ANSWER; LATEST UPDATED VERSION
2026; ALREADY GRADED A+
→ During a *head-to-toe assessment* on a patient with a
possible urinary tract infection, you perform *costovertebral
angle percussion*. The costovertebral angle is found?
a. Between the bottom of the 12th rib and spine
b. between the right upper quadrant and umbilicus
c. between the sternal notch and angle of Louis
d. between the ischial spine and umbilicus - correct answer-
a. Between the bottom of the 12th rib and spine
( Looking for any kidney inflammation and infection)
- located on the back
→ The nurse is reviewing the assessment of an aortic aneurysm.
Which of these statements is true regarding an aortic aneurysm?
SELECT ALL THAT APPLY
a. A bruit is present.
b. Femoral pulses are increased.
,c. A pulsating mass is usually present.
d. Most are located below the umbilicus. - correct answer-
a. A bruit is present.
c. A pulsating mass is usually present.
A *21-year-old patient has a head injury resulting from trauma
and is unconscious*. There are no other injuries. During the
assessment what would the nurse expect to find when testing
the patient's deep tendon reflexes?
a.Reflexes will be normal.
b.Reflexes cannot be elicited.
c.All reflexes will be diminished but present.
d.Some reflexes will be present, depending on the area of injury.
- correct answer- a.Reflexes will be normal.
- (Don't add to the question)
A *40-year-old man* has come into the clinic reporting
*extreme pain in his toes*. The nurse notices that *his toes are
slightly swollen, reddened, and warm to the touch*. What does
the nurse suspect?
,a. Acute gout
b. Osteoporosis
c. Ankylosing spondylitis
d. Degenerative joint disease - correct answer- a. Acute
gout
A *70-year-old patient* tells the nurse that he has noticed that
he is having *trouble hearing, especially in large groups*. He
says *"I can't always tell where the sound is coming from"* and
that the *words often sound "mixed up"*. What might the nurse
suspect as the cause for this change?
a.Atrophy of the apocrine glands
b.Cilia becoming coarse and stiff
c. Nerve degeneration in the inner ear
d. Scar tissue in the tympanic membrane - correct answer-
c. Nerve degeneration in the inner ear
A 19-year-old college student is brought to the emergency
department with dyspnea (labored breathing) and asymmetrical
, breathing patterns after falling down a flight of steps at a party.
His admission chest X-ray shows right-sided pneumothorax.
During inspection, what other characteristic of pneumothorax
might the nurse observe?
A. Funnel chest
B. Barrel chest
C. Intercostal retractions
D. Tracheal deviation- trachea is pushed to one side of your neck
by abnormal pressure in your chest cavity or neck. - correct
answer- D. Tracheal deviation- trachea is pushed to one
side of your neck by abnormal pressure in your chest cavity or
neck.
A 22-year-old man comes to the clinic for an examination after
falling off his motorcycle and landing on his left side on the
handlebars. The *nurse suspects that he may have injured his
spleen*. Which of these statements is *true regarding the
assessment of the spleen in this situation*?
a)The spleen can be enlarged as a result of trauma.
b)The spleen is normally felt on routine palpation.
c)If an enlarged spleen is noted, then the nurse should
thoroughly palpate to determine its size.