NMNC 1110 EXAM 2 TEST PAPER 2026
COMPLETE RESPONSES GRADED A+
◉ When assessing technique involves tapping a clients skin with the
fingertips to cause vibrations in the underlying tissues?
1:palpation
2:inspection
3:percussion
4:auscultation. Answer: 3
Rationale: percussion is the process of tapping the body parts with
the fingers or hands to determine the consistency and borders of the
body organs
◉ While assessing a client, the nurse identifies the ratio of
anteroposterior diameter and transverse diameter of the chest as
1:1. Which findings support this conclusion? select all that apply
1: client has lordosis
2:client is an older adult
,3:client has osteoporosis
4:client has a history of smoking
5:client has chronic lung disease. Answer: 2,4,5
Rationale: the 1:1 ratio of anteroposterior diameter and transverse
diameter of the chest indicates a barrel-shaped chest. This is a
characteristic feature in older adults who smokes and has chronic
lung disease.
-In lordosis, there is an increase in lumbar curvature.
-Osteoporosis is a systemic skeletal condition in which there is a
decreased bone mass and deterioration of bone tissue
◉ After an eye assessment, the nurse finds that the clients eyes are
not focusing on an object simultaneously and appear crossed. Which
potential cause would the nurse associate with this condition?
1:loss of elasticity of lens
2:impairment of the extraocular muscles
3:obstruction of the aqueous humor outflow
,4:progressive degeneration of the center of the retina. Answer: 2
Rationale: starbismus is a condition where the eyes appear crossed;
this condition is caused by the impairment of the extracular muscles
-loss of lens elasticity may lead to presbyopia, which causes
impaired near vision
-An obstruction of the aqueous humor outflow may lead to glaucoma
-the progressive degeneration of the center of the retina indicates
macular degeneration and leads to blurred central vision
◉ In which order would the nurse assess the visual level of a client?
1: ask the client to report when he or she is able to see the finger
2:close the opposite eye to superimpose the field of vision
3:direct the client to stand or sit 60 cm away from eye level
4:ask the client to close his or her left/right eye gently and look
directly at the nurses opposite eye
5:move a dinger equidistant between the nurse and the client
outside the field of vision. Answer: 3,4,2,5,1
, ◉ When assessing levels of consciousness, which one of the four
clients would the nurse identify as having the lowest neurological
function?
1:eye movement: spontaneous, Motor response: localizes pain,
verbal response: inappropriate words
2:eye movement: opens on pain,
motor response: flaccid, verbal response: incomprehensible sounds
3:eye movement: spontaneous, motor response: normal flexion,
verbal response: oriented
4:eye movement: opens on sound, motor response: abnormal
extension, verbal response: confused conversation. Answer: client 2
Rationale: the glasgow coma scale (GCS) is used as an objective
measurement of consciousness on a numerical scale... a higher score
equates to a higher neurological function.
-Client 2 is opening eyes to pain stimulus= 2, shows flaccid motor
response=1, and incomprehensible=2 making the total score a 5
◉ The nursing student, under the supervision of the RN, plans to
perform a pulse assessment. While preparing to assess the client,
COMPLETE RESPONSES GRADED A+
◉ When assessing technique involves tapping a clients skin with the
fingertips to cause vibrations in the underlying tissues?
1:palpation
2:inspection
3:percussion
4:auscultation. Answer: 3
Rationale: percussion is the process of tapping the body parts with
the fingers or hands to determine the consistency and borders of the
body organs
◉ While assessing a client, the nurse identifies the ratio of
anteroposterior diameter and transverse diameter of the chest as
1:1. Which findings support this conclusion? select all that apply
1: client has lordosis
2:client is an older adult
,3:client has osteoporosis
4:client has a history of smoking
5:client has chronic lung disease. Answer: 2,4,5
Rationale: the 1:1 ratio of anteroposterior diameter and transverse
diameter of the chest indicates a barrel-shaped chest. This is a
characteristic feature in older adults who smokes and has chronic
lung disease.
-In lordosis, there is an increase in lumbar curvature.
-Osteoporosis is a systemic skeletal condition in which there is a
decreased bone mass and deterioration of bone tissue
◉ After an eye assessment, the nurse finds that the clients eyes are
not focusing on an object simultaneously and appear crossed. Which
potential cause would the nurse associate with this condition?
1:loss of elasticity of lens
2:impairment of the extraocular muscles
3:obstruction of the aqueous humor outflow
,4:progressive degeneration of the center of the retina. Answer: 2
Rationale: starbismus is a condition where the eyes appear crossed;
this condition is caused by the impairment of the extracular muscles
-loss of lens elasticity may lead to presbyopia, which causes
impaired near vision
-An obstruction of the aqueous humor outflow may lead to glaucoma
-the progressive degeneration of the center of the retina indicates
macular degeneration and leads to blurred central vision
◉ In which order would the nurse assess the visual level of a client?
1: ask the client to report when he or she is able to see the finger
2:close the opposite eye to superimpose the field of vision
3:direct the client to stand or sit 60 cm away from eye level
4:ask the client to close his or her left/right eye gently and look
directly at the nurses opposite eye
5:move a dinger equidistant between the nurse and the client
outside the field of vision. Answer: 3,4,2,5,1
, ◉ When assessing levels of consciousness, which one of the four
clients would the nurse identify as having the lowest neurological
function?
1:eye movement: spontaneous, Motor response: localizes pain,
verbal response: inappropriate words
2:eye movement: opens on pain,
motor response: flaccid, verbal response: incomprehensible sounds
3:eye movement: spontaneous, motor response: normal flexion,
verbal response: oriented
4:eye movement: opens on sound, motor response: abnormal
extension, verbal response: confused conversation. Answer: client 2
Rationale: the glasgow coma scale (GCS) is used as an objective
measurement of consciousness on a numerical scale... a higher score
equates to a higher neurological function.
-Client 2 is opening eyes to pain stimulus= 2, shows flaccid motor
response=1, and incomprehensible=2 making the total score a 5
◉ The nursing student, under the supervision of the RN, plans to
perform a pulse assessment. While preparing to assess the client,
