REGISTERED NURSING FINAL (END-TERM) EXAM
PAPER QUESTIONS WITH ANSWERS YR 2025
The nurse is performing an external eye examination. Which statement regarding
the outer layer of the eye is true?
a. The outer layer of the eye is very sensitive to touch.
b. The outer layer of the eye is darkly pigmented to prevent light from reflecting
internally.
c. The trigeminal nerve (CN V) and the trochlear nerve (CN IV) are stimulated
when the outer surface of the eye is stimulated.
d. The visual receptive layer of the eye in which light waves are changed into
nerve impulses is located in the outer layer of the eye.
a. The outer layer of the eye is very sensitive to touch.
The nurse is assessing a patient's eyes for the accommodation response and
would expect to see which normal finding?
a. Dilation of the pupils
b. Consensual light reflex
c. Disconjugate movement of the eyes
d. Convergence of the axes of the eyes
d. Convergence of the axes of the eyes
,A physician tells the nurse that a patient's vertebra prominent is tender and asks
the nurse to reevaluate the area in 1 hour. What area of the body will the nurse
assess?
a. At the level of the C7 vertebra
b. At the level of the T11 vertebra
c. At the level of the L5 vertebra
d. At the level of the S3 vertebra
a. At the level of the C7 vertebra
The nurse is examining a patient's ears and notices cerumen in the external canal.
Which of these statements about cerumen is correct?
a. Wet, honey-colored cerumen is a sign of infection.
b. The presence of cerumen is indicative of poor hygiene.
c. The purpose of cerumen is to protect and lubricate the ear.
d. Cerumen is necessary for transmitting sound through the auditory canal.
c. The purpose of cerumen is to protect and lubricate the ear.
The nurse is using an otoscope to assess the nasal cavity. Which of these
techniques is correct?
a. Avoiding touching the nasal septum with the speculum
b. Inserting the speculum at least 3 cm into the vestibule
c. Gently displacing the nose to the side that is being examined
,d. Keeping the speculum tip medial to avoid touching the floor of the nares
a. Avoiding touching the nasal septum with the speculum
A patient comes to the clinic complaining of neck and shoulder pain and is unable
to turn her head. Which nerve does the nurse suspect is damaged and how
should the nurse proceed with the examination?
a. XII; assess for a positive Romberg sign.
b. XI; palpate the anterior and posterior triangles.
c. XI; have patient shrug their shoulders against resistance.
d. XII; percuss the sternomastoid and submandibular neck muscles.
c. XI; have patient shrug their shoulders against resistance.
A patient says that she has recently noticed a lump in the front of her neck below
her "Adam's apple" that seems to be getting bigger. During the assessment, what
finding would lead the nurse to suspect that this may not be a cancerous thyroid
nodule?
a. It is tender.
b. It is mobile and soft.
c. It disappears when the patient smiles.
d. It is hard and fixed to the surrounding structures.
b. It is mobile and soft.
, During an assessment of a 20-year-old patient with a 3-day history of nausea and
vomiting, the nurse notices dry mucosa and deep vertical fissures in the tongue.
What do these findings indicate?
a. Dehydration
b. A normal oral assessment
c. Irritation from gastric juices
d. Side effects from nausea medication
a. Dehydration
A 92-year-old patient has had a stroke. The right side of his face is drooping. The
nurse might also suspect which of these assessment findings?
a. Epistaxis
b. Rhinorrhea
c. Dysphagia
d. Xerostomia
c. Dysphagia
When examining the nares of a 45-year-old patient who is experiencing
rhinorrhea, itching of the nose and eyes, and sneezing, the nurse notices the
following: pale turbinates, swelling of the turbinates, and clear rhinorrhea. Which
of these conditions is most likely the cause?
a. Nasal polyps
b. Acute rhinitis
PAPER QUESTIONS WITH ANSWERS YR 2025
The nurse is performing an external eye examination. Which statement regarding
the outer layer of the eye is true?
a. The outer layer of the eye is very sensitive to touch.
b. The outer layer of the eye is darkly pigmented to prevent light from reflecting
internally.
c. The trigeminal nerve (CN V) and the trochlear nerve (CN IV) are stimulated
when the outer surface of the eye is stimulated.
d. The visual receptive layer of the eye in which light waves are changed into
nerve impulses is located in the outer layer of the eye.
a. The outer layer of the eye is very sensitive to touch.
The nurse is assessing a patient's eyes for the accommodation response and
would expect to see which normal finding?
a. Dilation of the pupils
b. Consensual light reflex
c. Disconjugate movement of the eyes
d. Convergence of the axes of the eyes
d. Convergence of the axes of the eyes
,A physician tells the nurse that a patient's vertebra prominent is tender and asks
the nurse to reevaluate the area in 1 hour. What area of the body will the nurse
assess?
a. At the level of the C7 vertebra
b. At the level of the T11 vertebra
c. At the level of the L5 vertebra
d. At the level of the S3 vertebra
a. At the level of the C7 vertebra
The nurse is examining a patient's ears and notices cerumen in the external canal.
Which of these statements about cerumen is correct?
a. Wet, honey-colored cerumen is a sign of infection.
b. The presence of cerumen is indicative of poor hygiene.
c. The purpose of cerumen is to protect and lubricate the ear.
d. Cerumen is necessary for transmitting sound through the auditory canal.
c. The purpose of cerumen is to protect and lubricate the ear.
The nurse is using an otoscope to assess the nasal cavity. Which of these
techniques is correct?
a. Avoiding touching the nasal septum with the speculum
b. Inserting the speculum at least 3 cm into the vestibule
c. Gently displacing the nose to the side that is being examined
,d. Keeping the speculum tip medial to avoid touching the floor of the nares
a. Avoiding touching the nasal septum with the speculum
A patient comes to the clinic complaining of neck and shoulder pain and is unable
to turn her head. Which nerve does the nurse suspect is damaged and how
should the nurse proceed with the examination?
a. XII; assess for a positive Romberg sign.
b. XI; palpate the anterior and posterior triangles.
c. XI; have patient shrug their shoulders against resistance.
d. XII; percuss the sternomastoid and submandibular neck muscles.
c. XI; have patient shrug their shoulders against resistance.
A patient says that she has recently noticed a lump in the front of her neck below
her "Adam's apple" that seems to be getting bigger. During the assessment, what
finding would lead the nurse to suspect that this may not be a cancerous thyroid
nodule?
a. It is tender.
b. It is mobile and soft.
c. It disappears when the patient smiles.
d. It is hard and fixed to the surrounding structures.
b. It is mobile and soft.
, During an assessment of a 20-year-old patient with a 3-day history of nausea and
vomiting, the nurse notices dry mucosa and deep vertical fissures in the tongue.
What do these findings indicate?
a. Dehydration
b. A normal oral assessment
c. Irritation from gastric juices
d. Side effects from nausea medication
a. Dehydration
A 92-year-old patient has had a stroke. The right side of his face is drooping. The
nurse might also suspect which of these assessment findings?
a. Epistaxis
b. Rhinorrhea
c. Dysphagia
d. Xerostomia
c. Dysphagia
When examining the nares of a 45-year-old patient who is experiencing
rhinorrhea, itching of the nose and eyes, and sneezing, the nurse notices the
following: pale turbinates, swelling of the turbinates, and clear rhinorrhea. Which
of these conditions is most likely the cause?
a. Nasal polyps
b. Acute rhinitis
