Med Surg Davis Advantage
Exam Questions and Correct
Solutions
Which client is most likely to be at risk for developing gastroesophageal reflux disease? - Correct
Answers: 25-year-old pregnant woman
Which foods should be avoided in a client who has already been diagnosed with gastroesophageal reflux
disease? Select all that apply. - Correct Answers: - Chocolate
- Beer
- Caffeinated coffee
- Peppermint gum
Which of these symptoms would the nurse expect to find in a client with gastroesophageal reflux
disease? Select all that apply. - Correct Answers: - Atypical chest pain
- Sleep issues
- Adult-onset asthma
- Laryngitis
In working with clients who have been diagnosed with gastroesophageal reflux disease, which
statement is accurate related to the use of proton pump inhibitors as therapeutic treatment? - Correct
Answers: Tolerance is unlikely.
Which medication option would have a longer duration of action in treating the clinical condition of
gastroesophageal reflux disease? - Correct Answers: Proton pump inhibitors
Which medication can help to decrease the gag reflex if administered to a patient with stomatitis? -
Correct Answers: Viscous lidocaine
, A nurse is teaching a patient with stomatitis about the precautionary measures that can promote rapid
healing. Which comments by the patient indicate a need for further teaching? Select all that apply. -
Correct Answers: - "I should use a hard-bristled toothbrush to clean the mouth."
- "I should use lemon-glycerin swabs to clean the mouth."
- "I should limit intake of protein-rich foods in the diet."
Which clinical manifestations should a nurse look for in a patient with type II hiatal hernia? Select all
that apply.
Feeling full after eating - Correct Answers: - Feeling full after eating
- Chest pain like angina
- Feeling of suffocation
Which action taken by the nurse may cause aspiration in a patient with oral cancer? - Correct Answers:
Lowering the head of the bed
Which is true regarding leukoplakia? - Correct Answers: It looks like nonremovable, slightly raised,
sharply rounded white plaques.
A nurse is reviewing the risk factors that may increase the risk for developing esophageal cancer. Which
risk factor listed indicates a need for further training? - Correct Answers: Weight loss
Which is true regarding xerostomia? Select all that apply. - Correct Answers: - It occurs in patients
receiving significant radiation exposure to the salivary glands during radiotherapy.
- It is a symptom of several diseases as well as a side effect of many different medications.
- It may be caused by removal of the salivary glands, dehydration, and diabetes.
Which is true regarding H2 receptor antigen antagonists in treating gastroesophageal reflux disease?
Select all that apply. - Correct Answers: - Some patients may develop a tolerance.
- They reduce acid production longer than antacids but are slower to take effect.
- They decrease acid production of parietal cells in the stomach lining by blocking histamine 2 at one of
the first steps of acid production.
Exam Questions and Correct
Solutions
Which client is most likely to be at risk for developing gastroesophageal reflux disease? - Correct
Answers: 25-year-old pregnant woman
Which foods should be avoided in a client who has already been diagnosed with gastroesophageal reflux
disease? Select all that apply. - Correct Answers: - Chocolate
- Beer
- Caffeinated coffee
- Peppermint gum
Which of these symptoms would the nurse expect to find in a client with gastroesophageal reflux
disease? Select all that apply. - Correct Answers: - Atypical chest pain
- Sleep issues
- Adult-onset asthma
- Laryngitis
In working with clients who have been diagnosed with gastroesophageal reflux disease, which
statement is accurate related to the use of proton pump inhibitors as therapeutic treatment? - Correct
Answers: Tolerance is unlikely.
Which medication option would have a longer duration of action in treating the clinical condition of
gastroesophageal reflux disease? - Correct Answers: Proton pump inhibitors
Which medication can help to decrease the gag reflex if administered to a patient with stomatitis? -
Correct Answers: Viscous lidocaine
, A nurse is teaching a patient with stomatitis about the precautionary measures that can promote rapid
healing. Which comments by the patient indicate a need for further teaching? Select all that apply. -
Correct Answers: - "I should use a hard-bristled toothbrush to clean the mouth."
- "I should use lemon-glycerin swabs to clean the mouth."
- "I should limit intake of protein-rich foods in the diet."
Which clinical manifestations should a nurse look for in a patient with type II hiatal hernia? Select all
that apply.
Feeling full after eating - Correct Answers: - Feeling full after eating
- Chest pain like angina
- Feeling of suffocation
Which action taken by the nurse may cause aspiration in a patient with oral cancer? - Correct Answers:
Lowering the head of the bed
Which is true regarding leukoplakia? - Correct Answers: It looks like nonremovable, slightly raised,
sharply rounded white plaques.
A nurse is reviewing the risk factors that may increase the risk for developing esophageal cancer. Which
risk factor listed indicates a need for further training? - Correct Answers: Weight loss
Which is true regarding xerostomia? Select all that apply. - Correct Answers: - It occurs in patients
receiving significant radiation exposure to the salivary glands during radiotherapy.
- It is a symptom of several diseases as well as a side effect of many different medications.
- It may be caused by removal of the salivary glands, dehydration, and diabetes.
Which is true regarding H2 receptor antigen antagonists in treating gastroesophageal reflux disease?
Select all that apply. - Correct Answers: - Some patients may develop a tolerance.
- They reduce acid production longer than antacids but are slower to take effect.
- They decrease acid production of parietal cells in the stomach lining by blocking histamine 2 at one of
the first steps of acid production.
