A nurse is assessing a client who reports recent fatigue and night sweats. During palpation of the cervical lymph nodes, the nurse notes that several nodes are enlarged, firm, non-tender, and fixed in place. Which action should the nurse take next?

During an otoscopic exam, the nurse notes a cone of light at the 5 o’clock position. This indicates:

GRAMMAR (10 Pts) GRAMMAR A: Welcome to America! (Preterit tense of regular verbs and ir and ser) (5 pts) Paso 1 (2 pts)Upon Sandra’s arrival to State College, she and Tom did several activities. Below is what they did. Choose the correct option to complete each of the following sentences.

What did your friends give you on your last birthday? Mis amigos _______  _____________________________________________________.

Madre: – Sandra y Tom, ¿les [answer1] asistir a todas sus clases?

Tom y sus amigos [answer1] español el miércoles.

Esta prenda de algodón es resistente e informal. Unas marcas muy famosas son Levi’s y Wrangler. Son [answer1].

Paso 2 (2 pts) (1 pt per item: Correct words with omitted or misplaced written accents will receive 0.75 pts)Below are a couple of more items that Tom and Sandra purchased. Fill in the blank with the appropriate vocabulary word that names the image. You cannot use any words from Paso 1 and do NOT include the article.

Tom y sus hermanos [answer1] a su padre un cinturón.

GRAMMAR B: The big celebration (Indirect object pronouns and verbs like dar) (3 pts) Paso 1 (2 pts)Tom’s parents’ 25th anniversary was last month. The following sentences are about what happened. Complete the statements below with the appropriate verb and pronoun.