NUR255 CHALLENGES TO HEALTH AND WELLBEING EXAM
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE
In which step of the clinical reasoning cycle would you carry out nursing
assessments?
a) Step 1
b) Step 2
c) Step 3
d) Step 4
b) Step 2
The ADDS chart is used to alert clinicians to the deteriorating patient. What does
ADDS stand for?
a) Adult Deterioration Delirium System
b) Adult Deterioration Detection System
c) Adult Delirium Detection System
d) None of the above
b) Adult Deterioration Detection System
An A to E assessment is vital for which of the following patients?
a) A 78 yr old man presenting with chronic pancreatitis
b) A 32 yr old lady presenting with sepsis secondary to mastitis
,c) A 7 yr old child with a raison stuck up his nostril
d) All of the above
d) All of the above
When assessing level of consciousness using the Glascow Coma Scale (GCS),
which of the following are you assessing?
a) eye response, mood and effect, cognitive function
b) eye movement, motor response, orientation
c) eye response, orientation, cognitive function
d) eye response, verbal response, motor response
d) eye response, verbal response, motor response
A person with a GCS below 8 is at risk of:
a) inability to maintain their airway
b) urinary tract infection (UTI)
c) disorientation
d) confusion
a) inability to maintain their airway
A stroke caused by an occlusion of a large cerebral vessel is best described as:
a) thrombotic
b) transient ischaemia
c) haemorrhagic
d) embolic
a) thrombotic
,Which of the following medical terms describes a heart rate over 100 bpm:
a) tachypnoea
b) tachycardia
c) bradypnea
d) bradycardia
b) tachycardia
A patient has been admitted to your ward following a myocardial infarction. What
symptoms would you expect the patient to present with?
a) sharp chest pain, fever, nausea
b) sharp chest pain, productive cough, diaphoresis
c) central crushing chest pain, decreased GCS, pain in the left calf
d) central crushing chest pain, diaphoresis, pain radiating to the left arm
d) central crushing chest pain, diaphoresis, pain radiating to the left arm
What values do you associate with interpretation of an electrocardiogram (ECG)?
a) ABCDE
b) PQRST
c) AHPRA
d) PQRSV
b) PQRST
When interpreting an electrocardiogram (ECG), what does the P wave measure?
a) atrial repolarisation
b) ventricular depolarisation
, c) ventricular repolarisation
d) atrial depolarisation
d) atrial depolarisation
You are caring for a person with a history of angina. As they are returning from
the bathroom they stop, hold their chest and report pain. You immediately
administer the first dose of sublingual Glyceral trinitrate to relieve symptoms.
How long before you can administer a second dose?
a) 30 minutes
b) 5 minutes
c) 3 minutes
d) 10 minutes
b) 5 minutes
Which of the following parameters could indicate that a patient has a respiratory
acidosis?
a) A low pH and a high PaCO2
b) a high pH and a low PaCO2
a) A low pH and a high PaCO2
Jennie is a 52 yr old lady with COPD. She has been admitted to hospital to
manage her condition as she has developed a lower respiratory tract infection.
Her oxygen saturations are currently 90%. What action do you take as the nurse
caring for her?
a) Apply 2 L of oxygen immediately to bring her oxygen saturations above 90%
b) Nothing, as patients with COPD should have oxygen levels between 88-92% to
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE
In which step of the clinical reasoning cycle would you carry out nursing
assessments?
a) Step 1
b) Step 2
c) Step 3
d) Step 4
b) Step 2
The ADDS chart is used to alert clinicians to the deteriorating patient. What does
ADDS stand for?
a) Adult Deterioration Delirium System
b) Adult Deterioration Detection System
c) Adult Delirium Detection System
d) None of the above
b) Adult Deterioration Detection System
An A to E assessment is vital for which of the following patients?
a) A 78 yr old man presenting with chronic pancreatitis
b) A 32 yr old lady presenting with sepsis secondary to mastitis
,c) A 7 yr old child with a raison stuck up his nostril
d) All of the above
d) All of the above
When assessing level of consciousness using the Glascow Coma Scale (GCS),
which of the following are you assessing?
a) eye response, mood and effect, cognitive function
b) eye movement, motor response, orientation
c) eye response, orientation, cognitive function
d) eye response, verbal response, motor response
d) eye response, verbal response, motor response
A person with a GCS below 8 is at risk of:
a) inability to maintain their airway
b) urinary tract infection (UTI)
c) disorientation
d) confusion
a) inability to maintain their airway
A stroke caused by an occlusion of a large cerebral vessel is best described as:
a) thrombotic
b) transient ischaemia
c) haemorrhagic
d) embolic
a) thrombotic
,Which of the following medical terms describes a heart rate over 100 bpm:
a) tachypnoea
b) tachycardia
c) bradypnea
d) bradycardia
b) tachycardia
A patient has been admitted to your ward following a myocardial infarction. What
symptoms would you expect the patient to present with?
a) sharp chest pain, fever, nausea
b) sharp chest pain, productive cough, diaphoresis
c) central crushing chest pain, decreased GCS, pain in the left calf
d) central crushing chest pain, diaphoresis, pain radiating to the left arm
d) central crushing chest pain, diaphoresis, pain radiating to the left arm
What values do you associate with interpretation of an electrocardiogram (ECG)?
a) ABCDE
b) PQRST
c) AHPRA
d) PQRSV
b) PQRST
When interpreting an electrocardiogram (ECG), what does the P wave measure?
a) atrial repolarisation
b) ventricular depolarisation
, c) ventricular repolarisation
d) atrial depolarisation
d) atrial depolarisation
You are caring for a person with a history of angina. As they are returning from
the bathroom they stop, hold their chest and report pain. You immediately
administer the first dose of sublingual Glyceral trinitrate to relieve symptoms.
How long before you can administer a second dose?
a) 30 minutes
b) 5 minutes
c) 3 minutes
d) 10 minutes
b) 5 minutes
Which of the following parameters could indicate that a patient has a respiratory
acidosis?
a) A low pH and a high PaCO2
b) a high pH and a low PaCO2
a) A low pH and a high PaCO2
Jennie is a 52 yr old lady with COPD. She has been admitted to hospital to
manage her condition as she has developed a lower respiratory tract infection.
Her oxygen saturations are currently 90%. What action do you take as the nurse
caring for her?
a) Apply 2 L of oxygen immediately to bring her oxygen saturations above 90%
b) Nothing, as patients with COPD should have oxygen levels between 88-92% to
