BNMN501 MULTIPLE CHOICE QUESTIONS WITH COMPLETE
SOLUTIONS
Your clinical experience at a family doctors practice starts at 8 a.m. and already you
notice that 17 year old Rangi is being brought up the path by his anxious-looking father,
Wiremu, and distressed mother, Hine. Rangi tells you he is normally active and healthy
but for the last three days he has had a clear nasal discharge with slight intermittent
productive cough. Rangi was awake last night with frequent coughing and during the
night he started wheezing.
When assessing Rangi which part of the body would you assess for the presence of
central cyanosis?
A. Oral mucosa.
B. Palms.
C. Sclera.
D. Nail beds. -- Correct Answer ✔✔ A. Oral mucosa
Which of the following processes is not required in order for effective respiration to
occur?
A. Ventilation.
B. Obstruction.
C. Perfusion.
D. Diffusion. -- Correct Answer ✔✔ B. Obstruction
,Which of the following is a warning sign of acute respiratory distress?
A. A blue tinge to the mouth and lips.
B. A respiratory rate of 14 breaths per minute.
C. The patient telling you in long sentences that they are short of breath.
D. An oxygen saturation recording of 93% while the patient is breathing normal room
air -- Correct Answer ✔✔ A. A blue tinge to the mouth and lips.
Which of the following would be most important for you to remember when
auscultating Rangi's posterior chest?
A. Listen at each site for at least one complete respiratory cycle.
B. Have the patient breathe deep and fast through the mouth.
C. Be alert to the patient's comfort and offer rest periods.
D. Auscultate the base at the level of the sixth rib. -- Correct Answer ✔✔ A. Listen at
each site for at least on complete respiratory cycle
When auscultating the apices of Rangi's lungs, where would you place your stethoscope?
A. At the level of the diaphragm.
B. Near the level of the eighth rib.
C. Slightly above the clavicle.
D. At about the tenth rib. -- Correct Answer ✔✔ C. Slightly above the clavicle
Which of the following describes a wheeze?
, A. Loud bubbly sounds heard during inspiration
B. High-pitched, musical sounds heard primarily during expiration
C. Moist sounds, not cleared by coughing
D. High-pitched fine, short crackling noises heard during the end of expiration. --
Correct Answer ✔✔ B. High-pitched, musical sounds heard primarily during expiration
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.
For which patient condition would you most likely expect a capillary refill time longer
than two seconds?
A. Malignant melanoma.
B. Inflammatory bowel disease.
C. Peripheral vascular disease.
D. Multiple sclerosis. -- Correct Answer ✔✔ C. Peripheral vascular disease
Which one of the following is a myth about pain in the older adult?
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
SOLUTIONS
Your clinical experience at a family doctors practice starts at 8 a.m. and already you
notice that 17 year old Rangi is being brought up the path by his anxious-looking father,
Wiremu, and distressed mother, Hine. Rangi tells you he is normally active and healthy
but for the last three days he has had a clear nasal discharge with slight intermittent
productive cough. Rangi was awake last night with frequent coughing and during the
night he started wheezing.
When assessing Rangi which part of the body would you assess for the presence of
central cyanosis?
A. Oral mucosa.
B. Palms.
C. Sclera.
D. Nail beds. -- Correct Answer ✔✔ A. Oral mucosa
Which of the following processes is not required in order for effective respiration to
occur?
A. Ventilation.
B. Obstruction.
C. Perfusion.
D. Diffusion. -- Correct Answer ✔✔ B. Obstruction
,Which of the following is a warning sign of acute respiratory distress?
A. A blue tinge to the mouth and lips.
B. A respiratory rate of 14 breaths per minute.
C. The patient telling you in long sentences that they are short of breath.
D. An oxygen saturation recording of 93% while the patient is breathing normal room
air -- Correct Answer ✔✔ A. A blue tinge to the mouth and lips.
Which of the following would be most important for you to remember when
auscultating Rangi's posterior chest?
A. Listen at each site for at least one complete respiratory cycle.
B. Have the patient breathe deep and fast through the mouth.
C. Be alert to the patient's comfort and offer rest periods.
D. Auscultate the base at the level of the sixth rib. -- Correct Answer ✔✔ A. Listen at
each site for at least on complete respiratory cycle
When auscultating the apices of Rangi's lungs, where would you place your stethoscope?
A. At the level of the diaphragm.
B. Near the level of the eighth rib.
C. Slightly above the clavicle.
D. At about the tenth rib. -- Correct Answer ✔✔ C. Slightly above the clavicle
Which of the following describes a wheeze?
, A. Loud bubbly sounds heard during inspiration
B. High-pitched, musical sounds heard primarily during expiration
C. Moist sounds, not cleared by coughing
D. High-pitched fine, short crackling noises heard during the end of expiration. --
Correct Answer ✔✔ B. High-pitched, musical sounds heard primarily during expiration
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.
For which patient condition would you most likely expect a capillary refill time longer
than two seconds?
A. Malignant melanoma.
B. Inflammatory bowel disease.
C. Peripheral vascular disease.
D. Multiple sclerosis. -- Correct Answer ✔✔ C. Peripheral vascular disease
Which one of the following is a myth about pain in the older adult?
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
