BNMN501 Exam UPDATED QUESTIONS
AND CORRECT ANSWERS
Mrs Bago, 80 years old, is a resident of the rest home where you are on student placement.
Whilst playing cards in the day room with a fellow resident she became unresponsive without
warning for about 30 seconds. Five minuteshave passed and she has now regained
consciousness and is lying on her bed, after being taken there by her career.The Activities
Coordinator reported that she had some slurring of speech immediately after regaining
consciousness.
Which of the following would be most appropriate for you as the student nurse to do next?
A. Leave Mrs Bago to go and talk to the other residents about what happened.
B. Perform a Glasgow Coma Score (GCS).
C. Refer the patient for immediate follow-up.
D. Ask if the patient has ever had a seizure - CORRECT ANSWER B. Perform a
glasgow coma scale
When performing a physical examination of Winnie which of the following would be most
appropriate?
A. Allow Winnie to remain dressed.
B. Omit intrusive parts of the exam.
C. Dim the room light.
D. Try to minimise position changes for her. - CORRECT ANSWER D. Try to
minimise position changes for her
Which test would be most appropriate to perform when assessing Winnies eye muscle
strength and cranial nerve function?
A. Visual fields test.
B. Cover test.
C. Corneal light reflex test.
D. Extra ocular movement test. - CORRECT ANSWER D. Extra ocular movement test
,Which of the following nursing assessments will give you objective data relating to the
functioning of Winnies cerebellum?
A. Vital signs.
B. Coordination.
C. Glasgow Coma Score
D. Cardiac function. - CORRECT ANSWER B. 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?
A. Lock the fingers together and pull against each other.
B. Stretch the arms over head.
C. Squeeze a thigh with the opposite hand.
D. Clench the jaw tightly. - CORRECT ANSWER A. 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?
A. 2+
B. 3+
C. 4+
D. 5+ - CORRECT ANSWER A. 2+
Which of the following would be the most likely sign of a frontal lobe contusion?
A. Inability to hear high-pitched sounds
B. Difficulty speaking
C. Blurred vision
D. Loss of tactile sensation - CORRECT ANSWER B. Difficulty speaking
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
pain.
D. Elderly people who are confused or cognitively impaired do not have pain. - CORRECT
ANSWER D. Elderly people who are confused or cognitively impaired do not have
pain.
Which of the following represents the break in sounds between the first and second sounds
when auscultating Joyce's blood pressure?
A. Diastolic value.
B. Korotkoff sounds.
C. Auscultatory gap.
D. Phase V. - CORRECT ANSWER C. Auscultatory gap
You are having difficulty auscultating Joyce's heart sounds, specifically S1 and S2. Which of
the following would help?
A. Use the bell of the stethoscope to help distinguish the sounds.
B. Palpate the apical impulse.
AND CORRECT ANSWERS
Mrs Bago, 80 years old, is a resident of the rest home where you are on student placement.
Whilst playing cards in the day room with a fellow resident she became unresponsive without
warning for about 30 seconds. Five minuteshave passed and she has now regained
consciousness and is lying on her bed, after being taken there by her career.The Activities
Coordinator reported that she had some slurring of speech immediately after regaining
consciousness.
Which of the following would be most appropriate for you as the student nurse to do next?
A. Leave Mrs Bago to go and talk to the other residents about what happened.
B. Perform a Glasgow Coma Score (GCS).
C. Refer the patient for immediate follow-up.
D. Ask if the patient has ever had a seizure - CORRECT ANSWER B. Perform a
glasgow coma scale
When performing a physical examination of Winnie which of the following would be most
appropriate?
A. Allow Winnie to remain dressed.
B. Omit intrusive parts of the exam.
C. Dim the room light.
D. Try to minimise position changes for her. - CORRECT ANSWER D. Try to
minimise position changes for her
Which test would be most appropriate to perform when assessing Winnies eye muscle
strength and cranial nerve function?
A. Visual fields test.
B. Cover test.
C. Corneal light reflex test.
D. Extra ocular movement test. - CORRECT ANSWER D. Extra ocular movement test
,Which of the following nursing assessments will give you objective data relating to the
functioning of Winnies cerebellum?
A. Vital signs.
B. Coordination.
C. Glasgow Coma Score
D. Cardiac function. - CORRECT ANSWER B. 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?
A. Lock the fingers together and pull against each other.
B. Stretch the arms over head.
C. Squeeze a thigh with the opposite hand.
D. Clench the jaw tightly. - CORRECT ANSWER A. 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?
A. 2+
B. 3+
C. 4+
D. 5+ - CORRECT ANSWER A. 2+
Which of the following would be the most likely sign of a frontal lobe contusion?
A. Inability to hear high-pitched sounds
B. Difficulty speaking
C. Blurred vision
D. Loss of tactile sensation - CORRECT ANSWER B. Difficulty speaking
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
pain.
D. Elderly people who are confused or cognitively impaired do not have pain. - CORRECT
ANSWER D. Elderly people who are confused or cognitively impaired do not have
pain.
Which of the following represents the break in sounds between the first and second sounds
when auscultating Joyce's blood pressure?
A. Diastolic value.
B. Korotkoff sounds.
C. Auscultatory gap.
D. Phase V. - CORRECT ANSWER C. Auscultatory gap
You are having difficulty auscultating Joyce's heart sounds, specifically S1 and S2. Which of
the following would help?
A. Use the bell of the stethoscope to help distinguish the sounds.
B. Palpate the apical impulse.
