NUR 216 Exam 3 Actual Questions and Answers
| Complete solution | Latest Updated 2026/2027
| Graded A+ | 100% Pass.
A nurse is assessing a client's cranial nerves. Which of the following client actions is an
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indication that cranial nerve 1 is intact? A.
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The client can stick their tongue out
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B. The client can smile symmetrically
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C. The client can hear whispered words
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D. The client can identify a minty scent - D. The client can identify a minty scent
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Rationale- Cranial nerve 1, the olfactory nerve, controls the sense of smell. To test this
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nerve's function, the nurse should ask the client to identify a nonirritating aroma, such as
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mint or coffee
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A nurse is performing a respiratory assessment on a client. The nurse auscultates a wet,
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popping sound upon inspiration of the clients breathing. The nurse should identify this
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observation as which of the following findings? A.
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Crackles
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B. Stridor ii
C. Wheezes ii
D. Friction Rub - A. Crackles
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Rationale- crackles, sometimes called rales, are wet, popping sounds created by air ii ii ii ii ii ii ii ii ii ii ii
moving through liquid or by collapsed alveoli snapping open on inspiration. They are most
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common at the end of inspiration of breathing.
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A nurse is performing a cardiovascular assessment on a client which of the following
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findings should the nurse expect?
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A. A continuous sensation of vibration felt over the second and third left intercostal spaces
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B. A high-pitched, scraping sound heard in the third intercostal space to the left of the
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sternum
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C. A brief thump felt near the fourth or fifth intercostal space near the left mid clavicular line
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D. A whooshing or swishing sound over the second intercostal space along the left arsenal
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border - C. A brief thump felt near the fourth or fifth intercostal space near the left mid
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clavicular line
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,Rationale- This is where you would inspect and palpate for the point of maximal impulse. ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Also called an apical pulse station, it occurs as the Apex of the heart bumps against the
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chest wall with each heartbeat. The apical impulse is not always visible but can be felt as a
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brief thump. This is an expected finding and should be performed when you are preparing
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to auscultate the apical pulse.
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The nurse is preparing to perform a comprehensive physical assessment on a
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client.
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A nurse is performing a physical examination of the spine for an older adult client.
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The nurse should identify that which of the following findings is common with aging?
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A.
Lordosis
ii
B. Kyphosis ii ii
C. Ankylosis ii ii
D. Scoliosis - B. Kyphosis ii ii ii ii ii ii ii
Rationale- kyphosis, a pronounced "hunchback" curvature of the spine, is an abnormal ii ii ii ii ii ii ii ii ii ii ii
angulation of the posterior curve of the thoracic spine, usually a result of osteoporosis. It is
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most common in older adults and tends to increase with aging. This pronounced convexity
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of the thoracic spine is also common in older clients who have had vertebral fractures.
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Disorders in which parts of the ear usually result in
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earaches?
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A. Inner and middle ear ii ii ii ii
B. Inner and external ear ii ii ii ii
C. Middle and external ear ii ii ii ii
D. Travis and eardrum - B. Inner and external ear
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Eye discharge is usually associated with:
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A. Hypertension ii
(HTN) ii
i
B. Conjunctivitis ii i
C. Otitis externa ii ii ii
D. ii Meibomianitis ii ii ii B.
ii - Conjunctivitis
ii
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ii ii Which term is used to test for corneal sensitivity?
ii ii ii ii ii ii ii ii
A. ii Cotton-tipped
applicator
ii
| Complete solution | Latest Updated 2026/2027
| Graded A+ | 100% Pass.
