Review Exam 3 NUR 323 Questions and Correct Answers
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Course
NUR 323
Institution
NUR 323
The nurse is reviewing a client's electronic health record before assessing her mouth. Which of the following diagnoses would the nurse recognize as an indication for immediate medical follow-up? A) Thrush B) Leukoplakia C) Gingivitis D) Canker sore B) Leukoplakia
In the course of the nurse's heal...
Review Exam 3 NUR 323 Questions and
Correct Answers
The nurse is reviewing a client's electronic health record before assessing her mouth.
Which of the following diagnoses would the nurse recognize as an indication for
immediate medical follow-up?
A) Thrush
B) Leukoplakia
C) Gingivitis
D) Canker sore ✅B) Leukoplakia
In the course of the nurse's health interview, a client reports an occasional blockage in
the upper portion of his nasal passage. What is the most pronounced effect that this will
have on the client?
A) Decreased sense of taste
B) Difficulty hearing
C) Impaired sense of smell
D) Occasional dizziness ✅C) Impaired sense of smell
A client presents with a cluster of upper airway complaints that include rhinorrhea.
Which area of assessment would yield the most pertinent information to the etiology of
rhinorrhea?
A) History of allergies
B) Incomplete immunization record
C) History of epistaxis (nosebleeds)
D) Prolonged tonsillar enlargement ✅A) History of allergies
The nurse is providing health education to an elderly client with dysphagia following a
recent ischemic stroke. Which of the following would be most appropriate for the nurse
to include?
A) Sit with the head of the bed at 45 degrees during meals.
B) Be aware of the possibility of temporomandibular joint pain.
C) Thoroughly chew small amounts of food with each mouthful.
D) Drink fluids before and after, but not during, meals. ✅C) Thoroughly chew small
amounts of food with each mouthful.
When examining the mouth of an adult client with recent cognitive changes, the nurse
notes a distinct bluish-black line along the client's gum line. Which action should be the
nurse's priority?
A) Determining whether the client is receiving phenytoin therapy
B) Referring the client for further evaluation
C) Encouraging the client to enroll in a smoking cessation program
,D) Providing the client with information on proper mouth care ✅B) Referring the client
for further evaluation
While examining a client's mouth, the nurse notes the presence of fasciculations (fine
tremors) of the client's tongue. How should the nurse best respond to this assessment
finding?
A) Have the client provide a 24-hour diet recall.
B) Review the client's medication regimen.
C) Prepare the client for a thyroid screening.
D) Assess the client's cranial nerve function. ✅D) Assess the client's cranial nerve
function.
A client has just been diagnosed with a sinus infection accompanied by large amounts
of exudate. Which of the following assessment findings should the nurse anticipate
along
with this condition?
A) Crepitus over the maxillary sinuses
B) Frontal sinuses nontender to palpation
C) Red, tender tympanic membrane
D) Increased amounts of saliva production ✅A) Crepitus over the maxillary sinuses
The nurse is inspecting a client's tonsils and notes that they make contact with the
client's uvula. The nurse would document this finding as which of the following?
A) 1+
B) 2+
C) 3+
D) 4+ ✅C) 3+
A decrease in tongue strength is noted on examination of a client. The nurse interprets
this as indicating a problem with which cranial nerve?
A) III
B) VI
C) VIII
D) XII ✅D) XII
When examining a child who complains of a sore throat, the nurse notes swelling on
either side of the child's oropharynx. The nurse would include which of the following
when documenting this finding?
A) Enlarged pharyngeal tonsils
B) Enlarged palatine tonsils
C) Enlarged adenoids
D) Enlarged lingual tonsils ✅B) Enlarged palatine tonsils
The nurse is assessing an older adult client whose health problems include receding
gums. The nurse notes gum ischemia and worn tooth surfaces. Which question would
be most important for the nurse to ask?
,A) ìHave you lost any teeth recently?î
B) ìHow would you describe your typical diet?î
C) ìHas your dentist screened you for oral cancer recently?î
D) ìAre you able to taste the food you eat?î ✅A) ìHave you lost any teeth recently?î
During the health interview, the nurse notes that a client is a mouth breather. The client
denies nasal congestion and has a healthy body mass index. Which of the following
would be most important for the nurse to assess?
A) Asking if the client experiences dry mouth often
B) Inspecting for inflammation of the tonsils
C) Checking for a deviated nasal septum
D) Performing a focused respiratory assessment ✅C) Checking for a deviated nasal
septum
While performing an elderly client's admission assessment, the nurse notes the
presence of deep tongue fissures. Which of the following responses should take
priority?
A) Anterior-posterior and lateral chest x-ray
B) Complete blood count with differential
C) Dietitian referral
D) Intravenous fluid replacement ✅D) Intravenous fluid replacement
The nurse assesses thick, white plaques on a client's tongue and hard palate. Which of
the following nursing actions should the nurse do next?
A) Facilitate blood testing for human immunodeficiency virus (HIV).
B) Refer the client to a primary care provider for medication.
C) Asses the client's laboratory values for zinc deficiency.
D) Assess the client for signs of jaundice. ✅B) Refer the client to a primary care
provider for medication.
The nurse inspects a client's mouth and notes the presence of a bifid uvula. The nurse
understands that this finding is most common in which ethnic group?
A) Italian Americans
B) Native Americans
C) African Americans
D) Non-Hispanic Americans ✅B) Native Americans
On inspection, the nurse observes a line across the tip of an 8-year-old client's nose.
The nurse should consequently focus on which area of assessment?
A) History of abuse
B) Chronic nose picking
C) Mucosal polyps
D) Chronic allergies ✅D) Chronic allergies
, A client has presented for care because of frequent sinus headaches. During
transillumination of the frontal sinuses, a red glow is noted. The nurse should anticipate
which of the following?
A) The physician will write a prescription for antibiotics.
B) The drainage will need to be cultured.
C) A repeat procedure will be done in 1 week to compare findings.
D) The headaches are most likely not from a sinus infection. ✅D) The headaches are
most likely not from a sinus infection.
A group of students is reviewing information about the salivary glands and their
secretions. The students demonstrate understanding of the information when they
identify which of the following as components of saliva? Select all that apply.
A) Salts
B) Proteins
C) Fats
D) Mucus
E) Amylase ✅A) Salts
D) Mucus
E) Amylase
The nurse has completed a focused assessment of a client's mouth, nose, and throat.
Which of the following findings would a nurse interpret as being normal?
A) Absence of red glow on transillumination of sinuses
B) Nasal mucosa pale pink and swollen
C) Tonsils 2+
D) Pinkish, spongy soft palate ✅D) Pinkish, spongy soft palate
When assessing a client for possible oral cancer, the nurse should most closely inspect
which area?
A) Buccal mucosa
B) Hard palate
C) Area under the tongue
D) Along the gum line ✅C) Area under the tongue
A nurse is integrating health promotion education into the assessment of a client's
mouth, nose, and throat. What interview question is most likely to identify a risk factor
for oral cancer?
A) ìWould you say that you're prone to getting mouth ulcers?î
B) ìDo you brush and floss daily?î
C) ìDo you use tobacco, whether smoking or chewing?î
D) ìHow often do you usually go to the dentist in a year?î ✅C) ìDo you use tobacco,
whether smoking or chewing?î
The nurse is assessing a client who enjoys good health overall but who has brought a
complaint of chronic nasal congestion and recurrent nosebleeds. What interview
question should the nurse prioritize?
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