1
NU 518 EXAM WITH OVER 400 QUESTIONS AND
CORRECT ANSWERS/ NEW NU 528 EXAM 2 2025
On visual confrontation testing, a stroke patient is unable to see your fingers on his
entire right side with either eye covered. Which of the following terms would
describe this finding?
A) Bitemporal hemianopsia
B) Right temporal hemianopsia
C) Right homonymous hemianopsia
D) Binasal hemianopsia CORRECT ANSWER>> -C
6
You note that a patient has anisocoria on examination. Pathologic causes of this
include which of the following? A) Horner's syndrome
B) Benign anisocoria
C) Differing light intensities for each eye
D) Eye prosthesis CORRECT ANSWER>> -A
A young woman undergoes cranial nerve testing. On
touching the soft palate, her uvula deviates to the left. Which of the following is
likely?
A) CN IX lesion on the left
B) CN IX lesion on the right
C) CN X lesion on the left
D) CN X lesion on the right CORRECT ANSWER>> -D
A college student presents with a sore throat, fever, and
fatigue for several days. You notice
exudates on her enlarged tonsils. You do a careful lymphatic examination and notice
some scattered small, mobile lymph nodes just behind her sternocleidomastoid
muscles bilaterally.
What group of nodes is this?
A) Submandibular
B) Tonsillar
C) Occipital
D) Posterior cervical CORRECT ANSWER>> -D
You feel a small mass that you think is a lymph node. It is
mobile in both the up-anddown and side-to-side directions. Which of the following
is most likely?
A) Cancer
B) Lymph node
C) Deep scar
D) Muscle CORRECT ANSWER>> -B
,You are conducting a pupillary examination on a 34-year-old man. You note that
both pupils
dilate slightly. Both are noted to constrict briskly when the light is placed on the
right eye. What is the most likely problem? A) Optic nerve damage on the right
B) Optic nerve damage on the left
C) Efferent nerve damage on the right
D) Efferent nerve damage on the left CORRECT ANSWER>> -B
A physician tells the nurse that a patients vertebra
prominens is tender and asks the nurse to reevaluate the area in 1 hour. The area
of the body the nurse will assess is: a Just above the diaphragm. b Just lateral to the
knee cap.
7 c At the level of the C7
vertebra.
d At the level of the T11 vertebra. - CORRECT ANSWER>> C
A mother brings her 2-month-old daughter in for an
examination and says, My daughter rolled
over against the wall, and now I have noticed that she has this spot that is soft on
the top of her head. Is something terribly wrong? The nurses best response would
be: a Perhaps that could be a result of your dietary intake during pregnancy. b Your
baby may have craniosynostosis, a disease of the sutures of the brain. c That soft
spot may be an indication of cretinism or congenital hypothyroidism. d That soft
spot is normal, and actually allows for growth of the brain
during the first CORRECT ANSWER>> year of
your baby's life. - D
The nurse notices that a patients palpebral fissures are not symmetric. On
examination, the nurse may find that damage has occurred to which
cranial nerve (CN)?
a III
bV
c VII
d VIII CORRECT ANSWER>> -C
A patient is unable to differentiate between sharp and
dull stimulation to both sides of her face. The nurse suspects: a Bell palsy. b Damage
to the trigeminal nerve. c Frostbite with resultant
paresthesia to CORRECT ANSWER>> the cheeks.
d Scleroderma. - B
When examining the face of a patient, the nurse is aware that the two pairs of
salivary glands that are accessible to examination are the and glands. a
Occipital; submental b Parotid; jugulodigastric
c Parotid; submandibular
d Submandibular; occipital CORRECT ANSWER>> -C
A patient comes to the clinic complaining of neck and
shoulder pain and is unable to turn her
head. The nurse suspects damage to CN and proceeds with the examination by
,a XI; palpating the anterior and posterior triangles b XI; asking the
patient to shrug her shoulders against resistance c XII; percussing
the sternomastoid and submandibular neck
muscles CORRECT ANSWER>>
d XII; assessing for a positive Romberg sign - B
When examining a patient's CN function, the nurse remembers that the muscles in
the neck that are innervated by CN XI are the:
a Sternomastoid and trapezius. b
Spinal accessory and omohyoid.
8 c Trapezius and
sternomandibular.
d Sternomandibular and spinal accessory. - CORRECT ANSWER>> A
A patients laboratory data reveal an elevated
thyroxine (T4) level. The nurse would proceed with an examination of the gland. a
Thyroid
b Parotid
c Adrenal
d Parathyroid CORRECT ANSWER>> -A
A patient says that she has recently noticed a lump in the
front of her neck below her Adams
apple that seems to be getting bigger. During the assessment, the finding that leads
the nurse to suspect that this may not be a cancerous thyroid nodule is that the
lump (nodule): a Is tender.
B Is mobile and not hard.
C Disappears when the patient smiles.
D Is hard and fixed to the surrounding structures. CORRECT ANSWER>> -B
The nurse notices that a patients submental lymph
nodes are enlarged. In an effort to identify the cause of the node enlargement, the
nurse would assess the patients: a Infraclavicular area.
B Supraclavicular area.
