NUR 122 EXAM 1 2025/2026 (Answered) 129
Questions and Correct Answers,
100%Verified.
A nurse is caring for a client with recurrent aphthous stomatitis (RAS) who asks about food choices
while healing. Which food will the nurse suggest?
A. Half of an orange
B. Chocolate pudding
C. Chips with hummus
D. Glass of tomato juice
Correct Answer: B
Rationale: Chocolate pudding is likely to be the most soothing food choice for a client with RAS.The
orange and glass of tomato juice are acidic, which will inflict pain. Although plain hummusmay be a
good choice (as long as it is not flavored with spicy additives), the chips are hard andsalty, which will
cause oral discomfort.
A nurse is caring for four clients. Which individual does the nurse identify at the highest risk for
development of oral cancer?
A. 28-year-old with human papilloma virus (HPV) infection
B. 30-year-old with recurrent aphthous stomatitis (RAS)
C. 55-year-old who quit chewing tobacco 5 years ago
D. 76-year-old who is sometimes negligent in denture care
Correct Answer: A
Rationale: HPV is directly correlated to development of oral cancer, so the individual with this
infection is at highest risk. Recurrent aphthous stomatitis and intermittent negligence in denture
care do not pose a higher risk for oral cancer than HPV. The individual who stopped chewing tobacco
5 years ago have already decreased their risk.
When providing discharge teaching about mouth care, which substance will the nurse teach the
client with oral cancer to avoid? (Select all that apply.)
A. Mouthwash
B. Lip lubricant
C. Warm saline rinses
D. Ultra-soft toothbrush
E. Disposable foam brushes
F. Bicarbonate mouth rinse
Correct Answers: A, E
Rationale: The nurse will teach the client with oral cancer to avoid mouthwash (alcohol can irritate
mucous membranes), and disposable foam brushes (which do not control plaque, and dry the
mouth). Lip lubricant, warm saline or bicarbonate rinses, and use of an ultra-soft toothbrush can be
encourage.
Which client statement about GERD triggers requires further nursing teaching? (Select all that
apply.)
,A. "I will decrease my alcohol intake."
B. "Smoking 1-2 cigarettes a day won't hurt."
C. "My plan is to eat six small meals daily."
D. "Tomato-based foods should be avoided."
E. "I love soda but I am going to stop drinking it."
F. "Our family eats Mexican dishes several times weekly."
Correct Answers: B, F
Rationale: The nurse will need to provide further teaching when the client states that continued
smoking is acceptable, because smoking influences the tone of the lower esophageal sphincter(LES).
The nurse will also provide further teaching regarding spicy dishes like Mexican foods, as spicy foods
can increase episodes of GERD.
A community health nurse is screening clients for esophageal cancer. Which client is identifiedat
highest risk?
A. 22-year-old who drinks a glass of beer weekly.
B. 44-year-old who smokes a pack of cigarettes daily.
C. 50-year-old who takes over-the-counter omeprazole.
D. 63-year old who uses protein supplements regularly
Correct Answer: B
Rationale: The nurse identifies the 44-year-old patient who smokes a pack of cigarettes daily asat the
highest risk for developing esophageal cancer. Drinking a glass of beer weekly is not
highconsumption; taking over-the-counter omeprazole reflects treatment of GERD; and using
proteinsupplements daily demonstrates addressing the possibility of malnutrition
The nurse is caring for a client with esophageal cancer who is scheduled for surgery. When the client
asks, "Is this treatment going to cure me?", which is the appropriate nursing response? (Select all
that apply.)
A. "The surgery has been useful for many patients so it should work for you."
B. "You can beat this disease if you just put your mind to it and do not give up."
C. "Yes, and you have the best surgeon around who specializes in cancer treatment."
D. "Your surgeon can give more information about the effectiveness of this treatment."
E. "It sounds like you are concerned about surgical outcomes; let's talk about your feelings."
Correct Answers: D, F
Rationale: The nurse will respond by addressing the client's question, as well as the possible fear that
accompanies it. The surgeon obtains informed consent and will share information aboutthe
evidence-based outcomes of the surgery (including whether a surgery is curative or palliativein
nature); the nurse can witness the informed consent. The nurse will address the client's emotions by
verbalizing the implied (stating that it sounds like the client is concerned out the outcome) and
asking if the client would like to talk. The nurse should not indicate that the surgery should work for
the client since it worked for others, nor should the nurse give false hope by telling the client that
they can beat the disease if they will themselves to do it. Although the client may be treated by a
surgeon with a favorable reputation, it is not appropriate to answer "yes", because this implies that
the surgery will be curative in nature.
