NUR 218 Final Exam
NUR 218 Final Exam Review Questions
and Answers 2025 Graded A+
The nurse is asking a pt with COPD for clubbing of the fingernails. The nurse
recognizes which finding for positive for clubbing? - ANSWERS-Nail bases with an
angle of 180 degrees or greater and that feel spongy
During exam of female patient the nurse notes adenopathy and notices suspects acute
infection. Acutely infected lymph nodes would be - ANSWERS-firm but freely moveable
**Acutely infected lymph nodes are bilateral, enlarged, warm and tender. They are firm
but freely movable. Unilaterally enlarged lymph nodes that are firm. non tender may
indicate cancer**
When assessing the patient's lungs the nurse recalls that the left lung - ANSWERS-
Consists of 2 lobes (because of the heart)
**right lung has 3 lobes**
Ordered: Dilantin 85mg daily
Available: Dilantin suspension 125mg/5ml
How many mL will you give? - ANSWERS-3.4
When assessing the pupillary light reflex, the nurse should use which of the following
techniques? - ANSWERS-Shine light across pupil from side and observe for direct and
consensual pupillary constriction
The nurse is assessing for inflammation in a dark skinned person. Which techniques is
the best? - ANSWERS-Palpating the skin for edema and increased warmth
The nurse knows expected normal assessment findings of the lungs in an adult to be: -
ANSWERS-Muffled voice sounds and symmetrical tactile fremitus
A visitor from Poland who speaks no English seems to be somewhat apprehensive
about the nurse examining his head and neck. He would probably be more comfortable
with nurse examining his thyroid gland from - ANSWERS-the front with the nurses
thumbs placed either side of his trachea and his head tilted back
A 65 year old man with emphysema and bronchitis has come to the clinic for a follow-
up. On assessment, the nurse might expect to see which finding? - ANSWERS-clubbing
of nails
1|Page
, NUR 218 Final Exam
**Clubbing of nails occurs with congenital heart diseases and neoplastic and pulmonary
diseases.**
The nurse is examining a patient's ears and notices cerumen in the exterior ear canal.
Which of the following statement is correct? - ANSWERS-The purpose of cerumen is to
protect and lubricate the ear
The nurse is performing an external eye examination. Which statement regarding the
outer layer of the eye is true? - ANSWERS-The outer layer of the eye is very sensitive
to touch
**The trigeminal nerve (CN V) and the facial nerve (CN VII) are stimulated when the
outer surface of the eye is stimulated**
What about the retina, inner layer of the eye is true? - ANSWERS-This is where light
waves are changed into nerve impulses
What about the choroid, the middle layer of the eye is true? - ANSWERS-This layer
contains the dark pigmentation to prevent light from reflecting internally
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. These
findings are reflective of: - ANSWERS-Dehydration
During the exam the nurse knows that the best way to palpate lymph nodes in the neck
is: - ANSWERS-Using gentle pressure, palpate bilaterally to compare both sides
A pediatric client has had the following intake today:
½ cup of soup
1 slice of white bread
1/2 cup of fruit loops
2.5 oz green jello
3.5 oz orange popsicle
2 vanilla wafers
45 ml fruit punch
6 oz of warm milk
2|Page
NUR 218 Final Exam Review Questions
and Answers 2025 Graded A+
The nurse is asking a pt with COPD for clubbing of the fingernails. The nurse
recognizes which finding for positive for clubbing? - ANSWERS-Nail bases with an
angle of 180 degrees or greater and that feel spongy
During exam of female patient the nurse notes adenopathy and notices suspects acute
infection. Acutely infected lymph nodes would be - ANSWERS-firm but freely moveable
**Acutely infected lymph nodes are bilateral, enlarged, warm and tender. They are firm
but freely movable. Unilaterally enlarged lymph nodes that are firm. non tender may
indicate cancer**
When assessing the patient's lungs the nurse recalls that the left lung - ANSWERS-
Consists of 2 lobes (because of the heart)
**right lung has 3 lobes**
Ordered: Dilantin 85mg daily
Available: Dilantin suspension 125mg/5ml
How many mL will you give? - ANSWERS-3.4
When assessing the pupillary light reflex, the nurse should use which of the following
techniques? - ANSWERS-Shine light across pupil from side and observe for direct and
consensual pupillary constriction
The nurse is assessing for inflammation in a dark skinned person. Which techniques is
the best? - ANSWERS-Palpating the skin for edema and increased warmth
The nurse knows expected normal assessment findings of the lungs in an adult to be: -
ANSWERS-Muffled voice sounds and symmetrical tactile fremitus
A visitor from Poland who speaks no English seems to be somewhat apprehensive
about the nurse examining his head and neck. He would probably be more comfortable
with nurse examining his thyroid gland from - ANSWERS-the front with the nurses
thumbs placed either side of his trachea and his head tilted back
A 65 year old man with emphysema and bronchitis has come to the clinic for a follow-
up. On assessment, the nurse might expect to see which finding? - ANSWERS-clubbing
of nails
1|Page
, NUR 218 Final Exam
**Clubbing of nails occurs with congenital heart diseases and neoplastic and pulmonary
diseases.**
The nurse is examining a patient's ears and notices cerumen in the exterior ear canal.
Which of the following statement is correct? - ANSWERS-The purpose of cerumen is to
protect and lubricate the ear
The nurse is performing an external eye examination. Which statement regarding the
outer layer of the eye is true? - ANSWERS-The outer layer of the eye is very sensitive
to touch
**The trigeminal nerve (CN V) and the facial nerve (CN VII) are stimulated when the
outer surface of the eye is stimulated**
What about the retina, inner layer of the eye is true? - ANSWERS-This is where light
waves are changed into nerve impulses
What about the choroid, the middle layer of the eye is true? - ANSWERS-This layer
contains the dark pigmentation to prevent light from reflecting internally
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. These
findings are reflective of: - ANSWERS-Dehydration
During the exam the nurse knows that the best way to palpate lymph nodes in the neck
is: - ANSWERS-Using gentle pressure, palpate bilaterally to compare both sides
A pediatric client has had the following intake today:
½ cup of soup
1 slice of white bread
1/2 cup of fruit loops
2.5 oz green jello
3.5 oz orange popsicle
2 vanilla wafers
45 ml fruit punch
6 oz of warm milk
2|Page
