answers 2025/2026 update
While examining the patient's neck, the nurse finds the trachea
midline but has difficulty palpating the thyroid. What action
would the nurse take next? - ✔✔ANS Document this finding as
normal.
The lymph nodes that lie superficial to the mastoid bone are the:
- ✔✔ANS Posterior auricular nodes.
Which of the following descriptions is most consistent with a
patient who has hypothyroidism? - ✔✔ANS Slightly obese female
with periorbital edema and a flat facial expression, who
complains of constipation, decreased appetite, and fatigue.
Physical examination of a patient reveals an enlarged tonsilar
node. Acutely infected nodes would be.. - ✔✔ANS Firm but movable
and tender.
The nurse can best evaluate the strength of the
sternocleidomastoid muscle by having the patient... - ✔✔ANS turn
his or her head against resistance
Which of the following best describes the instructions the nurse
should give a patient when assessing the thyroid from the
posterior approach? - ✔✔ANS Please look straight ahead and tilt
your head slightly down and to the right side.
While assessing a patient, the nurse finds a palpable lymph node
in the left supraclavicular region. Which of the following should
,While reviewing laboratory values for thyroid function on an adult
patient, the nurse sees that the TSH is elevated, and the T3 and
T4 are decreased/ The nurse recognizes that these findings are
indicative of - ✔✔ANS hypothyroidism
A patient presents with a complaint of drooping of his eyes,
cheeks, and mouth on one side. This finding is most likely
associated with pathology of which cranial nerve? - ✔✔ANS Cranial
nerve VII
Which of the following patients would require the most emergent
nursing care? - ✔✔ANS A 20-yr-old man with sudden visual loss
after playing football.
Which of the following teaching points would the nurse
emphasize related to eye health? - ✔✔ANS Always wear eye
protection for occupational exposures.
Which of the following symptoms would the nurse expect the
patient to report as translucent specks that drift across the
visual field? - ✔✔ANS Floater
When working with an older adult, what would the nurse
emphasize as increased risks for the patient? - ✔✔ANS Glaucoma
and cataracts
A school nurse is performing annual vision screening for seventh
grade students. Which of the following charts would the nurse
most likely be using? - ✔✔ANS Snellen's chart
Which of the following scores for distance vision indicates the
patient with the poorest vision? - ✔✔ANS 20/100
, Peripheral vision is evaluated by the nurse using - ✔✔ANS
confrontation test
The cranial nerves involved with eye movement include - ✔✔ANS
III, IV, and VI
The nurse assesses the response of the eye to light and
documents normal findings - ✔✔ANS PERRLA
The function of the ear is for - ✔✔ANS hearing and equilibrium
The inner ear - ✔✔ANS provides the body with proprioception
Cues of hearing loss include which of the following - ✔✔ANS All
answers are correct which include
A. Using a loud or monotonous voice
B. Asking to repeat questions
C. Concentrating on lip movement
D, Leaning forward to hear
Risk factors for hearing loss include which of the following? -
✔✔ANS Frequent ear infections
Exposure to smoke
Tinnitus is described as - ✔✔ANS ringing in the ear
Which of the following patients is most likely to have hearing
loss? - ✔✔ANS Caucasian man older than 70 years.
Which of the following differentiates the RN assessment from the
APRN assessment? - ✔✔ANS Otoscopic assessment