Oral health NCLEX 2022 with complete solutions

Oral health NCLEX 2022 with complete solutions 1) A young school-age child is seen in a pediatric clinic for a well-child checkup. The parent tells the nurse that they live in the country and use well water. Based on this data, which statement by the nurse is the priority when conducting client teaching? A) "Your child will need to use a teeth whitener in the future because well water is your primary water source." B) "Your child will need to be placed on a fluoride supplement because your primary water source is from a well." C) "I will recommend some mouthwashes that are appropriate for clients who drink well water." D) "It will be very important that your child does not eat sugary foods because you drink well water." B) "Your child will need to be placed on a fluoride supplement because your primary water source is from a well." 2) The portion of the tooth that wears away, allowing dental decay, is the A) pulp cavity. B) enamel. C) gingiva. D) root. B) enamel. 3) A nurse is caring for a client in the intensive care unit who is intubated and mechanically ventilated. Upon assessment, the nurse notes the client has cheilosis. Based on this data, which is the priority intervention for this client? A) Checking for ill-fitting dentures B) Suggesting an increase in fluid intake C) Providing oral care D) Lubricating the lips using an antimicrobial ointment D) Lubricating the lips using an antimicrobial ointment 4) A nurse is caring for a client with glossitis secondary to nutritional deficiencies. Based on this data, which is the priority focus of this client's care? A) Upper lip B) Upper teeth C) Uvula D) Tongue D) Tongue 5) A pediatric nurse is caring for a toddler at a well-child clinic. When providing education regarding the client's oral health, which topics are appropriate for the nurse to include? Select all that apply. A) Instructions on avoiding prolonged bottle feeding during naps and at bedtime. B) Instructions on brushing the client's teeth once daily. C) Hazards of fluoride use in tooth development. D) Instructions on eliminating the client's milk consumption. E) Instructing the parents that the client needs dental care prior to when the client begins to lose the primary teeth. A, E 6) The nurse is working with a family that is new to the pediatric practice. In reviewing the family's records, the nurse notes that the older children have a large number of dental caries. Which topics will the nurse include when teaching the mother how to decrease the development of dental caries in infants? Select all that apply. A) Refraining from giving the infant a bottle for a prolonged time at bedtime B) Giving the infant sugar water only at breakfast time C) Wiping the infant's gums with soft moist gauze once or twice daily D) Using a toothbrush as soon as the first tooth erupts E) Using a topical anesthetic daily, beginning as soon as the first tooth begins to erupt A, C 7) The nurse is caring for a client in a long-term care facility. The client has some cognitive impairment that interferes with the ability to independently complete activities of daily living. The nurse has identified Self-Care Deficit as an appropriate nursing diagnosis for this client. Based on this data, which expected outcome is the most appropriate for the nurse to include in the plan of care? A) The client will be able to name the staff that works on the day shift. B) The client, with supervision, will brush teeth twice per day. C) The client will eliminate safety hazards in the environment. D) The nurse will stress the importance of adequate fluid intake. B) The client, with supervision, will brush teeth twice per day.