A nurse is assessing a client's cranial nerves. Which of the following client actions is an
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
indication that cranial nerve 1 is intact? A.
ii ii ii ii ii ii ii
The client can stick their tongue out
ii ii ii ii ii ii ii ii
B. The client can smile symmetrically
ii ii ii ii ii
C. The client can hear whispered words
ii ii ii ii ii ii
D. The client can identify a minty scent - D. The client can identify a minty scent
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Rationale- Cranial nerve 1, the olfactory nerve, controls the sense of smell. To test this
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
nerve's function, the nurse should ask the client to identify a nonirritating aroma, such as
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
mint or coffee
ii ii ii
A nurse is performing a respiratory assessment on a client. The nurse auscultates a wet,
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
popping sound upon inspiration of the clients breathing. The nurse should identify this
ii ii ii ii ii ii ii ii ii ii ii ii ii
observation as which of the following findings? A.
ii ii ii ii ii ii ii
Crackles
ii
B. Stridor ii
C. Wheezes ii
D. Friction Rub - A. Crackles
ii ii ii ii ii ii ii
Rationale- crackles, sometimes called rales, are wet, popping sounds created by air ii ii ii ii ii ii ii ii ii ii ii
moving through liquid or by collapsed alveoli snapping open on inspiration. They are most
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
common at the end of inspiration of breathing.
ii ii ii ii ii ii ii ii
A nurse is performing a cardiovascular assessment on a client which of the following
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
findings should the nurse expect?
ii ii ii ii ii
A. A continuous sensation of vibration felt over the second and third left intercostal spaces
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
B. A high-pitched, scraping sound heard in the third intercostal space to the left of the
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
sternum
ii
C. A brief thump felt near the fourth or fifth intercostal space near the left mid clavicular line
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
D. A whooshing or swishing sound over the second intercostal space along the left arsenal
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
border - C. A brief thump felt near the fourth or fifth intercostal space near the left mid
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
clavicular line
ii ii
,Rationale- This is where you would inspect and palpate for the point of maximal impulse. ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Also called an apical pulse station, it occurs as the Apex of the heart bumps against the
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
chest wall with each heartbeat. The apical impulse is not always visible but can be felt as a
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
brief thump. This is an expected finding and should be performed when you are preparing
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
to auscultate the apical pulse.
ii ii ii ii ii
The nurse is preparing to perform a comprehensive physical assessment on a
ii ii ii ii ii ii ii ii ii ii ii ii ii
client.
ii
A nurse is performing a physical examination of the spine for an older adult client.
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
The nurse should identify that which of the following findings is common with aging?
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
A.
Lordosis
ii
B. Kyphosis ii ii
C. Ankylosis ii ii
D. Scoliosis - B. Kyphosis ii ii ii ii ii ii ii
Rationale- kyphosis, a pronounced "hunchback" curvature of the spine, is an abnormal ii ii ii ii ii ii ii ii ii ii ii
angulation of the posterior curve of the thoracic spine, usually a result of osteoporosis. It is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
most common in older adults and tends to increase with aging. This pronounced convexity
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
of the thoracic spine is also common in older clients who have had vertebral fractures.
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Disorders in which parts of the ear usually result in
ii ii ii ii ii ii ii ii ii ii ii
earaches?
ii
A. Inner and middle ear ii ii ii ii
B. Inner and external ear ii ii ii ii
C. Middle and external ear ii ii ii ii
D. Travis and eardrum - B. Inner and external ear
ii ii ii ii ii ii ii ii ii ii ii
Eye discharge is usually associated with:
ii ii ii ii ii ii ii
A. Hypertension ii
(HTN) ii
i
B. Conjunctivitis ii i
C. Otitis externa ii ii ii
D. ii Meibomianitis ii ii ii B.
ii - Conjunctivitis
ii
, Thank you for Purchasing this
exam Study Guide. We provide
high-quality academic materials to
help students excel in exams. Our
other Services include but not
limited to: academic research,
University & College assignments
writing, essay writing, Online
Classes, and research projects.
Our services are reliable,
affordable, and plagiarism-free. All
the Best in your Exam. For more
information; Contact us at:
or
0R
+254 741484450
ii ii Which term is used to test for corneal sensitivity?
ii ii ii ii ii ii ii ii
A. ii Cotton-tipped
applicator
ii
