Exam Review

The nurse is assessing the neck of a client. What should the nurse say to the client to check for thyroid enlargement?
A)
“How long have you had this problem?”
B)
“Tell me about your current medications.”
C)
"What type of salt do you use in cooking?”
D)
“Please swallow when I tell you to do so.”
Which age-related change should the nurse expect to find while assessing an older adult client?
A)
Increased hair on the face
B)
Increased skin thickening
C)
Decreased sense of taste
D)
Decreased size of the ears
A nurse is assessing a client's breath sounds and is unsure about how to interpret what they heard. Which action should the nurse take next?
A)
Document the sound the nurse thought was heard
B)
Ask another nurse to listen to the client’s breath sounds
C)
Ask the unlicensed (UAP) personal to listen to the client's lungs
D)
Notify the client’s healthcare provider of the finding
The nurse notes a client has a documented diagnosis of presbycusis. Which is the best description of this condition?
A)
Tinnitus that occurs with aging
B)
Conductive hearing loss that occurs with aging
C)
Nystagmus that occurs with aging
D)
Sensorineural hearing loss that occurs with aging

Page 1 of 13

Exam Review

A nurse is assessing a client's eyes during a routine physical examination. Which finding should the nurse recognize as a normal response when using the Snellen chart for visual acuity assessment?
A)
The client can read lines 7 and 8 correctly from a distance of 20 feet
B)
The client can read line 5 correctly from a distance of 30 feet
C)
The client reads the letters correctly with both eyes open at 30 feet
D)
The client requires glasses to read line 10 from a distance of 10 feet
A nurse is assessing a client's skin temperature. Which technique should the nurse use for this assessment?
A)
Place the fingertips lightly on the client’s skin.
B)
Place the palm of the hand on the client’s skin.
C)
Place the back of the hand on the client's skin.
D)
Place the pads of the fingers on the client’s skin.
A nurse assesses a client's radial pulse to be irregular. Which action will the nurse take next?
A)
Count the carotid pulses for one minute
B)
Count the femoral pulses for one minute
C)
Count the apical pulse using a doppler
D)
Count the apical pulse for one minute
A nurse is caring for a client with redness, irritation, and photophobia in their right eye. The client stated they forgot to remove their contact lenses before falling asleep last night. How should the nurse respond?
A)
"You are going to lose your right eye if you keep doing that."
B)
"Why would you forget something so important like that?"
C)
"Over-the-counter eye drops can take away the irritation."
D)
"Do you still have your contact lenses currently in your eyes?"

Page 2 of 13

Exam Review

A nurse assesses an adult client's breath sounds and auscultates a popping sound during inspiration. How should the nurse document this finding?
A)
Crackles
B)
Pleural friction rub
C)
Bronchovesicular sounds
D)
Crepitus
The nurse is assessing a client in an outpatient clinic. Which finding would be expected for a client with fluid volume deficiency?
A)
Blood pressure 90/42 mmHg. Heart rate 62 beats per minute
B)
Blood pressure 145/92 mmHg. Heart rate 68 beats per minute
C)
Blood pressure 86/42 mmHg. Heart rate 110 beats per minute
D)
Blood pressure 162/82 mmHg. Heart rate 114 beats per minute
Which is the best technique to assess the femoral pulse on a client who is obese?
A)
Ask the client to flex the knee with external rotation of the hip
B)
Have the client assume a prone position while abducting the hip
C)
Press firmly against the bone with the client in a semi-Fowler’s position
D)
Auscultate the site with the diaphragm and bell of the stethoscope
Complete the sentence by using the drop-down lists. The primary muscles of respiration are the: dropdown dropdown

Page 3 of 13

Exam Review

The registered nurse (RN) observes a licensed practice nurse (LPN) assess a client's vital signs. What action by the LPN warrants intervention by the RN?
A)
Says to the client, “I'm counting your respirations now, please remain still."
B)
Assesses the client’s axillary temperature instead of an oral temperature.
C)
Says to the client, “Do you know your baseline blood pressure?”
D)
Listens to the client’s apical pulse at the 5th intercostal space midclavicular line.
A nurse assesses a client and notes bradypnea. Which respiratory rate reflects the nurse's assessment?
A)
Respiratory rate 22 breaths per minute
B)
Respiratory rate 18 breaths per minute
C)
Respiratory rate 8 breaths per minute
D)
Respiratory rate 12 breaths per minute
The nurse is planning to assess a client's nose. Which action should the nurse take first?
A)
Observe the nose for symmetry.
B)
View the nasal cavity with an otoscope.
C)
Test patency of the nostrils.
D)
Palpate the sinuses.
The nurse should know that checking the blood pressure of a client who is obese using a standard-sized blood pressure cuff will result in which of the following?
A)
The blood pressure reading will vary based on the technique of the nurse.
B)
The blood pressure reading will be the same, regardless of the cuff size used.
C)
The blood pressure reading will be falsely high.
D)
The blood pressure reading will be falsely low.

Page 4 of 13

Exam Review

Nasal polyps often appear with which condition?
A)
Chronic epistaxis
B)
Acute rhinitis
C)
Chronic asthma
D)
Acute sinusitis
Complete the sentence by using the drop-down lists. A nurse assesses a client who reports ringing in their ears and the room feels like it's spinning. The nurse should document these findings as dropdown and dropdown.
A nurse is assessing a client after giving a new medication. Which finding should the nurse immediately report to the healthcare provider?
A)
Even skin tone
B)
Vitiligo
C)
Acrochordons
D)
Erythematous rash
A nurse is assigned to care for a group of clients and is prioritizing their care. Which client should be the nurse's priority?
A)
A client with a 3 cm laceration on the sole of the foot.
B)
A client with a pulse oximetry level of 89%.
C)
A client with post-operative pain rated 7 out of 10.
D)
A client with a new onset of anxiety.

Page 5 of 13

Exam Review

A client is seen running through the parking lot prior to their physical and wellness appointment at the clinic. What action should the nurse take in obtaining vital signs?
A)
Assess vital signs immediately upon arrival at the clinic using a proper cuff placed on a bare arm.
B)
Ask the client about pain while the vital signs machine evaluates the blood pressure.
C)
Allow time to relax and rest before assessing vital signs with a proper cuff placed on a bare arm.
D)
Assess the blood pressure in the sitting position with legs crossed for more accurate reading.
When caring for an older adult client, which new finding should prompt the nurse to call for assistance immediately?
A)
Rhinorrhea for several days
B)
Salivary glands not enlarged
C)
Mild pain in bilateral knees
D)
Unilateral facial drooping
When caring for an older adult client, which new finding should prompt the nurse to call for assistance immediately?
A)
Rhinorrhea for several days
B)
Salivary glands not enlarged
C)
Mild pain in bilateral knees
D)
Unilateral facial drooping
A nurse is caring for several clients in a head, ear, nose, and throat clinic. Which client should the nurse assess first?
A)
A 78-year-old client who has had continuous rhinorrhea for 3 days.
B)
A 2-year-old client who is pulling at their ear and crying.
C)
A 34-year-old client who has had tenderness and pressure “behind my cheeks and nose" for 2 days.
D)
A 56-year-old client who has had continuous epistaxis for 1 day.

Page 6 of 13