NU 650
Regis Final Exam | Complete Study Guide, Practice
Questions & Detailed Solutions | Nursing Exam Prep
Resource Features
➢ NU 650 final-exam study guide
➢ Practice questions
➢ Detailed answers
➢ Complete solution explanations
➢ Comprehensive rationales
, NU 650 Regis Final Exam | Complete Study Guide,
Practice Questions & Detailed Solutions | Nursing
Exam Prep
Question 1
A nurse is preparing to perform a physical assessment on an adult
client. In which order should the nurse complete the assessment
techniques?
A) Inspection, Palpation, Percussion, Auscultation
B) Palpation, Inspection, Auscultation, Percussion
C) Auscultation, Inspection, Palpation, Percussion
D) Inspection, Auscultation, Percussion, Palpation
Answer: A) Inspection, Palpation, Percussion, Auscultation
Rationale: The standard order of assessment is inspection, palpation,
percussion, and auscultation. This order prevents altering bowel sounds
through palpation or percussion before auscultation. The exception is the
abdominal assessment, where auscultation is performed after inspection
and before palpation and percussion to avoid altering bowel sounds.
Question 2
,A nurse is assessing the fontanels of a 6-month-old infant. Which
finding would be considered normal?
A) Posterior fontanel closed, anterior fontanel open
B) Posterior fontanel open, anterior fontanel closed
C) Both fontanels closed
D) Both fontanels open
Answer: A) Posterior fontanel closed, anterior fontanel open
Rationale: The posterior fontanel typically closes by 1-2 months of age.
The anterior fontanel usually closes between 9 months and 2 years of age.
Therefore, a 6-month-old infant should have a closed posterior fontanel
and an open anterior fontanel. A bulging fontanel may indicate increased
intracranial pressure, while a sunken fontanel may indicate dehydration.
Question 3
A nurse is preparing to examine a child's ears with an otoscope. How
should the nurse position the child's ear canal?
A) Down and back
B) Up and back
C) Straight in
D) Up and forward
Answer: A) Down and back
, Rationale: For pediatric patients, the ear canal should be straightened by
pulling the pinna down and back. For adults, the pinna is pulled up and
back. This straightens the external auditory canal, allowing better
visualization of the tympanic membrane. Using the largest speculum that
fits comfortably is also recommended to improve visualization.
Question 4
A nurse is assessing the tympanic membrane of an adult client. Where
should the nurse expect to find the cone of light?
A) At the 5 o'clock position in the right ear
B) At the 7 o'clock position in the right ear
C) At the 12 o'clock position in both ears
D) At the 9 o'clock position in the left ear
Answer: A) At the 5 o'clock position in the right ear
Rationale: The cone of light is a triangular reflection of light from the
otoscope on the tympanic membrane. In the right ear, the cone of light is
at the 5 o'clock position. In the left ear, it is at the 7 o'clock position. The
cone of light may be distorted or absent in conditions such as otitis media
or perforation.
Regis Final Exam | Complete Study Guide, Practice
Questions & Detailed Solutions | Nursing Exam Prep
Resource Features
➢ NU 650 final-exam study guide
➢ Practice questions
➢ Detailed answers
➢ Complete solution explanations
➢ Comprehensive rationales
, NU 650 Regis Final Exam | Complete Study Guide,
Practice Questions & Detailed Solutions | Nursing
Exam Prep
Question 1
A nurse is preparing to perform a physical assessment on an adult
client. In which order should the nurse complete the assessment
techniques?
A) Inspection, Palpation, Percussion, Auscultation
B) Palpation, Inspection, Auscultation, Percussion
C) Auscultation, Inspection, Palpation, Percussion
D) Inspection, Auscultation, Percussion, Palpation
Answer: A) Inspection, Palpation, Percussion, Auscultation
Rationale: The standard order of assessment is inspection, palpation,
percussion, and auscultation. This order prevents altering bowel sounds
through palpation or percussion before auscultation. The exception is the
abdominal assessment, where auscultation is performed after inspection
and before palpation and percussion to avoid altering bowel sounds.
Question 2
,A nurse is assessing the fontanels of a 6-month-old infant. Which
finding would be considered normal?
A) Posterior fontanel closed, anterior fontanel open
B) Posterior fontanel open, anterior fontanel closed
C) Both fontanels closed
D) Both fontanels open
Answer: A) Posterior fontanel closed, anterior fontanel open
Rationale: The posterior fontanel typically closes by 1-2 months of age.
The anterior fontanel usually closes between 9 months and 2 years of age.
Therefore, a 6-month-old infant should have a closed posterior fontanel
and an open anterior fontanel. A bulging fontanel may indicate increased
intracranial pressure, while a sunken fontanel may indicate dehydration.
Question 3
A nurse is preparing to examine a child's ears with an otoscope. How
should the nurse position the child's ear canal?
A) Down and back
B) Up and back
C) Straight in
D) Up and forward
Answer: A) Down and back
, Rationale: For pediatric patients, the ear canal should be straightened by
pulling the pinna down and back. For adults, the pinna is pulled up and
back. This straightens the external auditory canal, allowing better
visualization of the tympanic membrane. Using the largest speculum that
fits comfortably is also recommended to improve visualization.
Question 4
A nurse is assessing the tympanic membrane of an adult client. Where
should the nurse expect to find the cone of light?
A) At the 5 o'clock position in the right ear
B) At the 7 o'clock position in the right ear
C) At the 12 o'clock position in both ears
D) At the 9 o'clock position in the left ear
Answer: A) At the 5 o'clock position in the right ear
Rationale: The cone of light is a triangular reflection of light from the
otoscope on the tympanic membrane. In the right ear, the cone of light is
at the 5 o'clock position. In the left ear, it is at the 7 o'clock position. The
cone of light may be distorted or absent in conditions such as otitis media
or perforation.
