ACTUAL EXAM SCRIPT 2026 FULL
QUESTIONS AND ACCURATE ANSWERS
REVIEW SHEET
◉ While palpating a client's breasts, the nurse detects a nontender,
solitary, round lobular mass that is solid and firm and slides easily
through the breast tissue . The findings of this breast exam are
consistent with which condition?
Answer: Fibroadenoma.
◉ The client is experiencing severe pruritus and small papules and
burrows on areas over one hand and the inner thighs. Which
assessment data best explains the condition the client is
experiencing?
Answer: The client works in a daycare setting that has had a scabies
outbreak.
◉ When assessing facial nerve function of a 96-year-old, the nurse
asks the client to smile in an exaggerated manner. Which finding is
most important for the nurse to further asses?
Answer: Only one side of the mouth moves when smiling.
, ◉ When performing range of motion exercises on the joints of an
older adult client, the nurse notes that joint range is greater with
passive ranging than with active ranging. A goniometer indicates
that this difference is as much as 15% in some joints. How should
this finding be documented?
Answer: Abnormal.
◉ Which action should the registered nurse (RN) implement to
complete an assessment for a client while using an interpreter?
Answer: Maintain eye contact with the client while listening to the
translation.
◉ A client is in the clinic for a routine health examination. The nurse
notices the client appears underweight. Which question is most
important for the nurse to ask when completing the health history of
this client?
Answer: Have you experienced sudden weight loss?
◉ A male executive is seen in the primary care clinic for a physical
examination. While obtaining the client's health history, the nurse
inquires about his drug and alcohol use. The executive denies drug
use, but reports that he has "two glasses of wine" per night. Which
response is best for the nurse to provide?
Answer: "What effect do you think your use of alcohol may have on
you?"