A nurse is caring for a 34-year-old client newly diagnosed with GERD. Which lifestyle change will the
nurse suggest? (Select all that apply)
A. Lose weight if needed
, B. Do not eat before bed
C. Elevate the foot of your bed by 6-12 inches
D. Avoid pants with a tight waistband or belt
E. Eat fatty foods to minimize ongoing hunger
Correct Answers: A, B, D
Rationale: Clients with GERD benefit from weight loss (if needed), avoidance of eating before bed (so
that reflux is minimized), and by avoiding constrictive clothing which increase abdominal pressure.
The head - not the foot - of the bed should be elevated to optimize gravity. Fatty foods should be
avoided by clients with GERD, as these can increase reflux.
A client who had the Stretta procedure to treat severe GERD is being discharged. Which client
statement requires further nursing teaching? (Select all that apply.)
A. "Dysphagia after this procedure is normal".
B. "It's important to stop my proton pump inhibitor."
C. "I will not take NSAIDs and aspirin for at least 10 days."
D. "I might cough up some blood following this procedure."
E. "Today I will drink clear liquids and tomorrow I can eat soft food."
Correct Answers: A, B, D
Rationale: The nurse will provide further teaching by educating the patient to report dysphagia and
bleeding after the procedure, as these are not normal post-procedure findings. The nurse will also
clarify that PPI therapy should continue post-procedure. Continued use can be reevaluated after the
efficacy of the procedure is determined in follow-up visits. The client has demonstrated
understanding by saying that NSAIDs and aspirin should be avoided for at least 10days, as this
increases the risk of bleeding. Additionally, these drugs can be irritating to the gastric mucosa, so
avoidance even longer might be recommended by the primary health care provider. The client also
has demonstrated understanding by remaining on a clear liquid diet for at least 24 hours post-
procedure before advancing to a soft diet the following day.
A public health nurse is assessing community clients for oral health disorders. Which client is
identified at highest risk?
A. 23-year old with 3 dental fillings
B. 34-year-old with schizophrenia
C. 55-year-old with stable angina
D. 62-year-old with irritable bowel syndrome
Correct Answer: B
Rationale: The nurse identifies that the client with schizophrenia is at highest risk for oral health
disorders. The population with mental health disorders is at high risk for this health deviation. The
client who has dental fillings demonstrates receiving dental care, which decreases risk. Stable angina
and irritable bowel syndrome do not raise risk for oral health disorders.
The nurse is caring for a client diagnosed with peptic ulcer disease (PUD). For which potential
complications will the nurse monitor? (Select all that apply.)
A. Pneumonia
B. Peritonitis
C. Anemia
D. Stroke
Questions and Correct Answers,
100%Verified.
A nurse is caring for a client with recurrent aphthous stomatitis (RAS) who asks about food choices
while healing. Which food will the nurse suggest?
A. Half of an orange
B. Chocolate pudding
C. Chips with hummus
D. Glass of tomato juice
Correct Answer: B
Rationale: Chocolate pudding is likely to be the most soothing food choice for a client with RAS.The
orange and glass of tomato juice are acidic, which will inflict pain. Although plain hummusmay be a
good choice (as long as it is not flavored with spicy additives), the chips are hard andsalty, which will
cause oral discomfort.
A nurse is caring for four clients. Which individual does the nurse identify at the highest risk for
development of oral cancer?
A. 28-year-old with human papilloma virus (HPV) infection
B. 30-year-old with recurrent aphthous stomatitis (RAS)
C. 55-year-old who quit chewing tobacco 5 years ago
D. 76-year-old who is sometimes negligent in denture care
Correct Answer: A
Rationale: HPV is directly correlated to development of oral cancer, so the individual with this
infection is at highest risk. Recurrent aphthous stomatitis and intermittent negligence in denture
care do not pose a higher risk for oral cancer than HPV. The individual who stopped chewing tobacco
5 years ago have already decreased their risk.
When providing discharge teaching about mouth care, which substance will the nurse teach the
client with oral cancer to avoid? (Select all that apply.)
A. Mouthwash
B. Lip lubricant
C. Warm saline rinses
D. Ultra-soft toothbrush
E. Disposable foam brushes
F. Bicarbonate mouth rinse
Correct Answers: A, E
Rationale: The nurse will teach the client with oral cancer to avoid mouthwash (alcohol can irritate
mucous membranes), and disposable foam brushes (which do not control plaque, and dry the
mouth). Lip lubricant, warm saline or bicarbonate rinses, and use of an ultra-soft toothbrush can be
encourage.
Which client statement about GERD triggers requires further nursing teaching? (Select all that
apply.)
,A. "I will decrease my alcohol intake."
B. "Smoking 1-2 cigarettes a day won't hurt."
C. "My plan is to eat six small meals daily."
D. "Tomato-based foods should be avoided."
E. "I love soda but I am going to stop drinking it."
F. "Our family eats Mexican dishes several times weekly."
Correct Answers: B, F
Rationale: The nurse will need to provide further teaching when the client states that continued
smoking is acceptable, because smoking influences the tone of the lower esophageal sphincter(LES).
