BNMN 501 Assessment One - Questions With Precise
Solutions
Winnie Bago: the activities coordinator reported that she had some slurring of
speech immediately after regaining consciousness. What is the most
appropriate for you as the SN to do? (Perform GCS, let her gossip, refer for
immediate follow up, ask if she's ever had a seizure) Right Ans - Perform a
GCS (Glasgow coma score)
Winnie bago: when performing a physical exam of winnie which of the
following would he most appropriate? (Allow her to remain dressed, omit
intrusive parts of the exam, dim lighting, try minimise position changes)
Right Ans - Minimise position changes for Winnie
Winnie Bago: which test would be most appropriate to perform when
assessing Winnie's eye muscle strength and cranial nerve function? (visual
fields test, cover test, corneal light reflex test, extra ocular movement test)
Right Ans - Extra ocular movement test
Winnie Bago: which of the following nursing assessments will give you
objective data relating to the functioning of Winnie's cerebellum? (Vital signs,
coordination, GCS, cardiac function) Right Ans - Coordination
Winnie Bago: the RN is having trouble eliciting a patellar reflex. Which of the
following would be most appropriate for the RN to have Winnie do? ( lock
fingers together and pull against each other, stretch arms above head, clench
jaw, squeeze a thigh with the opposite hand) Right Ans - Lock the fingers
together and pull against each other
Winnie Bago: her patellar reflex is normal. Which of the following is the
correct number to document this? (2+,3+,4+,5+) Right Ans - 2+
Winnie Bago: which of the following would be the most likely sign of a frontal
lobe contusion? (Inability to hear high pitch sounds, difficulty speaking,
blurred vision, loss of tactile sensation) Right Ans - Difficulty speaking
Joyce: for which patient condition would you most likely expect a capillary
refill time longer than 2 seconds? (Malignant melanoma, inflammatory bowel
Solutions
Winnie Bago: the activities coordinator reported that she had some slurring of
speech immediately after regaining consciousness. What is the most
appropriate for you as the SN to do? (Perform GCS, let her gossip, refer for
immediate follow up, ask if she's ever had a seizure) Right Ans - Perform a
GCS (Glasgow coma score)
Winnie bago: when performing a physical exam of winnie which of the
following would he most appropriate? (Allow her to remain dressed, omit
intrusive parts of the exam, dim lighting, try minimise position changes)
Right Ans - Minimise position changes for Winnie
Winnie Bago: which test would be most appropriate to perform when
assessing Winnie's eye muscle strength and cranial nerve function? (visual
fields test, cover test, corneal light reflex test, extra ocular movement test)
Right Ans - Extra ocular movement test
Winnie Bago: which of the following nursing assessments will give you
objective data relating to the functioning of Winnie's cerebellum? (Vital signs,
coordination, GCS, cardiac function) Right Ans - Coordination
Winnie Bago: the RN is having trouble eliciting a patellar reflex. Which of the
following would be most appropriate for the RN to have Winnie do? ( lock
fingers together and pull against each other, stretch arms above head, clench
jaw, squeeze a thigh with the opposite hand) Right Ans - Lock the fingers
together and pull against each other
Winnie Bago: her patellar reflex is normal. Which of the following is the
correct number to document this? (2+,3+,4+,5+) Right Ans - 2+
Winnie Bago: which of the following would be the most likely sign of a frontal
lobe contusion? (Inability to hear high pitch sounds, difficulty speaking,
blurred vision, loss of tactile sensation) Right Ans - Difficulty speaking
Joyce: for which patient condition would you most likely expect a capillary
refill time longer than 2 seconds? (Malignant melanoma, inflammatory bowel