C Area distal to the enlarged node.
D Area proximal to the enlarged node. CORRECT ANSWER>> -D
The nurse is aware that the four areas in the body where
lymph nodes are accessible are the:
A Head, breasts, groin, and abdomen.
B Arms, breasts, inguinal area, and legs.
C Head and neck, arms, breasts, and axillae.
D Head and neck, arms, inguinal area, and axillae CORRECT ANSWER>> -D
A mother brings her newborn in for an assessment
and asks, Is there something wrong with my
baby? His head seems so big. Which statement is true regarding the relative
proportions of the head and trunk of the newborn?
A At birth, the head is one fifth the total length.
, B Head circumference should be greater than chest circumference at birth. C
The head size reaches 90% of its final size when the child is 3 years old. D
When the anterior fontanel closes at 2 months,
the head will be more CORRECT ANSWER>>
proportioned to the body. - B
A patient, an 85-year-old woman, is complaining about the fact that the bones
in her face have become more noticeable. What explanation should the nurse give
her? A Diets low in protein and high in carbohydrates may cause enhanced facial
bones.
9
B Bones can become more noticeable if the person does not use a
dermatologically approved moisturizer.
C More noticeable facial bones are probably due to a combination of factors
related to aging, such as decreased elasticity, subcutaneous fat, and moisture in her
skin.
D Facial skin becomes more elastic with age. This increased elasticity causes
the skin to be more
taught, drawing attention to the facial bones. - CORRECT ANSWER>> C
A patient reports excruciating headache pain on one side of
his head, especially around his eye, forehead, and cheek that has lasted
approximately to 2 hours, occurring once or twice each day. The nurse should
suspect: a Hypertension.
B Cluster headaches.
C Tension headaches.
D Migraine headaches. CORRECT ANSWER>> -B
A patient complains that while studying for an
examination he began to notice a severe
headache in the frontotemporal area of his head that is throbbing and is somewhat
relieved
when he lies down. He tells the nurse that his mother also had these headaches. The
nurse suspects that he may be suffering from: a Hypertension.
B Cluster headaches.
C Tension headaches.
D Migraine headaches. CORRECT ANSWER>> -D
A 19-year-old college student is brought to the emergency
department with a severe headache
he describes as, Like nothing I've ever had before. His temperature is 40 C, and he
has a stiff neck. The nurse looks for other signs and symptoms of which problem?
A Head injury
B Cluster headache
C Migraine headache
D Meningeal inflammation CORRECT ANSWER>> -D
During a well-baby checkup, the nurse notices that a
1-week-old infants face looks small
NU 518 EXAM WITH OVER 400 QUESTIONS AND
CORRECT ANSWERS/ NEW NU 528 EXAM 2 2025
On visual confrontation testing, a stroke patient is unable to see your fingers on his
entire right side with either eye covered. Which of the following terms would
describe this finding?
A) Bitemporal hemianopsia
B) Right temporal hemianopsia
C) Right homonymous hemianopsia
D) Binasal hemianopsia CORRECT ANSWER>> -C
6
You note that a patient has anisocoria on examination. Pathologic causes of this
include which of the following? A) Horner's syndrome
B) Benign anisocoria
C) Differing light intensities for each eye
D) Eye prosthesis CORRECT ANSWER>> -A
A young woman undergoes cranial nerve testing. On
touching the soft palate, her uvula deviates to the left. Which of the following is
likely?
A) CN IX lesion on the left
B) CN IX lesion on the right
C) CN X lesion on the left
D) CN X lesion on the right CORRECT ANSWER>> -D
A college student presents with a sore throat, fever, and
fatigue for several days. You notice
exudates on her enlarged tonsils. You do a careful lymphatic examination and notice
some scattered small, mobile lymph nodes just behind her sternocleidomastoid
muscles bilaterally.
What group of nodes is this?
A) Submandibular
B) Tonsillar
C) Occipital
D) Posterior cervical CORRECT ANSWER>> -D
You feel a small mass that you think is a lymph node. It is
mobile in both the up-anddown and side-to-side directions. Which of the following
is most likely?
A) Cancer
B) Lymph node
C) Deep scar
D) Muscle CORRECT ANSWER>> -B
,You are conducting a pupillary examination on a 34-year-old man. You note that
both pupils
dilate slightly. Both are noted to constrict briskly when the light is placed on the
right eye. What is the most likely problem? A) Optic nerve damage on the right
B) Optic nerve damage on the left
C) Efferent nerve damage on the right
D) Efferent nerve damage on the left CORRECT ANSWER>> -B
A physician tells the nurse that a patients vertebra
prominens is tender and asks the nurse to reevaluate the area in 1 hour. The area
of the body the nurse will assess is: a Just above the diaphragm. b Just lateral to the
knee cap.
