NURS 5220 Exam | Actual Exam Questions & 100%
Correct Answers | Latest Update 2026 | Nursing Exam
Prep
1. Describe how a yellow and crumbling nail plate indicates a fungal infection.
Superficial white spots indicate a bacterial infection rather than a
fungal one.
A yellow and crumbling nail plate suggests a fungal infection due to
the degradation of the nail structure caused by the fungus.
A central depression in the nail plate is a sign of a nutritional
deficiency.
A thick nail bed indicates a fungal infection because it shows
inflammation.
2. What is the term for the ends of long bones that fuse to indicate the
completion of skeletal growth?
Epiphyses
Cartilage
Diaphysis
Metaphysis
3. Mrs. Holmes, a 28-year-old patient, presents to your office today with
complaints of facial pressure and headache. On exam, you find decreased
bilateral sinus transillumination as evidenced by a decreased glow on the
hard palate. This finding is suggestive of:
allergic rhinitis
deviated septum
, nasal polyps
sinusitis
4. A patient presents to the clinic with yellowish brown irregular shaped nails
which are hard and brittle to touch. The patient may be experiencing a
tinea unguium
Tinea faciei
Tinea barbae
Tenia pedis
Tinea corporis
5. What is the primary cause of molding in an infant's head during birth?
Subperiosteal edema.
Premature closure of the fontanels.
Increased cerebrospinal fluid.
Shifting and overlapping of the skull bones during birth.
6. What is the primary purpose of identifying a chief complaint during a patient
assessment?
To gather general health information
To understand the reason the individual is seeking care
To address confidentiality concerns
To establish a diagnosis
7. The nurse is preparing to perform an assessment of the nasal cavity using a
nasal speculum. The nurse considers which of the following to be normal
findings? Hint: Techniques and Normal Findings, Nose and Sinuses
, Red, edematous mucosa
Pale, boggy mucosa
Blue tinged, moist mucosa
Dark pink, smooth mucosa
8. Which of the following can have an impact on effective patient
communication?
Psychophysiological context (pain, hunger, anxiety, age, values,
attitudes, perceptions)
Relation context (trust between patient and clinician, power balance)
Environmental context (noise, privacy level)
Cultural context (cultural values and beliefs) & sociocultural elements
(education level, language, customs)
All of the above
9. A nurse needs to auscultate the heart sounds of a patient who is in a hospital
room watching his favorite television show. Before beginning the assessment,
which of the following should the nurse do to provide a proper environment
for the assessment?
Turn off the TV and begin the assessment.
Ask the client to play some music from his laptop computer instead of
watching TV.
Leave the television as is, as the client is enjoying his show and being
distracted from his pain.
Ask the client if it would be okay to mute the volume on the TV
during the assessment.
10. In which age group are milia an expected finding?
, Adolescents
Young children
Newborns
Older adults
11. Brittle, coarse hair texture can be a symptom of issues with the following
endocrine gland:
Thyroid
Adrenal gland
Parathyroid
Hypothalamus
12. On palpation of an older individual's skin, you observe 'tenting.' What would
be most appropriate for you to do in regard to this condition?
Have the individual further evaluated for dehydration
Observe the skin carefully for other manifestations of loss of skin
integrity
Refer the client for a punch biopsy of the skin
Inform the individual to be especially vigilant in self-screening for skin
cancer
13. Which cranial nerve is responsible for hearing?
Cranial Nerve V (Trigeminal nerve)
Cranial Nerve VII (Facial nerve)
Cranial Nerve VIII (Vestibulocochlear nerve)
Correct Answers | Latest Update 2026 | Nursing Exam
Prep
1. Describe how a yellow and crumbling nail plate indicates a fungal infection.
Superficial white spots indicate a bacterial infection rather than a
fungal one.
A yellow and crumbling nail plate suggests a fungal infection due to
the degradation of the nail structure caused by the fungus.
A central depression in the nail plate is a sign of a nutritional
deficiency.
A thick nail bed indicates a fungal infection because it shows
inflammation.
2. What is the term for the ends of long bones that fuse to indicate the
completion of skeletal growth?
Epiphyses
Cartilage
Diaphysis
Metaphysis
3. Mrs. Holmes, a 28-year-old patient, presents to your office today with
complaints of facial pressure and headache. On exam, you find decreased
bilateral sinus transillumination as evidenced by a decreased glow on the
hard palate. This finding is suggestive of:
allergic rhinitis
deviated septum
, nasal polyps
sinusitis
4. A patient presents to the clinic with yellowish brown irregular shaped nails
which are hard and brittle to touch. The patient may be experiencing a
tinea unguium
Tinea faciei
Tinea barbae
Tenia pedis
Tinea corporis
5. What is the primary cause of molding in an infant's head during birth?
Subperiosteal edema.
Premature closure of the fontanels.
Increased cerebrospinal fluid.
Shifting and overlapping of the skull bones during birth.
6. What is the primary purpose of identifying a chief complaint during a patient
assessment?
To gather general health information
To understand the reason the individual is seeking care
To address confidentiality concerns
To establish a diagnosis
7. The nurse is preparing to perform an assessment of the nasal cavity using a
nasal speculum. The nurse considers which of the following to be normal
findings? Hint: Techniques and Normal Findings, Nose and Sinuses
, Red, edematous mucosa
Pale, boggy mucosa
Blue tinged, moist mucosa
Dark pink, smooth mucosa
8. Which of the following can have an impact on effective patient
communication?
Psychophysiological context (pain, hunger, anxiety, age, values,
attitudes, perceptions)
Relation context (trust between patient and clinician, power balance)
Environmental context (noise, privacy level)
Cultural context (cultural values and beliefs) & sociocultural elements
(education level, language, customs)
All of the above
9. A nurse needs to auscultate the heart sounds of a patient who is in a hospital
room watching his favorite television show. Before beginning the assessment,
which of the following should the nurse do to provide a proper environment
for the assessment?
Turn off the TV and begin the assessment.
Ask the client to play some music from his laptop computer instead of
watching TV.
Leave the television as is, as the client is enjoying his show and being
distracted from his pain.
Ask the client if it would be okay to mute the volume on the TV
during the assessment.
10. In which age group are milia an expected finding?
, Adolescents
Young children
Newborns
Older adults
11. Brittle, coarse hair texture can be a symptom of issues with the following
endocrine gland:
Thyroid
Adrenal gland
Parathyroid
Hypothalamus
12. On palpation of an older individual's skin, you observe 'tenting.' What would
be most appropriate for you to do in regard to this condition?
Have the individual further evaluated for dehydration
Observe the skin carefully for other manifestations of loss of skin
integrity
Refer the client for a punch biopsy of the skin
Inform the individual to be especially vigilant in self-screening for skin
cancer
13. Which cranial nerve is responsible for hearing?
Cranial Nerve V (Trigeminal nerve)
Cranial Nerve VII (Facial nerve)
Cranial Nerve VIII (Vestibulocochlear nerve)
