GUIDE 69 QUESTIONS WITH VERIFIED ANSWER
2026
Nurses collect objective data when performing patient assessments. What is an
example of objective data? - CORRECT ANSWER It's data that can be collected
through assessment.
Example: swelling/inflammation, skin temperature, discoloration, brittle
hair/nails, etc.
The nurse is assessing an adult who has a pulse rate of 180 beats/minute. What is
this? - CORRECT ANSWER Tachycardia; an abnormally high/rapid heart rate
Abnormal respiration sounds heard during auscultation characterized by
discontinuous bubbling sounds heard over the distal bronchioles and alveoli that
contain serous secretions are: - CORRECT ANSWER Crackles (also known as rales)
The period of time within the cardiac cycle in which the ventricles are relaxed and
filling with blood: - CORRECT ANSWER Diastole/diastolic
The client has an impairment of cranial nerve II. Specific to this impairment, the
nurse would plan to do what to ensure client safety? - CORRECT ANSWER Speak
loudly to the patient, test the temperature of food/water/shower, clear path for
ambulation without obstacles
, The nurse is testing the coordination function of cranial nerves III, IV, and VI. To do
this correctly, the nurse would test: - CORRECT ANSWER eye movement by using
the whisker test (having the patient follow an object with their eyes in the shape
of whiskers, without moving their head) and pupillary response (looking at the
diameter of the pupils in normal lighting and direct bright light)
The nurse is planning to test the function of the trigeminal nerve (CN V). The
nurse would gather which items to perform this test? - CORRECT ANSWER A piece
of cotton or blunt object to touch the patient's face lightly (to test their sensory
function)
The nurse is assessing the motor function of an unconscious client. The nurse
would plan to use which to test the client's peripheral response to pain? -
CORRECT ANSWER Nail bed pressure
Providing resistance while the patient shrugs his/her shoulders is a test of which
of the cranial nerves? - CORRECT ANSWER Accessory (CN XI)
Visual acuity is assessed by: - CORRECT ANSWER Snellen chart (a chart with
different sized letters) and near vision test (a card with various sized letters held at
a certain distance)
The six eye muscles that control eye movement are innervated by cranial nerves: -
CORRECT ANSWER -Oculomotor (CN III)
-Trochlear (CN IV)
-Abducens (CN VI)