7 c At the level of the C7
vertebra.
d At the level of the T11 vertebra. - CORRECT ANSWER>> C
A mother brings her 2-month-old daughter in for an
examination and says, My daughter rolled
over against the wall, and now I have noticed that she has this spot that is soft on
the top of her head. Is something terribly wrong? The nurses best response would
be: a Perhaps that could be a result of your dietary intake during pregnancy. b Your
baby may have craniosynostosis, a disease of the sutures of the brain. c That soft
spot may be an indication of cretinism or congenital hypothyroidism. d That soft
spot is normal, and actually allows for growth of the brain
during the first CORRECT ANSWER>> year of
your baby's life. - D
The nurse notices that a patients palpebral fissures are not symmetric. On
examination, the nurse may find that damage has occurred to which
cranial nerve (CN)?
a III
bV
c VII
d VIII CORRECT ANSWER>> -C
A patient is unable to differentiate between sharp and
dull stimulation to both sides of her face. The nurse suspects: a Bell palsy. b Damage
to the trigeminal nerve. c Frostbite with resultant
paresthesia to CORRECT ANSWER>> the cheeks.
d Scleroderma. - B
When examining the face of a patient, the nurse is aware that the two pairs of
salivary glands that are accessible to examination are the and glands. a
Occipital; submental b Parotid; jugulodigastric
c Parotid; submandibular
d Submandibular; occipital CORRECT ANSWER>> -C
A patient comes to the clinic complaining of neck and
shoulder pain and is unable to turn her
head. The nurse suspects damage to CN and proceeds with the examination by
,a XI; palpating the anterior and posterior triangles b XI; asking the
patient to shrug her shoulders against resistance c XII; percussing
the sternomastoid and submandibular neck
muscles CORRECT ANSWER>>
d XII; assessing for a positive Romberg sign - B
When examining a patient's CN function, the nurse remembers that the muscles in
the neck that are innervated by CN XI are the:
a Sternomastoid and trapezius. b
Spinal accessory and omohyoid.
8 c Trapezius and
sternomandibular.
d Sternomandibular and spinal accessory. - CORRECT ANSWER>> A
A patients laboratory data reveal an elevated
thyroxine (T4) level. The nurse would proceed with an examination of the gland. a
Thyroid
b Parotid
c Adrenal
d Parathyroid CORRECT ANSWER>> -A
A patient says that she has recently noticed a lump in the
front of her neck below her Adams
apple that seems to be getting bigger. During the assessment, the finding that leads
the nurse to suspect that this may not be a cancerous thyroid nodule is that the
lump (nodule): a Is tender.
B Is mobile and not hard.
C Disappears when the patient smiles.
D Is hard and fixed to the surrounding structures. CORRECT ANSWER>> -B
The nurse notices that a patients submental lymph
nodes are enlarged. In an effort to identify the cause of the node enlargement, the
nurse would assess the patients: a Infraclavicular area.
B Supraclavicular area.
C Area distal to the enlarged node.
D Area proximal to the enlarged node. CORRECT ANSWER>> -D
The nurse is aware that the four areas in the body where
lymph nodes are accessible are the:
A Head, breasts, groin, and abdomen.
B Arms, breasts, inguinal area, and legs.
C Head and neck, arms, breasts, and axillae.
D Head and neck, arms, inguinal area, and axillae CORRECT ANSWER>> -D
A mother brings her newborn in for an assessment
and asks, Is there something wrong with my
baby? His head seems so big. Which statement is true regarding the relative
proportions of the head and trunk of the newborn?
A At birth, the head is one fifth the total length.
, B Head circumference should be greater than chest circumference at birth. C
The head size reaches 90% of its final size when the child is 3 years old. D
When the anterior fontanel closes at 2 months,
the head will be more CORRECT ANSWER>>
proportioned to the body. - B
A patient, an 85-year-old woman, is complaining about the fact that the bones
in her face have become more noticeable. What explanation should the nurse give
her? A Diets low in protein and high in carbohydrates may cause enhanced facial
bones.
9
B Bones can become more noticeable if the person does not use a
dermatologically approved moisturizer.
C More noticeable facial bones are probably due to a combination of factors
related to aging, such as decreased elasticity, subcutaneous fat, and moisture in her
skin.
D Facial skin becomes more elastic with age. This increased elasticity causes
the skin to be more
taught, drawing attention to the facial bones. - CORRECT ANSWER>> C
A patient reports excruciating headache pain on one side of
his head, especially around his eye, forehead, and cheek that has lasted
approximately to 2 hours, occurring once or twice each day. The nurse should
suspect: a Hypertension.
B Cluster headaches.
C Tension headaches.
D Migraine headaches. CORRECT ANSWER>> -B
A patient complains that while studying for an
examination he began to notice a severe
headache in the frontotemporal area of his head that is throbbing and is somewhat
relieved
when he lies down. He tells the nurse that his mother also had these headaches. The
nurse suspects that he may be suffering from: a Hypertension.
B Cluster headaches.
C Tension headaches.
D Migraine headaches. CORRECT ANSWER>> -D
A 19-year-old college student is brought to the emergency
department with a severe headache
he describes as, Like nothing I've ever had before. His temperature is 40 C, and he
has a stiff neck. The nurse looks for other signs and symptoms of which problem?
A Head injury
B Cluster headache
C Migraine headache
D Meningeal inflammation CORRECT ANSWER>> -D
During a well-baby checkup, the nurse notices that a
1-week-old infants face looks small
