ACTUAL QUESTIONS AND CORRECT
ANSWERS
Which of the following would be the most appropriate for you as the student nurse to do
next? - CORRECT ANSWER Perform a Glasgow Coma Score (GCS).
When performing a physical examination of Winnie which of the following would be most
appropriate? - CORRECT ANSWER 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? - CORRECT ANSWER Extra ocular movement
test.
Which of the following nursing assessments will give you objective data relating to the
functioning of Winnies cerebellum? - CORRECT 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? - CORRECT ANSWER 2+
Which of the following would be the most likely sign of a frontal lobe contusion? -
CORRECT ANSWER Difficulty speaking
For which patient condition would you most likely expect a capillary refill time longer than
two seconds? - CORRECT ANSWER Peripheral vascular disease
Which one of the following is a myth about pain in the older adult? - CORRECT
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? - CORRECT
ANSWER Fifth intercostal space, left midclavicular line.
Which of the following represents the break in sounds between the first and second sounds
when auscultating Joyce's blood pressure? - CORRECT ANSWER Auscultatory gap.
You are having difficulty auscultating Joyce's heart sounds - CORRECT
ANSWER specifically S1 and S2. Which of the following would help? , Palpate the
carotid pulse while auscultating the heart.
Which type of pain would be associated with arthritis? - CORRECT
ANSWER Somatic
You are assessing Joyce's pain. Which of the following would lead you to suspect that she is
experiencing pain? - CORRECT ANSWER Facial grimacing, leaning forward
When assessing Rangi which part of the body would you assess for the presence of central
cyanosis? - CORRECT ANSWER Oral mucosa.
Which of the following processes is not required in order for effective respiration to occur? -
CORRECT ANSWER Obstruction.
Which of the following is a warning sign of acute respiratory distress? - CORRECT
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? - CORRECT ANSWER Listen at each site for at least one
complete respiratory cycle.
When auscultating the apices of Rangi's lungs - CORRECT ANSWER where would
you place your stethoscope?, Slightly above the clavicle.