MN Exam
80 years old, is a resident of the rest home. Whilst playing cards in the day room with a
fellow resident she became unresponsive without warning for about 30 seconds. Five
minutes have passed and she has now regained consciousness and is lying on her bed,
after being taken there by her carer. The Activities Coordinator reported that she had
some slurring of speech immediately after regaining consciousness. - ANS -MRS
WINNIE BAGO
A. Leave Mrs Bago to go and talk to the other residents about what happened.
B. Perform a Glasgow Coma Score (GCS).
C. Refer the patient for immediate follow-up.
D. Ask if the patient has ever had a seizure - ANS -Which of the following would be the
most appropriate for you as the student nurse to do next?
A. Allow Winnie to remain dressed.
B. Omit intrusive parts of the exam.
C. Dim the room light.
D. Try to minimize position changes for her. - ANS -When performing a physical
examination of Winnie, which of the following would be most appropriate?
A. Visual fields test.
B. Cover test.
C. Corneal light reflex test.
D. Extra ocular movement test. - ANS -Which test would be most appropriate to perform
when assessing Winnies eye muscle strength and cranial nerve function?
A. Vital signs.
B. Coordination.
C. Glasgow Coma Score
D. Cardiac function. - ANS -Which of the following nursing assessments will give you
objective data relating to the functioning of Winnies cerebellum?
A. Lock the fingers together and pull against each other.
B. Stretch the arms over head.
C. Squeeze a thigh with the opposite hand.
D. Clench the jaw tightly. - ANS -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?
, A. 2+
B. 3+
C. 4+
D. 5+ - ANS -Winnies patellar reflex is normal. Which of the following is the correct
number to document this?
A. Inability to hear high-pitched sounds
B. Difficulty speaking
C. Blurred vision
D. Loss of tactile sensation - ANS -Which of the following would be the most likely sign
of a frontal lobe contusion?
You are a Practice Nurse working in a GP surgery. Joyce, a 73-year-old widow presents
to you for a blood pressure check. She has a past medical history of a Myocardial
Infarction 8 years ago, has rheumatoid arthritis and also type 2 diabetes.
Joyce tells you she has increasing Right calf pain on walking. Her feet are always cold
and she would also like you to look at a lesion on her Right lower leg that will not heal. -
ANS -MRS JOYCE COLLINS
A. Malignant melanoma.
B. Inflammatory bowel disease.
C. Peripheral vascular disease.
D. Multiple sclerosis. - ANS -For which patient condition would you most likely expect a
capillary refill time longer than two seconds?
A. Opioids are often the drug of choice for some types of pain, and are to be used
cautiously.
B. Older patients may have more than one source of pain.
C. There is a greater likelihood of having developed a pathological condition that may be
accompanied by pain.
D. Elderly people who are confused or cognitively impaired do not have pain. - ANS
-Which one of the following is a myth about pain in the older adult?
A. Fourth intercostal space, left midclavicular line. B. Second intercostal space, right
midclavicular line.
C. Third intercostal space, mid axilla.
D. Fifth intercostal space, left midclavicular line. - ANS -As part of your cardiovascular
assessment you are going to assess Joyce's apical impulse. What is the correct location
to auscultate the apical impulse?
A. Diastolic value.
B. Korotkoff sounds.
C. Auscultatory gap.
80 years old, is a resident of the rest home. Whilst playing cards in the day room with a
fellow resident she became unresponsive without warning for about 30 seconds. Five
minutes have passed and she has now regained consciousness and is lying on her bed,
after being taken there by her carer. The Activities Coordinator reported that she had
some slurring of speech immediately after regaining consciousness. - ANS -MRS
WINNIE BAGO
A. Leave Mrs Bago to go and talk to the other residents about what happened.
B. Perform a Glasgow Coma Score (GCS).
C. Refer the patient for immediate follow-up.
D. Ask if the patient has ever had a seizure - ANS -Which of the following would be the
most appropriate for you as the student nurse to do next?
A. Allow Winnie to remain dressed.
B. Omit intrusive parts of the exam.
C. Dim the room light.
D. Try to minimize position changes for her. - ANS -When performing a physical
examination of Winnie, which of the following would be most appropriate?
A. Visual fields test.
B. Cover test.
C. Corneal light reflex test.
D. Extra ocular movement test. - ANS -Which test would be most appropriate to perform
when assessing Winnies eye muscle strength and cranial nerve function?
A. Vital signs.
B. Coordination.
C. Glasgow Coma Score
D. Cardiac function. - ANS -Which of the following nursing assessments will give you
objective data relating to the functioning of Winnies cerebellum?
A. Lock the fingers together and pull against each other.
B. Stretch the arms over head.
C. Squeeze a thigh with the opposite hand.
D. Clench the jaw tightly. - ANS -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?
, A. 2+
B. 3+
C. 4+
D. 5+ - ANS -Winnies patellar reflex is normal. Which of the following is the correct
number to document this?
A. Inability to hear high-pitched sounds
B. Difficulty speaking
C. Blurred vision
D. Loss of tactile sensation - ANS -Which of the following would be the most likely sign
of a frontal lobe contusion?
You are a Practice Nurse working in a GP surgery. Joyce, a 73-year-old widow presents
to you for a blood pressure check. She has a past medical history of a Myocardial
Infarction 8 years ago, has rheumatoid arthritis and also type 2 diabetes.
Joyce tells you she has increasing Right calf pain on walking. Her feet are always cold
and she would also like you to look at a lesion on her Right lower leg that will not heal. -
ANS -MRS JOYCE COLLINS
A. Malignant melanoma.
B. Inflammatory bowel disease.
C. Peripheral vascular disease.
D. Multiple sclerosis. - ANS -For which patient condition would you most likely expect a
capillary refill time longer than two seconds?
A. Opioids are often the drug of choice for some types of pain, and are to be used
cautiously.
B. Older patients may have more than one source of pain.
C. There is a greater likelihood of having developed a pathological condition that may be
accompanied by pain.
D. Elderly people who are confused or cognitively impaired do not have pain. - ANS
-Which one of the following is a myth about pain in the older adult?
A. Fourth intercostal space, left midclavicular line. B. Second intercostal space, right
midclavicular line.
C. Third intercostal space, mid axilla.
D. Fifth intercostal space, left midclavicular line. - ANS -As part of your cardiovascular
assessment you are going to assess Joyce's apical impulse. What is the correct location
to auscultate the apical impulse?
A. Diastolic value.
B. Korotkoff sounds.
C. Auscultatory gap.
