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Mrs Bagos was unresponsive for 30 seconds, and became conscious again after
5 minutes. What is the next step to take as a student nurse? - ✔✔Perform a
Glasgow Coma Score (GCS).
When performing a physical examination of Winnie which of the following
would be most appropriate? - ✔✔Try to minimise position changes for her.
Which test would be most appropriate to perform when assessing Winnies eye
muscle strength and cranial nerve function? - ✔✔Extra ocular movement test.
Which of the following nursing assessments will give you objective data relating
to the functioning of Winnies cerebellum? - ✔✔Coordination
The registered nurse is having difficulty eliciting a patellar reflex. Which of the
following would be most appropriate for the nurse to have Winnie do? -
✔✔Lock the fingers together and pull against each other.
Winnies patellar reflex is normal. Which of the following is the correct number
to document this? - ✔✔2+
Which of the following would be the most likely sign of a frontal lobe
contusion? - ✔✔Difficulty speaking. M
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, Mrs Joyce Collins: Blood pressure check. History of myocardial infraction, has
rheumatoid arthritis and also type 2 diabetes. Has increasing right calf pain on
walking, feet always cold, lesion on right lower leg that wont heal: For which
patient condition would you most likely expect a capillary refill time longer than
2 seconds? - ✔✔Peripheral vascular disease.
Which one of the following is a myth about pain in the older adult? - ✔✔Elderly
people who are confused or cognitively impaired do not have pain.
Which of the following represents the break in sounds between the first and
second sounds when auscultating Joyce's blood pressure? - ✔✔Auscultatory
gap.
You are having difficulty auscultating Joyce's heart sounds, specifically S1 and
S2. Which of the following would help? - ✔✔Palpate the carotid pulse while
auscultating the heart.
Which type of pain would be associated with arthritis? - ✔✔Somatic.
Rangi Shand: 3 days of of clear nasal discharge with slight intermittent cough,
was awake last night with wheezing: When assessing Rangi which part of the
body would you assess for the presence of central cyanosis? - ✔✔Oral mucosa.
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