AQA A-LEVEL GEOGRAPHY PAPER 1
PHYSICAL GEOGRAPHY
CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ When a resident in the nursing home complains of constipation, the nurse
performs a digital rectal examination and finds a hard fecal mass. This is an
example of:a. implementation b. evaluation c. assessmentd. nursing
diagnosis.
Answer: C. Assessment(the examination to confirm the complaint of
constipation is an assessment)
◍ Before beginning to teach a patient to give himself insulin, the nurse asks,
"have you ever known anyone who gave himself insulin injections?" This
question is primarily designed to:a. reduce the amount of information the
nurse has to provideb. assess the patients learning needsc. reduce the
patient's anxiety relative to insulin injection d. stimulate the patient to focus
on the patient education goal.
Answer: b. assess the patient's learning needs(assessing a patient's previous
experience (as well as education, learning mode, and motivation) gives the
nurse valuable information in developing a patient education plan tailored to
the individual. It may reduce the amount of information needed, or it may
increase it if some of what the patient "knows" is erroneous"
◍ A patient who underwent surgery has an order to begin a clear liquid diet
and can be offered:a. fruit sherbetb. cream soup c. tea with milkd. jell O.
Answer: d. Jell O(a clear liquid diet consists of food that are liquid at room
, temperature and are clear, have a low residue and are easily disgested.
Gelatins are part of a clear liquid diet.)
◍ a nurse is caring for a patient of the Muslim faith. The nurse would send the
food tray back if it containsa. beef patty with mushroom sauce b. liver and
mashed potatoes c. pork chops and sweet potatoes d. crab cakes and rice
with almonds.
Answer: c. Pork chops and sweet potatoes (practicing Muslims do not
consume pork or alcoholic beverages. They also forbid cremation)
◍ Advanced Directives =.
Answer: It is a set of legal documents that dictate what should happen if you
were to become physically or cognitively incapacitated.
◍ To best protect himself or herself from being sued, the nurse should:a. use
evidence-based practice b. purchase malpractice insurance c. maintain
competency d. continue to do procedures as taught in school.
Answer: c. maintain competency (keeping up with continuing education,
maintaining competency, and seeking to improve ones own practice by
self-evaluation will best protect the nurse_
◍ boney prominences.
Answer: -occiput (back of head)-olecranon (elbow)-sacrum** -calcaneus
-ear-greater trochanter (hips)-ilium
◍ A licensed nurse is liable for charges of malpractice when she:a. falsifies
data, causing the patient to suffer problems resulting death b. does not show
up for work and fails to call to notify agency c. assists in preforming CPR
that is unsuccessful, and the patient dies d. clocks in for another nurse to
prevent that nurse from having pay docked.
Answer: a. falsifies data, causing the patient to suffer problems resulting
death(malpractice is professional negligence or, in this case doing
something reasonable and prudent nurse would not do. It is the proximate
cause of the patient's injury. This is a case of causation)
◍ OSHA (Occupational Safety and Health Administration).
, Answer: nan
◍ The patient inquires about how his body will kill pathogens unassisted by
antibiotics. The nurse responds that a process called phagocytosis will:a.
engulf and destroy the pathogen.b. create antibodies against the pathogen.c.
stimulate the production of interferons.d. stimulate the body to make more
white blood cells..
Answer: A. Engulf and destroy the pathogen (Phagocytes that are stored in
the Gl tract, liver, and spleen kill pathogens by engulfing and destroying the
invaders and cleaning up the debris.)
◍ The patient for whom passive range of motion exercises would be most
beneficial would be the:a. 80-year-old patient with chronic lung disease who
can breathe only when he is sitting in a tripod position.b. 72-year-old patient
with chronic dementia who alternately sits in his wheelchair and wanders
around the unit.c. 94-year-old patient with increasing fatigue and weight
loss who needs assistance to ambulate.
D. 66-year old patients with loss of mobility related to a recent
cerebrovascular accident (CVA).
Answer: D. 66-year old patients with loss of mobility related to a recent
cerebrovascular accident (CVA)( A patient with a recent CVA is unable to
independently change positions or move the affected side. The patient may
regain use of motorfunctions lost, so it is very important to prevent loss of
muscle strength, contractures, and pressure ulcers.)
