Actual Test With 100% Verified Answers &
Explanations 2025
A nurse is caring for a client who asks what her Snellen eye test results mean. The
client's visual acuity is 20/30. Which of the following responses should the nurse
make?
A. "Your eyes see at 20 feet what visually unimpaired
eyes see at 30 feet."
B. "Your right eye can see the chart clearly at 20 feet, and
your left eye can see the chart clearly at 30 feet."
C. "Your eyes see at 30 feet what visually unimpaired
eyes see at 20 feet."
D. "Your left eye can see the chart clearly at 20 feet, and your right eye can see the
chart clearly at 30 feet."
A
A nurse is performing a head and neck examination for an older adult client. Which of
the following age‑related findings should the nurse expect? (Select all that apply.)
A. Reddened gums
B. Lowered vocal pitch
C. Tooth loss
D. Glare intolerance
E. Thickened eardrums
C, D, E
Chapter 29
,Thorax, heart, abdomen
A nurse in a provider's office is preparing to perform a breast examination for an older
adult client who is postmenopausal. Which of the following findings should the nurse
expect? (Select all that apply.)
A. Smaller nipples
B. Less adipose tissue
C. Nipple discharge
D. More pendulous
E. Nipple inversion
A, D, E
A nurse in a provider's office is preparing to auscultate and percuss a client's thorax
as part of a comprehensive physical examination. Which of the following findings
should the nurse expect? (Select all that apply.)
A. Rhonchi
B. Crackles
C. Resonance
D. Tactile fremitus
E. Bronchovesicular sounds
C, E
.
During an abdominal examination, a nurse in a provider's office determines that a
client has abdominal distention. The protrusion is at midline, the skin over the area
is taut, and the nurse notes no involvement of the flanks. Which of the following
possible causes of distention should the nurse suspect?
,A. Fat
B. Fluid
C. Flatus
D. Hernias
C
During a cardiovascular examination, a nurse in a provider's office places the
diaphragm of the stethoscope
on the left midclavicular line at the fifth intercostal space. Which of the following heart
sounds is the nurse attempting to auscultate? (Select all that apply.)
A. Ventricular gallop
B. Closure of the mitral valve
C. Closure of the pulmonic valve
D. Closure of the tricuspid valve
E. Murmur
B, D
A nurse in a provider's office is preparing to auscultate and percuss a client's
abdomen as part of a comprehensive physical examination. Which of the following
findings should the nurse expect? (Select all that apply.)
A. Tympany
B. High‑pitched clicks
C. Borborygmi
D. Friction rubs
E. Bruits
A, B
, Chapter 30
Integumentary and peripheral vascular systems
A nurse in a provider's office is preparing to assess a client's skin as part of a
comprehensive physical examination. Which of the following findings should the nurse
expect? (Select all that apply.)
A. Capillary refill less than 2 seconds
B. 1+ pitting edema in both feet
C. Pale nail beds in both hands
D. Thick skin on the soles of the feet
E. Numerous light brown macules on the face
A, D, E
A nurse is assessing an older adult client who has significant tenting of the skin over
his forearm. Which of the following factors should the nurse consider as a cause for
this finding? (Select all that apply.)
A. Thin, parchment‑like skin
B. Loss of adipose tissue
C. Dehydration
D. Diminished skin elasticity
E. Excessive wrinkling
B, C, D