and All Correct Answers (2025-2026)
Update.
Which of the following would be the most appropriate for you as the student nurse to do next?
- Answer Perform a Glasgow Coma Score (GCS).
When performing a physical examination of Winnie which of the following would be most
appropriate? - Answer Try to minimize position changes for her.
Which test would be most appropriate to perform when assessing Winnies eye muscle strength
and cranial nerve function? - Answer Extra ocular movement test.
Which of the following nursing assessments will give you objective data relating to the
functioning of Winnies cerebellum? - Answer Coordination The registered nurse is having
difficulty eliciting a patellar reflex. Which of the following would be most appropriate for the
nurse to have Winnie do? , Lock the fingers together and pull against each other.
Winnies patellar reflex is normal. Which of the following is the correct number to document
this? - Answer 2+
Which of the following would be the most likely sign of a frontal lobe contusion? - Answer
Difficulty speaking
For which patient condition would you most likely expect a capillary refill time longer than two
seconds? - Answer Peripheral vascular disease
Which one of the following is a myth about pain in the older adult? - Answer Elderly people
who are confused or cognitively impaired do not have pain.
As part of your cardiovascular assessment you are going to assess Joyce's apical impulse. What
is the correct location to auscultate the apical impulse? - Answer Fifth intercostal space, left
midclavicular line.
Which of the following represents the break in sounds between the first and second sounds
, Which type of pain would be associated with arthritis? - Answer Somatic
You are assessing Joyce's pain. Which of the following would lead you to suspect that she is
experiencing pain? - Answer Facial grimacing, leaning forward
When assessing Rangi which part of the body would you assess for the presence of central
cyanosis? - Answer Oral mucosa.
Which of the following processes is not required in order for effective respiration to occur? -
Answer Obstruction.
Which of the following is a warning sign of acute respiratory distress? - Answer 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? - Answer Listen at each site for at least one complete respiratory
cycle.
When auscultating the apices of Rangi's lungs - Answer where would you place your
stethoscope?, Slightly above the clavicle.
Which of the following describes a wheeze? - Answer High-pitched, musical sounds heard
primarily during expiration
Which of the following signs is not associated with increased work of breathing? - Answer
Respiratory rate of 12 breaths per minute.
When performing a comprehensive assessment - Answer which part of the body would you
assess for information about the motor function of cranial nerve VII?, Head and face
You are preparing to assess Mrs Jones' distance visual acuity. Given that she wears reading
glasses which of the following would be most appropriate? - Answer Ask Mrs Jones to remove
her glasses before testing