Correct Answer: B

Rationale: When assessing the heart, the nurse inspects and palpates the precordium, the area of the chest overlying the heart, and the point of maximal impulse (PMI), where the heartbeat is strongest. This helps evaluate the heart's size, shape, and any abnormalities. The peritoneum is unrelated to heart assessment.

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: B

Rationale: In the SBAR (Situation, Background, Assessment, Recommendation) reporting system, a recommendation involves suggesting a specific action or intervention. 'Ms. Choi needs to have a social construct' implies a recommended action, making it the correct choice. The other options provide situation, assessment, or background information but do not suggest a specific action.

Correct Answer: B

Rationale: The 6 stages of cardinal gaze assess the function of cranial nerves III (oculomotor), IV (trochlear), and VI (abducens), which control ocular motor movements. These nerves are responsible for moving the eyes in different directions, and the test evaluates the patient's ability to move their eyes smoothly in each of the six cardinal positions.

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.