◍ NALPN (National Federation of Licensed Practical Nurses).
Answer: - continuing education
◍ Included in Maslow's hierarchy, physiological needs are those that: a.
encourage social interaction.b. nurture intimacy.
C. Protect from harm
D. Foster independence.
Answer: C. Protect from harm Physiological needs are those that are
essential to human life, such as oxygenation, nutrition, and elimination,
Protection from physical harm,from a nursing standpoint, is often equivalent
, in importance to physical needs.
◍ ADPIE - Nursing Process.
Answer: AssessmentDiagnosisPlanningImplementationEvaluation
◍ The nurse recognizes a verbal response when the patient:a. begins sobbing
uncontrollably when asked about her daughter b. is moaning and restless
and appears in pain c. writes the answer to a question asked by the nursed.
nods her head when asked whether she wants juice.
Answer: c. writes the answer to a question asked by the nurseverbal
communication involves words, either written or spoken. Nodding, sobbing
and moaning are nonverbal communication
◍ A nurse co-worker arrives at work 30 minutes late, smelling strongly of
alcohol. The fellow nurse's legal course of action is to: a. report the
condition of the nurse to the nursing supervisor b. offer a breath mind and
instruct the nurse co-worker to work c. state that, if this happens again it will
be reported d. have the nurse lie down in the nurse's lounge and sleep while
others do the work.
Answer: a. report the condition of the nurse to the nursing supervisornurses
must report the condition. it is the nurses legal and ethical duty to protect
patients from impaired or incompetent workers
◍ An appropriate environmental nursing intervention for a patient with
respiratory congestion is to:a. maintain the room temperature slightly cooler
for a patient with respiratory congestion is to:b. b. moisten the respiratory
passages with use of an air humidifier c. open the wimdows to encourage air
circulation d. order a large floor fan to make it easier to breathe.
Answer: b. moisten the respiratory passages with use of an air humidifier
very low humidity will dry respiratory passages. Vaporizers or humidifiers
may be ordered for a patient with respiratory conditions. SMall table fans
may help some breath more easily
◍ Maslow's Hierarchy of Needs.
Answer: physiological, safetylove/belongingesteemself-actualization
PHYSICAL GEOGRAPHY
CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ When a resident in the nursing home complains of constipation, the nurse
performs a digital rectal examination and finds a hard fecal mass. This is an
example of:a. implementation b. evaluation c. assessmentd. nursing
diagnosis.
Answer: C. Assessment(the examination to confirm the complaint of
constipation is an assessment)
◍ Before beginning to teach a patient to give himself insulin, the nurse asks,
"have you ever known anyone who gave himself insulin injections?" This
question is primarily designed to:a. reduce the amount of information the
nurse has to provideb. assess the patients learning needsc. reduce the
patient's anxiety relative to insulin injection d. stimulate the patient to focus
on the patient education goal.
Answer: b. assess the patient's learning needs(assessing a patient's previous
experience (as well as education, learning mode, and motivation) gives the
nurse valuable information in developing a patient education plan tailored to
the individual. It may reduce the amount of information needed, or it may
increase it if some of what the patient "knows" is erroneous"
◍ A patient who underwent surgery has an order to begin a clear liquid diet
and can be offered:a. fruit sherbetb. cream soup c. tea with milkd. jell O.
Answer: d. Jell O(a clear liquid diet consists of food that are liquid at room
, temperature and are clear, have a low residue and are easily disgested.
Gelatins are part of a clear liquid diet.)
◍ a nurse is caring for a patient of the Muslim faith. The nurse would send the
food tray back if it containsa. beef patty with mushroom sauce b. liver and
mashed potatoes c. pork chops and sweet potatoes d. crab cakes and rice
with almonds.
Answer: c. Pork chops and sweet potatoes (practicing Muslims do not
consume pork or alcoholic beverages. They also forbid cremation)
◍ Advanced Directives =.
Answer: It is a set of legal documents that dictate what should happen if you
were to become physically or cognitively incapacitated.
◍ To best protect himself or herself from being sued, the nurse should:a. use
evidence-based practice b. purchase malpractice insurance c. maintain
competency d. continue to do procedures as taught in school.
