NUR 1020C FINAL REVIEW 2026
COMPLETE PRACTICE QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
RATIONALES COMPREHENSIVE NURSING
FINAL EXAM STUDY GUIDE
A patient's thyroid is enlarged, and the nurse is preparing to auscultate the
thyroid for the presence of a bruit. A bruit is a __________ of the
stethoscope. - CORRECT ANSWER-soft, whooshing, pulsatile sound best
heard with the bell
A mother brings in her newborn infant for an assessment and tells the
nurse that she has noticed that whenever her newborn's head is turned to
the right side, she straightens out the arm and leg on the same side and
flexes the opposite arm and leg. After finding this on examination, the
nurse would tell her that this is: - CORRECT ANSWER-normal and should
disappear between 3 and 4 months of age.
During an examination of a female patient, the nurse notes
lymphadenopathy and suspects an acute infection. Acutely infected lymph
nodes would be: - CORRECT ANSWER-firm but freely movable.
During an assessment of an infant, the nurse notes that the fontanels are
depressed and sunken. The nurse suspects which condition? - CORRECT
ANSWER-Dehydration
,While performing a well-child assessment on a 5 year old, the nurse notes
the presence of palpable, bilateral, cervical, and inguinal lymph nodes. They
are approximately 0.5 cm in size, round, mobile, and nontender. The nurse
suspects that this: - CORRECT ANSWER-is a normal finding for a well child
of this age.
The nurse has just completed a lymph node assessment on a 60-year-old
healthy female patient. The nurse knows that most lymph nodes in healthy
adults are normally: - CORRECT ANSWER-not palpable.
During an examination of a patient in her third trimester of pregnancy, the
nurse notices that the patient's thyroid gland is slightly enlarged. No
enlargement had been noticed previously. The nurse suspects that: -
CORRECT ANSWER-this is a normal finding during pregnancy.
During a well-baby checkup, a mother is concerned because her 2-month-
old infant cannot hold her head up when she is pulled to a sitting position.
Which response by the nurse is appropriate? - CORRECT ANSWER-"Head
control is usually achieved by 4 months of age."
During an examination of a 3-year-old child, the nurse notices a bruit over
the left temporal area. The nurse should: - CORRECT ANSWER-continue the
examination because this is a normal finding for this age.
The nurse is assessing a 1-month-old infant at his well-baby check up.
Which assessment findings are appropriate for this age? Select all that
apply. - CORRECT ANSWER-Head circumference greater than chest
circumference, Fontanels firm and slightly concave, Cervical lymph nodes
not palpable
,The nurse notices that a patient's palpebral fissures are not symmetrical.
On examination, the nurse may find that there has been damage to cranial
nerve: - CORRECT ANSWER-VII.
A patient is unable to differentiate between sharp and dull stimulation to
both sides of her face. The nurse suspects: - CORRECT ANSWER-damage to
the trigeminal nerve.
The direction of blood flow through the heart is best described by which of
these? - CORRECT ANSWER-Right atrium right ventricle pulmonary artery
lungs pulmonary vein left atrium left ventricle
When listening to heart sounds, the nurse knows that the valve closures
that can be heard best at the base of the heart are: - CORRECT ANSWER-
aortic and pulmonic.
Which of these statements describes the closure of the valves in a normal
cardiac cycle? - CORRECT ANSWER-The tricuspid valve closes slightly later
than the mitral valve.
The component of the conduction system referred to as the pacemaker of
the heart is the: - CORRECT ANSWER-sinoatrial (SA) node.
In assessing a patient's major risk factors for heart disease, which would the
nurse want to include when taking a history? - CORRECT ANSWER-
Smoking, hypertension, obesity, diabetes, high cholesterol
, The mother of a 3-month-old infant states that her baby has not been
gaining weight. With further questioning, the nurse finds that the infant
falls asleep after nursing and wakes up after a short amount of time, hungry
again. What other information would the nurse want to have? - CORRECT
ANSWER-Presence of dyspnea or diaphoresis when sucking
While counting the apical pulse on a 16-year-old patient, the nurse notices
an irregular rhythm. His rate speeds up on inspiration and slows on
expiration. What would be the nurse's response? - CORRECT ANSWER-No
further response is needed because this is normal.
During the precordial assessment on an patient who is 8 months pregnant,
the nurse palpates the apical impulse at the fourth left intercostal space
lateral to the midclavicular line. This finding would indicate: - CORRECT
ANSWER-displacement of the heart from elevation of the diaphragm.
The nurse knows that normal splitting of the second heart sound is
associated with: - CORRECT ANSWER-inspiration.
The nurse is assessing the apical pulse of a 3-month-old infant and finds
that the heart rate is 135 beats per minute. The nurse interprets this result
as: - CORRECT ANSWER-normal for this age.
The nurse is presenting a class on risk factors for cardiovascular disease.
