Correct Answer: C

Rationale: A respiratory rate of 25 is slightly above the normal range (12-20 breaths per minute) but can be normal for some individuals. Bowel sounds of 5-30 per minute are normal but not sufficient alone for discharge. Capillary refill >3 seconds and a heart rate of 10 are abnormal, indicating poor perfusion and severe bradycardia, respectively.

Correct Answer: C

Rationale: The nurse inspects urine for clarity (to detect particles or bacteria), odor (to identify infections or conditions), and amount (to assess hydration and kidney function). Consistency, articulation, residual, and firmness are not applicable to urine inspection.

Correct Answer: B

Rationale: Radiating pain starts at a specific point and spreads to other areas, such as chest pain moving down the left arm, a common symptom of cardiac issues. Phantom pain occurs in absent limbs, referred pain is felt in a different area from the source, and somatic pain arises from skin, muscles, or bones.

Correct Answer: A

Rationale: The primary role of a registered nurse in a genitalia examination is inspection, visually assessing for abnormalities, lesions, or infections. Palpation may also be performed to check for tenderness or lumps, but auscultation and percussion are not typically used.

Correct Answer: D

Rationale: In the CAGE screening tool for alcohol misuse, 'E' stands for 'Eye-opener,' referring to the need for a drink in the morning to function or relieve withdrawal symptoms. This indicates potential alcohol dependence.