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Chapter 18 Health Assessment in Nursing 5th Edition
Complete Chapter Questions And Answers
Sample Questions
1. 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
2. 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
3. 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
4. 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.
5. 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
Answer Key
1. B
2. C
3. A
4. C
5. B
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