NUR 643E FINAL PHYSICAL EXAM
ASSESSMENT QUESTIONS AND ANSWERS
| NUR 643E FINAL EXAM STUDY GUIDE &
PRACTICE TEST 2026/2027
1 of 91
Definition
Have you been having any of the following symptoms?
-Dizziness
-Blurred vision
-Unsteady gait
Give this one a try later!
Review of Systems: Respiratory Review of Systems: Hem/Lymph
Review of Systems: Psychiatric Review of Systems: Neurologic
Don't know?
2 of 91
,Definition
Hi, my name is Samantha. I am the registered nurse that will be
completing your physical exam. I am just going to gather my supplies
and then we will get started.
Perform hand hygiene.
Needed supplies: gloves, alcohol swabs, cotton ball, cotton swab,
tongue depressor, ophthalmoscope, otoscope, reflex hammer,
stethoscope
Give this one a try later!
Initial Approach and History
Review of Systems: Psychiatric
Taking
Review of Systems: Neurologic Past Medical History
Don't know?
3 of 91
Definition
Motor:
-Palpate temporal and masseter muscles and ask pt to clench jaw. Note
strength of contraction
-Ask pt to open jaw and move side to side against hand
Sensory:
,-Use broken in half cotton swab (broke = sharp, swab = soft). Test
forehead, cheek, chin bilaterally. Switch between sharp and soft. Have
patient identify if soft or sharp
Corneal Reflex:
Ask patient to look up and away, approach from opposite side out of
line of vision. Slightly touch cornea with fine wisp of cotton. Normal
reaction = blinking of both eyes.
Give this one a try later!
Head and Neck: Cranial Nerve VII - Head and Neck: Cranial Nerve
Facial V - Trigeminal
Head and Neck: Cranial Nerve II - Head and Neck: Cranial Nerve VIII -
Optic Vestibulocohlear
Don't know?
4 of 91
Definition
Pharynx: ask pt to say ah with tongue not protruded, inspect. Note rise
of soft palate. Note color and asymmetry. Look for exudate, swelling,
ulceration, tonsillar enlargment.
Give this one a try later!
, Head and Neck: Ears Head and Neck: Throat
Abdomen: Pulses and Lymph Nodes Head and Neck: Nose
Don't know?
5 of 91
Definition
Inspect auricle and surrounding tissue for lumps,
deformities, skin lesions
If ear pain, discharge or inflammation move the auricle up
and down, press tragus, press firmly just behind ear. Tug
test pain = acute otitis externa (ear canal). Tenderness
behind the ear = otitis media (middle ear).
Use otoscope to asses in canal.
In ear canal, note any discharge, foreign bodies, redness
of skin, swelling.
Inspect ear drum, note its color, contour. Note cone of
light.
Normal Tympanic membrane = circular intact tissue, pearly
white or grey. Cone of light visible.
ASSESSMENT QUESTIONS AND ANSWERS
| NUR 643E FINAL EXAM STUDY GUIDE &
PRACTICE TEST 2026/2027
1 of 91
Definition
Have you been having any of the following symptoms?
-Dizziness
-Blurred vision
-Unsteady gait
Give this one a try later!
Review of Systems: Respiratory Review of Systems: Hem/Lymph
Review of Systems: Psychiatric Review of Systems: Neurologic
Don't know?
2 of 91
,Definition
Hi, my name is Samantha. I am the registered nurse that will be
completing your physical exam. I am just going to gather my supplies
and then we will get started.
Perform hand hygiene.
Needed supplies: gloves, alcohol swabs, cotton ball, cotton swab,
tongue depressor, ophthalmoscope, otoscope, reflex hammer,
stethoscope
Give this one a try later!
Initial Approach and History
Review of Systems: Psychiatric
Taking
Review of Systems: Neurologic Past Medical History
Don't know?
3 of 91
Definition
Motor:
-Palpate temporal and masseter muscles and ask pt to clench jaw. Note
strength of contraction
-Ask pt to open jaw and move side to side against hand
Sensory:
,-Use broken in half cotton swab (broke = sharp, swab = soft). Test
forehead, cheek, chin bilaterally. Switch between sharp and soft. Have
patient identify if soft or sharp
Corneal Reflex:
Ask patient to look up and away, approach from opposite side out of
line of vision. Slightly touch cornea with fine wisp of cotton. Normal
reaction = blinking of both eyes.
Give this one a try later!
Head and Neck: Cranial Nerve VII - Head and Neck: Cranial Nerve
Facial V - Trigeminal
Head and Neck: Cranial Nerve II - Head and Neck: Cranial Nerve VIII -
Optic Vestibulocohlear
Don't know?
4 of 91
Definition
Pharynx: ask pt to say ah with tongue not protruded, inspect. Note rise
of soft palate. Note color and asymmetry. Look for exudate, swelling,
ulceration, tonsillar enlargment.
Give this one a try later!
, Head and Neck: Ears Head and Neck: Throat
Abdomen: Pulses and Lymph Nodes Head and Neck: Nose
Don't know?
5 of 91
Definition
Inspect auricle and surrounding tissue for lumps,
deformities, skin lesions
If ear pain, discharge or inflammation move the auricle up
and down, press tragus, press firmly just behind ear. Tug
test pain = acute otitis externa (ear canal). Tenderness
behind the ear = otitis media (middle ear).
Use otoscope to asses in canal.
In ear canal, note any discharge, foreign bodies, redness
of skin, swelling.
Inspect ear drum, note its color, contour. Note cone of
light.
Normal Tympanic membrane = circular intact tissue, pearly
white or grey. Cone of light visible.
