xam
Which of the following would be the most appropriate for you as the stud
ent nurse to do next?
Answer:Perform a Glasgow Coma Score (GCS).
When performing a physical examination of Winnie which of the followin
g would be most appropriate?
Answer:Try to minimise position changes for her.
Which test would be most appropriate to perform when assessing Winni
es eye muscle strength and cranial nerve function?
Answer:Extra ocular movement test.
Which of the following nursing assessments will give you objective data r
elating to the functioning of Winnies cerebellum?
Answer:Coordination The registered nurse is having difficulty eliciting a p
atellar reflex. Which of the following would be most appropriate for the n
urse to have Winnie do? , Lock the fingers together and pull against eac
h other.
, Winnies patellar reflex is normal. Which of the following is the correct nu
mber to document this?
Answer:2+
Which of the following would be the most likely sign of a frontal lobe cont
usion?
Answer:Difficulty speaking
For which patient condition would you most likely expect a capillary refill
time longer than two seconds?
Answer:Peripheral vascular disease
Which one of the following is a myth about pain in the older adult?
Answer:Elderly people who are confused or cognitively impaired do not h
ave pain.
As part of your cardiovascular assessment you are going to assess Joyc
e's apical impulse. What is the correct location to auscultate the apical i
mpulse?
Answer:Fifth intercostal space, left midclavicular line.
Which of the following represents the break in sounds between the first a
nd second sounds when auscultating Joyce's blood pressure?
Answer:Auscultatory gap.