Question 1

Which of the following conditions is most likely to require enteral therapy due to impaired swallowing and risk of aspiration?

Accepted Answer

Oropharyngeal or esophageal paralysis

Question 2

A patient with a history of chronic alcoholism and severe malnutrition is admitted for enteral nutrition. Which complication should the nurse monitor for most closely during the initial phase of feeding?

Accepted Answer

Refeeding syndrome

Question 3

Which of the following is a key distinguishing feature of a classic radical neck dissection compared to a modified radical neck dissection?

Accepted Answer

Removal of all cervical lymph nodes from the mandible to the clavicle

Question 4

A patient is prescribed a proton pump inhibitor (PPI) for GERD. According to evidence-based guidelines, what is the primary action of PPIs?

Accepted Answer

Suppress gastric acid secretion by inhibiting the H+/K+ ATPase enzyme

Question 5

Which of the following is a potential complication of radical neck dissection that may significantly impact a patient's quality of life?

Accepted Answer

Shoulder drop and dysfunction

Question 6

A patient with GERD is advised to avoid certain foods to reduce symptoms. Which of the following foods should be avoided due to its effect on lowering LES pressure?

Accepted Answer

Chocolate

Question 7

Which pharmacologic agent is considered a first-line drug for the management of GERD and is associated with a risk of Clostridioides difficile infection with long-term use?

Accepted Answer

Proton pump inhibitors (PPIs)

Question 8

A patient with a history of head and neck cancer undergoes a selective neck dissection. Which structure is most likely to be preserved in this procedure?

Accepted Answer

Some lymph node groups

Question 9

A patient with severe GERD is not responding to medical therapy. Which surgical procedure is most commonly performed to reinforce the lower esophageal sphincter?

Accepted Answer

Nissen fundoplication

Question 10

Which of the following is a key warning consideration when using H2 receptor antagonists for GERD management?

Accepted Answer

May cause confusion in older adults

Question 11

A patient with a history of radiation therapy for head and neck cancer is at increased risk for which oral complication requiring enteral nutrition?

Accepted Answer

Oral mucositis

Question 12

Which of the following is a second-line drug for GERD that acts by increasing gastric emptying and improving LES tone?

Accepted Answer

Metoclopramide

Question 13

A patient with a classic radical neck dissection is most likely to experience which postoperative complication due to removal of the spinal accessory nerve?

Accepted Answer

Shoulder dysfunction

Question 14

Which of the following is a common indication for enteral therapy in patients with burns, trauma, or multiple fractures?

Accepted Answer

Hypermetabolic state

Question 15

A patient with GERD is prescribed a prokinetic agent. What is the primary mechanism of action of this drug class?

Accepted Answer

Increase gastric emptying and LES tone

Chapter 40: Management of Patients with Oral and Esophageal Disorders

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