BNMN501
Study online at https://quizlet.com/_c4bsuy
1. For which patient condition would you most likely ex- Peripheral vascular dis-
pect a capillary refill time longer than two seconds? ease
Malignant melanoma.
Inflammatory bowel disease.
Peripheral vascular disease.
Multiple sclerosis.
2. Which of the following is incorrect about pain in the Elderly people who are
older adult? confused or cognitively
Opioids are often the drug of choice. impaired do not experi-
Older patients may have more than one source of ence pain.
pain.
There is a greater likelihood of having developed a
pathological condition accompanied by pain.
Elderly people who are confused or cognitively im-
paired do not experience pain.
3. Where is the correct location to auscultate the apical Fifth intercostal space, left
pulse? midclavicular line.
Fourth intercostal space, left midclavicular line.
Second intercostal space, right midclavicular line.
Third intercostal space, mid axilla.
Fifth intercostal space, left midclavicular line.
4. Which of the following would be the most appropriate Perform a Glasgow Coma
for you as the student nurse to do next, after a patient Score.
LOC?
Leave the patient to go and talk to the other residents
about what happened.
Perform a Glasgow Coma Score.
Refer the patient for immediate follow-up.
Ask if the patient has ever had a seizure.
, BNMN501
Study online at https://quizlet.com/_c4bsuy
5. When performing a physical examination, which of the Try to minimize position
following would be most appropriate? changes for the patient.
Allow the patient to remain dressed.
Omit intrusive parts of the exam.
Dim the room light.
Try to minimize position changes for the patient.
6. Which test would be most appropriate to perform Extra ocular movement
when assessing the patient eye muscle strength and test.
cranial nerve function?
Visual fields test.
Cover test.
Corneal light reflex test.
Extra ocular movement test.
7. Which of the following nursing assessments will give Coordination.
you objective data relating to the functioning of the
patient's cerebellum?
Vital signs.
Coordination.
Glasgow Coma Score
Cardiac function.
8. The registered nurse is having difficulty eliciting a Lock the fingers together
patellar reflex. Which of the following would be most and pull against each oth-
appropriate for the nurse to have the patient do? er.
Lock the fingers together and pull against each other.
Stretch the arms over head.
Squeeze a thigh with the opposite hand.
Clench the jaw tightly.
9. 2+
, BNMN501
Study online at https://quizlet.com/_c4bsuy
The patient's patellar reflex is normal. Which of the
following is the correct number to document this?
2+.
3+.
4+.
5+.
10. Which of the following would be the most likely sign of Difficulty speaking.
a frontal lobe contusion?
Inability to hear high‐pitched sounds.
Difficulty speaking.
Blurred vision.
Loss of tactile sensation.
11. Which of the following represents the break in sounds Auscultatory gap.
between the first and second sounds when auscultat-
ing blood pressure?
Diastolic value.
Korotkoff sounds.
Auscultatory gap.
Phase V.
12. You are having difficulty auscultating heart sounds, Palpate the carotid pulse
specifically S1 and S2. Which of the following would while auscultating the
help? heart.
Use the bell of the stethoscope to help distinguish the
sounds.
Palpate the apical impulse.
Palpate the carotid pulse while auscultating the heart.
Determine the pulse deficit.
13. Which type of pain would be associated with arthritis? Chronic.
Somatic.
Study online at https://quizlet.com/_c4bsuy
1. For which patient condition would you most likely ex- Peripheral vascular dis-
pect a capillary refill time longer than two seconds? ease
Malignant melanoma.
Inflammatory bowel disease.
Peripheral vascular disease.
Multiple sclerosis.
2. Which of the following is incorrect about pain in the Elderly people who are
older adult? confused or cognitively
Opioids are often the drug of choice. impaired do not experi-
Older patients may have more than one source of ence pain.
pain.
There is a greater likelihood of having developed a
pathological condition accompanied by pain.
Elderly people who are confused or cognitively im-
paired do not experience pain.
3. Where is the correct location to auscultate the apical Fifth intercostal space, left
pulse? midclavicular line.
Fourth intercostal space, left midclavicular line.
Second intercostal space, right midclavicular line.
Third intercostal space, mid axilla.
Fifth intercostal space, left midclavicular line.
4. Which of the following would be the most appropriate Perform a Glasgow Coma
for you as the student nurse to do next, after a patient Score.
LOC?
Leave the patient to go and talk to the other residents
about what happened.
Perform a Glasgow Coma Score.
Refer the patient for immediate follow-up.
Ask if the patient has ever had a seizure.
, BNMN501
Study online at https://quizlet.com/_c4bsuy
5. When performing a physical examination, which of the Try to minimize position
following would be most appropriate? changes for the patient.
Allow the patient to remain dressed.
Omit intrusive parts of the exam.
Dim the room light.
Try to minimize position changes for the patient.
6. Which test would be most appropriate to perform Extra ocular movement
when assessing the patient eye muscle strength and test.
cranial nerve function?
Visual fields test.
Cover test.
Corneal light reflex test.
Extra ocular movement test.
7. Which of the following nursing assessments will give Coordination.
you objective data relating to the functioning of the
patient's cerebellum?
Vital signs.
Coordination.
Glasgow Coma Score
Cardiac function.
8. The registered nurse is having difficulty eliciting a Lock the fingers together
patellar reflex. Which of the following would be most and pull against each oth-
appropriate for the nurse to have the patient do? er.
Lock the fingers together and pull against each other.
Stretch the arms over head.
Squeeze a thigh with the opposite hand.
Clench the jaw tightly.
9. 2+
, BNMN501
Study online at https://quizlet.com/_c4bsuy
The patient's patellar reflex is normal. Which of the
following is the correct number to document this?
2+.
3+.
4+.
5+.
10. Which of the following would be the most likely sign of Difficulty speaking.
a frontal lobe contusion?
Inability to hear high‐pitched sounds.
Difficulty speaking.
Blurred vision.
Loss of tactile sensation.
11. Which of the following represents the break in sounds Auscultatory gap.
between the first and second sounds when auscultat-
ing blood pressure?
Diastolic value.
Korotkoff sounds.
Auscultatory gap.
Phase V.
12. You are having difficulty auscultating heart sounds, Palpate the carotid pulse
specifically S1 and S2. Which of the following would while auscultating the
help? heart.
Use the bell of the stethoscope to help distinguish the
sounds.
Palpate the apical impulse.
Palpate the carotid pulse while auscultating the heart.
Determine the pulse deficit.
13. Which type of pain would be associated with arthritis? Chronic.
Somatic.