Answer: c. maintain competency (keeping up with continuing education,
maintaining competency, and seeking to improve ones own practice by
self-evaluation will best protect the nurse_
◍ boney prominences.
Answer: -occiput (back of head)-olecranon (elbow)-sacrum** -calcaneus
-ear-greater trochanter (hips)-ilium
◍ A licensed nurse is liable for charges of malpractice when she:a. falsifies
data, causing the patient to suffer problems resulting death b. does not show
up for work and fails to call to notify agency c. assists in preforming CPR
that is unsuccessful, and the patient dies d. clocks in for another nurse to
prevent that nurse from having pay docked.
Answer: a. falsifies data, causing the patient to suffer problems resulting
death(malpractice is professional negligence or, in this case doing
something reasonable and prudent nurse would not do. It is the proximate
cause of the patient's injury. This is a case of causation)
◍ OSHA (Occupational Safety and Health Administration).
, Answer: nan
◍ The patient inquires about how his body will kill pathogens unassisted by
antibiotics. The nurse responds that a process called phagocytosis will:a.
engulf and destroy the pathogen.b. create antibodies against the pathogen.c.
stimulate the production of interferons.d. stimulate the body to make more
white blood cells..
Answer: A. Engulf and destroy the pathogen (Phagocytes that are stored in
the Gl tract, liver, and spleen kill pathogens by engulfing and destroying the
invaders and cleaning up the debris.)
◍ The patient for whom passive range of motion exercises would be most
beneficial would be the:a. 80-year-old patient with chronic lung disease who
can breathe only when he is sitting in a tripod position.b. 72-year-old patient
with chronic dementia who alternately sits in his wheelchair and wanders
around the unit.c. 94-year-old patient with increasing fatigue and weight
loss who needs assistance to ambulate.
D. 66-year old patients with loss of mobility related to a recent
cerebrovascular accident (CVA).
Answer: D. 66-year old patients with loss of mobility related to a recent
cerebrovascular accident (CVA)( A patient with a recent CVA is unable to
independently change positions or move the affected side. The patient may
regain use of motorfunctions lost, so it is very important to prevent loss of
muscle strength, contractures, and pressure ulcers.)
◍ NALPN (National Federation of Licensed Practical Nurses).
Answer: - continuing education
◍ Included in Maslow's hierarchy, physiological needs are those that: a.
encourage social interaction.b. nurture intimacy.
C. Protect from harm
D. Foster independence.
Answer: C. Protect from harm Physiological needs are those that are
essential to human life, such as oxygenation, nutrition, and elimination,
Protection from physical harm,from a nursing standpoint, is often equivalent
, in importance to physical needs.
◍ ADPIE - Nursing Process.
Answer: AssessmentDiagnosisPlanningImplementationEvaluation
◍ The nurse recognizes a verbal response when the patient:a. begins sobbing
uncontrollably when asked about her daughter b. is moaning and restless
and appears in pain c. writes the answer to a question asked by the nursed.
nods her head when asked whether she wants juice.
Answer: c. writes the answer to a question asked by the nurseverbal
communication involves words, either written or spoken. Nodding, sobbing
and moaning are nonverbal communication
◍ A nurse co-worker arrives at work 30 minutes late, smelling strongly of
alcohol. The fellow nurse's legal course of action is to: a. report the
condition of the nurse to the nursing supervisor b. offer a breath mind and
instruct the nurse co-worker to work c. state that, if this happens again it will
be reported d. have the nurse lie down in the nurse's lounge and sleep while
others do the work.
Answer: a. report the condition of the nurse to the nursing supervisornurses
must report the condition. it is the nurses legal and ethical duty to protect
patients from impaired or incompetent workers
◍ An appropriate environmental nursing intervention for a patient with
respiratory congestion is to:a. maintain the room temperature slightly cooler
for a patient with respiratory congestion is to:b. b. moisten the respiratory
passages with use of an air humidifier c. open the wimdows to encourage air
circulation d. order a large floor fan to make it easier to breathe.
Answer: b. moisten the respiratory passages with use of an air humidifier
very low humidity will dry respiratory passages. Vaporizers or humidifiers
may be ordered for a patient with respiratory conditions. SMall table fans
may help some breath more easily
◍ Maslow's Hierarchy of Needs.
Answer: physiological, safetylove/belongingesteemself-actualization
