SOLUTION 2026 SOLVED ITEMS CONFIRMED
A+
◉ is an increased inward curving of the lumbar spine (just above the
buttocks). Answer: lordosis
◉ is the outward curve of the thoracic spine at rib-level Answer:
kyphosis
◉ While auscultating heart sounds, the nurse hears a murmur What
should be used to assess it? Answer: The bell of the stethoscope
◉ The nurse is testing a pt's visual accommodation, which refers to:
Answer: Pupillary constriction when looking at a near object
◉ In using the ophthalmoscope to assess a pt's eyes the nurse notes
a red glow in the pupils. What does the nurse do? Answer: Consider
it a normal reflection of the light off the inner retina
◉ Preparing to do an otoscope exam on a 2 yr old. What is correct
procedure? Answer: Pull pinna down
,◉ When using otoscope to assess the nasal cavity, what does the
nurse need to do? Answer: Avoid touching the nasal septum w/ the
speculum
◉ During assessment of a 20 yr old pt w/ 3-day history of N/V,
nurse notes dry mucosa, deep fissures on tongue. Reflective of:
Answer: Dehydration
◉ When listening to heart sounds, the nurse knows that the valve
closures that can be heard best at the base of the heart are: Answer:
Aortic & pulmonic
◉ Assessment of 70 yr old - swelling in ankles, jugular venous
pulsations. This indicates? Answer: Increased pressure in the right
side of his heart
◉ During assessment of healthy adult, where would you palpate the
apical pulse? Answer: Fifth left intercostal space MCL
◉ While counting apical pulse on 16 yr old, nurse notes irregular
rhythm - speeds up on inspiration, slows on exhalation - What is the
nurse's response? Answer: NO response - normal!
, ◉ If a mother hides a block under her baby's blanket & baby looks
for it, the nurse knows that the baby has begun what concept?
Answer: Object permanence
◉ The nurse is checking ROM in pts knee & knows the knee is
capable of what movements? Answer: Flexion and extension
◉ A pt's annual phx exam reveals lateral curvature of thoracic &
lumbar segments of spine. Dissapears when forward bending. This is
called: Answer: Functional scoliosis
◉ When examining the face, what 2 prs of salivary glands are
accessible to exam? Answer: Parotid & submandibular
◉ Pts lab data reveal an elevated thyroxine level. What needs
examination? Answer: Thyroid
◉ A non cancerous thyroid nodule is a lump that: Answer: Is mobile
and not hard
◉ Four areas of the body where lymph nodes are accessible:
Answer: Head & neck, arms, inguinal area, axillae