Which of these are considered modifiable risk factors for myocardial
infarction (MI)? Select all that apply. - CORRECT ANSWER-Abnormal lipids
Smoking
Hypertension
COMPLETE PRACTICE QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
RATIONALES COMPREHENSIVE NURSING
FINAL EXAM STUDY GUIDE
A patient's thyroid is enlarged, and the nurse is preparing to auscultate the
thyroid for the presence of a bruit. A bruit is a __________ of the
stethoscope. - CORRECT ANSWER-soft, whooshing, pulsatile sound best
heard with the bell
A mother brings in her newborn infant for an assessment and tells the
nurse that she has noticed that whenever her newborn's head is turned to
the right side, she straightens out the arm and leg on the same side and
flexes the opposite arm and leg. After finding this on examination, the
nurse would tell her that this is: - CORRECT ANSWER-normal and should
disappear between 3 and 4 months of age.
During an examination of a female patient, the nurse notes
lymphadenopathy and suspects an acute infection. Acutely infected lymph
nodes would be: - CORRECT ANSWER-firm but freely movable.
During an assessment of an infant, the nurse notes that the fontanels are
depressed and sunken. The nurse suspects which condition? - CORRECT
ANSWER-Dehydration
,While performing a well-child assessment on a 5 year old, the nurse notes
the presence of palpable, bilateral, cervical, and inguinal lymph nodes. They
are approximately 0.5 cm in size, round, mobile, and nontender. The nurse
suspects that this: - CORRECT ANSWER-is a normal finding for a well child
of this age.
The nurse has just completed a lymph node assessment on a 60-year-old
healthy female patient. The nurse knows that most lymph nodes in healthy
adults are normally: - CORRECT ANSWER-not palpable.
During an examination of a patient in her third trimester of pregnancy, the
nurse notices that the patient's thyroid gland is slightly enlarged. No
enlargement had been noticed previously. The nurse suspects that: -
CORRECT ANSWER-this is a normal finding during pregnancy.
During a well-baby checkup, a mother is concerned because her 2-month-
old infant cannot hold her head up when she is pulled to a sitting position.
Which response by the nurse is appropriate? - CORRECT ANSWER-"Head
control is usually achieved by 4 months of age."
During an examination of a 3-year-old child, the nurse notices a bruit over
the left temporal area. The nurse should: - CORRECT ANSWER-continue the
examination because this is a normal finding for this age.
The nurse is assessing a 1-month-old infant at his well-baby check up.
Which assessment findings are appropriate for this age? Select all that
apply. - CORRECT ANSWER-Head circumference greater than chest
circumference, Fontanels firm and slightly concave, Cervical lymph nodes
not palpable
,The nurse notices that a patient's palpebral fissures are not symmetrical.
On examination, the nurse may find that there has been damage to cranial
nerve: - CORRECT ANSWER-VII.
A patient is unable to differentiate between sharp and dull stimulation to
both sides of her face. The nurse suspects: - CORRECT ANSWER-damage to
the trigeminal nerve.
The direction of blood flow through the heart is best described by which of
these? - CORRECT ANSWER-Right atrium right ventricle pulmonary artery
lungs pulmonary vein left atrium left ventricle
When listening to heart sounds, the nurse knows that the valve closures
that can be heard best at the base of the heart are: - CORRECT ANSWER-
aortic and pulmonic.
Which of these statements describes the closure of the valves in a normal
cardiac cycle? - CORRECT ANSWER-The tricuspid valve closes slightly later
than the mitral valve.
The component of the conduction system referred to as the pacemaker of
the heart is the: - CORRECT ANSWER-sinoatrial (SA) node.
In assessing a patient's major risk factors for heart disease, which would the
nurse want to include when taking a history? - CORRECT ANSWER-
Smoking, hypertension, obesity, diabetes, high cholesterol
, The mother of a 3-month-old infant states that her baby has not been
gaining weight. With further questioning, the nurse finds that the infant
falls asleep after nursing and wakes up after a short amount of time, hungry
again. What other information would the nurse want to have? - CORRECT
ANSWER-Presence of dyspnea or diaphoresis when sucking
While counting the apical pulse on a 16-year-old patient, the nurse notices
an irregular rhythm. His rate speeds up on inspiration and slows on
expiration. What would be the nurse's response? - CORRECT ANSWER-No
further response is needed because this is normal.
During the precordial assessment on an patient who is 8 months pregnant,
the nurse palpates the apical impulse at the fourth left intercostal space
lateral to the midclavicular line. This finding would indicate: - CORRECT
ANSWER-displacement of the heart from elevation of the diaphragm.
The nurse knows that normal splitting of the second heart sound is
associated with: - CORRECT ANSWER-inspiration.
The nurse is assessing the apical pulse of a 3-month-old infant and finds
that the heart rate is 135 beats per minute. The nurse interprets this result
as: - CORRECT ANSWER-normal for this age.
The nurse is presenting a class on risk factors for cardiovascular disease.
Which of these are considered modifiable risk factors for myocardial
infarction (MI)? Select all that apply. - CORRECT ANSWER-Abnormal lipids
Smoking
Hypertension
