2026-2027 (ACTUAL EXAM) QUESTIONS AND
VERIFIED ANSWERS (NIGHTINGALE COLLEGE)
A client with progressive hearing loss appears distressed when
the registered nurse (RN) asks open-ended questions about the
client's health history. Which forms of communication should
the RN use?
ANSWERS: Face the client so the client can see the
RN's mouth. Check if the client's hearing aides are
working properly. Reduce environmental noise
surrounding the client.
A client states that she had a mastectomy of her left breast last
year and now experiences lymphedema. What should the nurse
expect to find when examining the client?
ANSWERS: Swelling of the left arm and non-pitting edema.
,A postmenopausal female client is undergoing a routine
physical examination. She has reported nothing out of the
ordinary. When performing the examination of the genitourinary
system, the nurse finds an irregularly enlarged uterus with firm,
mobile, painless nodules in the uterine wall. How should the
nurse explain this finding to the client?
ANSWERS: You have benign fibroid tumors, a common
occurrence in women your age.
A client is reporting chest pain. What statement made by the
client, helps the nurse to understand this client has a naturalistic
belief in the cause of illness?
ANSWERS: "My life is really out of balance."
The nurse is preparing to assess the hearing of a client with a
history of prolonged exposure to occupational noise. Which
hearing test provides the most reliable assessment of hearing
status?
ANSWERS: Audiometry.
,The nurse is performing a routine physical examination on an
adult client. When gathering a health history, which question is
included in the CAGE questionnaire?
Have you ever felt guilty about your drinking?
ANSWERS: *CAGE is the acronym for Cut down, Annoyed, Guilty,
and Eye-opener. Nurse can use it to assess for possible alcohol
abuse.
The nurse is examining the hip joint of a client who reports hip
pain. Which other assessment is most helpful in determining the
cause of the client's pain?
ANSWERS: Knee joint evaluation.
The nurse performs a series of cranial nerve tests on a client with
a head injury. Which test should the nurse use to assess damage
to the first cranial nerve?
ANSWERS: Occlude one nostril and have the client identify various
odors.
The client reports to the nurse a recent exposure to the mumps.
Which assessment finding suggests the client has contracted the
mumps?
ANSWERS: Swelling anterior to the ear lobe on one side of the face
, A nurse is working in a healthcare facility that serves a diverse
population. What action(s) by the nurse will allow the nurse to
empathize with and understand this population? (Select all that
apply.)
ANSWERS: Be open to people
who are different. Have a
curiosity about people.
Become culturally competent.
Which findings can the nurse determine by palpating a client's
skin? (Select all that apply.)
ANSWERS:
Diaphoresis
.
Scaling.
Which question should the nurse ask in order to test a client's
remote memory?
ANSWERS: What is your date of birth?
A client has just returned from the recovery room and asks to
get out of bed to go to the bathroom. The nurse decides to
obtain orthostatic vital signs first. How will the nurse position
the client to begin this procedure?