The nurse will also provide further teaching regarding spicy dishes like Mexican foods, as spicy foods
can increase episodes of GERD.
A community health nurse is screening clients for esophageal cancer. Which client is identifiedat
highest risk?
A. 22-year-old who drinks a glass of beer weekly.
B. 44-year-old who smokes a pack of cigarettes daily.
C. 50-year-old who takes over-the-counter omeprazole.
D. 63-year old who uses protein supplements regularly
Correct Answer: B
Rationale: The nurse identifies the 44-year-old patient who smokes a pack of cigarettes daily asat the
highest risk for developing esophageal cancer. Drinking a glass of beer weekly is not
highconsumption; taking over-the-counter omeprazole reflects treatment of GERD; and using
proteinsupplements daily demonstrates addressing the possibility of malnutrition
The nurse is caring for a client with esophageal cancer who is scheduled for surgery. When the client
asks, "Is this treatment going to cure me?", which is the appropriate nursing response? (Select all
that apply.)
A. "The surgery has been useful for many patients so it should work for you."
B. "You can beat this disease if you just put your mind to it and do not give up."
C. "Yes, and you have the best surgeon around who specializes in cancer treatment."
D. "Your surgeon can give more information about the effectiveness of this treatment."
E. "It sounds like you are concerned about surgical outcomes; let's talk about your feelings."
Correct Answers: D, F
Rationale: The nurse will respond by addressing the client's question, as well as the possible fear that
accompanies it. The surgeon obtains informed consent and will share information aboutthe
evidence-based outcomes of the surgery (including whether a surgery is curative or palliativein
nature); the nurse can witness the informed consent. The nurse will address the client's emotions by
verbalizing the implied (stating that it sounds like the client is concerned out the outcome) and
asking if the client would like to talk. The nurse should not indicate that the surgery should work for
the client since it worked for others, nor should the nurse give false hope by telling the client that
they can beat the disease if they will themselves to do it. Although the client may be treated by a
surgeon with a favorable reputation, it is not appropriate to answer "yes", because this implies that
the surgery will be curative in nature.
A nurse is caring for a 34-year-old client newly diagnosed with GERD. Which lifestyle change will the
nurse suggest? (Select all that apply)
A. Lose weight if needed
, B. Do not eat before bed
C. Elevate the foot of your bed by 6-12 inches
D. Avoid pants with a tight waistband or belt
E. Eat fatty foods to minimize ongoing hunger
Correct Answers: A, B, D
Rationale: Clients with GERD benefit from weight loss (if needed), avoidance of eating before bed (so
that reflux is minimized), and by avoiding constrictive clothing which increase abdominal pressure.
The head - not the foot - of the bed should be elevated to optimize gravity. Fatty foods should be
avoided by clients with GERD, as these can increase reflux.
A client who had the Stretta procedure to treat severe GERD is being discharged. Which client
statement requires further nursing teaching? (Select all that apply.)
A. "Dysphagia after this procedure is normal".
B. "It's important to stop my proton pump inhibitor."
C. "I will not take NSAIDs and aspirin for at least 10 days."
D. "I might cough up some blood following this procedure."
E. "Today I will drink clear liquids and tomorrow I can eat soft food."
Correct Answers: A, B, D
Rationale: The nurse will provide further teaching by educating the patient to report dysphagia and
bleeding after the procedure, as these are not normal post-procedure findings. The nurse will also
clarify that PPI therapy should continue post-procedure. Continued use can be reevaluated after the
efficacy of the procedure is determined in follow-up visits. The client has demonstrated
understanding by saying that NSAIDs and aspirin should be avoided for at least 10days, as this
increases the risk of bleeding. Additionally, these drugs can be irritating to the gastric mucosa, so
avoidance even longer might be recommended by the primary health care provider. The client also
has demonstrated understanding by remaining on a clear liquid diet for at least 24 hours post-
procedure before advancing to a soft diet the following day.
A public health nurse is assessing community clients for oral health disorders. Which client is
identified at highest risk?
A. 23-year old with 3 dental fillings
B. 34-year-old with schizophrenia
C. 55-year-old with stable angina
D. 62-year-old with irritable bowel syndrome
Correct Answer: B
Rationale: The nurse identifies that the client with schizophrenia is at highest risk for oral health
disorders. The population with mental health disorders is at high risk for this health deviation. The
client who has dental fillings demonstrates receiving dental care, which decreases risk. Stable angina
and irritable bowel syndrome do not raise risk for oral health disorders.
The nurse is caring for a client diagnosed with peptic ulcer disease (PUD). For which potential
complications will the nurse monitor? (Select all that apply.)
A. Pneumonia
B. Peritonitis
C. Anemia
D. Stroke
