer Society (ACS), and the Academy of Nutrition and Dietetics. The document reinforces clinically relevant concepts frequently encountered in nursing school examinations, NCLEX preparation, perioperative nursing, oncology nursing, and enteral nutrition management. This document is highly relevant for: Adult Health Nursing students Medical-Surgical Nursing students BSN and ADN nursing students NCLEX-RN candidates Galen College of Nursing students Nursing students studying gastrointestinal and oral disorders Students preparing for NSG 3250 examinations Healthcare students reviewing GERD and esophageal disorders Oncology and perioperative nursing students Students preparing for enteral feeding and airway management competency testing Keywords Adult Health 1, NSG 3250, oral disorders, esophageal disorders, GERD, Barrett esophagus, oral cancer, esophageal cancer, hiatal hernia, esophageal diverticulum, neck dissection, mandibular fracture, dysphagia, gastrostomy tube, NG tube, enteral feeding, aspiration prevention, oral care, airway management, gastrointestinal nursing, oral surgery, feeding tube management, graft assessment, postoperative care, enteral nutrition, oral hygiene, esophageal reflux, gastrostomy care, nasogastric tube, aspiration precautions, swallowing disorders, oncology nursing, perioperative nursing, gastrointestinal disorders, NCLEX questions, nursing exam review, medical surgical nursing, gastrointestinal assessment, oral cancer nursing, respiratory airway care, nutrition support, Galen College of Nursing, evidence based nursing, GI nursing study guide

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NSG 3250 Chapter 39
Management of Patients with
Oral and Esophageal Disorders
2026 Exam All Answers and
Illustrations Given



The nurse determines that a client who has undergone skin, tissue, and

muscle grafting following a modified radical neck dissection requires

suctioning. What is the nurse's priority when suctioning this client?




A. Avoid applying suction on or near the suture line.

,B. Position client on the non-operative side with the head of the bed

down.

C. Assess the client's ability to perform self-suctioning.

D. Evaluate the client's ability to swallow saliva and clear fluids. -

ANSWER ✔✔A. Avoid applying suction on or near the suture line.


A client with gastroesophageal reflux disease (GERD) has a diagnosis of

Barrett esophagus with minor cell changes. What principle should be

integrated into the client's subsequent care?

A. The client will be monitored closely to detect malignant changes.

B. Liver enzymes must be checked regularly, as H receptor antagonists

may cause hepatic damage.

C. Small amounts of blood are likely to be present in the stools and are

not cause for concern.

D. Antacids may be discontinued when symptoms of heartburn subside.

- ANSWER ✔✔A. The client will be monitored closely to detect

malignant changes.

A medical nurse who is caring for a client being discharged home after a

radical neck dissection has collaborated with the home health nurse to

, develop a plan of care for this client. What is a priority psychosocial

outcome for this client?

A. Indicates acceptance of altered appearance and demonstrates

positive self-image

B. Freely expresses needs and concerns related to postoperative pain

management

C. Compensates effectively for alteration in ability to communicate

related to dysarthria

D. Demonstrates effective stress management techniques to promote

muscle relaxation - ANSWER ✔✔A. Indicates acceptance of altered

appearance and demonstrates positive self-image

A client has been diagnosed with an esophageal diverticulum after

undergoing diagnostic imaging. When taking the health history, the nurse

should expect the client to describe what sign or symptom?




A. Burning pain on swallowing

B. Regurgitation of undigested food

C. Symptoms mimicking a myocardial infarction




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