A nurse might use several tools or equipment during a physical examination of the spine, such as a goniometer to measure range of motion, a reflex hammer to test reflexes, and a pinwheel to assess sensory function. The nurse might also use imaging studies such as X-rays, CT scans, or MRI to evaluate the spine in more detail. Additionally, the nurse might use a stethoscope to listen for any abnormal sounds related to the spine or surrounding structures.