UPDATED ACTUAL FINAL EXAM WITH ALL POSSIBLE
MOST TESTED 300 PRACTICE QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS FULLY SOLVED WITH
DETAILED RATIONALES PLUS EXPERT ANSWER KEY
2026-2027 FINAL EXAM UPDATED VERSION 100%
GUARANTEED PASS MOST RECENT!!!
1. A nurse is assessing a patient’s carotid artery.
Which technique is correct?
A) Palpate both carotids simultaneously
B) Use the bell of the stethoscope to listen for
bruits
C) Palpate one side at a time, gently
D) Auscultate before palpating
Correct Answer: C) Palpate one side at a time,
gently
Rationale: Palpating both carotids
simultaneously can reduce cerebral blood
,flow. Auscultate for bruits before palpating to
avoid altering blood flow.
2. When percussing the liver, which sound is
expected over the liver’s lower border?
A) Tympany
B) Resonance
C) Dullness
D) Hyperresonance
Correct Answer: C) Dullness
Rationale: The liver is a solid organ, producing
dullness on percussion. Tympany is heard over
air-filled structures like the stomach.
3. A patient reports sudden, severe headache
and stiff neck. Which cranial nerve should the
nurse assess first?
A) CN II (Optic)
B) CN III (Oculomotor)
C) CN VI (Abducens)
D) CN IX (Glossopharyngeal)
Correct Answer: B) CN III (Oculomotor)
,Rationale: Meningeal irritation causes nuchal
rigidity and may affect pupillary response (CN
III). Assess pupils for equality and reactivity.
4. During a respiratory assessment, the nurse
hears fine crackles at the lung bases. This sound
is most consistent with:
A) Pneumonia
B) Asthma
C) Heart failure
D) Chronic bronchitis
Correct Answer: C) Heart failure
Rationale: Fine crackles (rales) at the bases
indicate pulmonary congestion from left-sided
heart failure. Pneumonia produces coarse
crackles.
5. The nurse is testing for paresthesia in a
diabetic patient. Which tool is most
appropriate?
A) Tuning fork
B) Monofilament
, C) Reflex hammer
D) Cotton swab
Correct Answer: B) Monofilament
Rationale: The 10-g monofilament tests for
loss of protective sensation in diabetic
neuropathy. Tuning fork tests vibration.
6. A patient has a positive Homan’s sign. The
nurse should immediately:
A) Apply warm compresses
B) Elevate the leg and notify provider
C) Massage the calf
D) Have the patient walk
Correct Answer: B) Elevate the leg and notify
provider
Rationale: Homan’s sign suggests deep vein
thrombosis. Massage or walking can dislodge
a clot. Elevation and medical evaluation are
priority.
7. When auscultating bowel sounds, the nurse
hears 5 gurgles per minute. This finding is: