ANSWERS
Which of the following would be the most appropriate for you as the student nurse to do next?
- ANS Perform a Glasgow Coma Score (GCS).
When performing a physical examination of Winnie which of the following would be most
appropriate? - ANS 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? - ANS Extra ocular movement test.
Which of the following nursing assessments will give you objective data relating to the
functioning of Winnies cerebellum? - ANS Coordination The registered nurse is having
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, 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? - ANS 2+
Which of the following would be the most likely sign of a frontal lobe contusion? -
ANS Difficulty speaking
For which patient condition would you most likely expect a capillary refill time longer than two
seconds? - ANS Peripheral vascular disease
Which one of the following is a myth about pain in the older adult? - ANS 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? - ANS Fifth intercostal space, left
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midclavicular line.
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