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 - ANS B. Perform a glasgow coma scale
1
Page
@COPYRIGHT SIRJOEL 2025/2026
, 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. - ANS 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. - ANS 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.
2
Page
@COPYRIGHT SIRJOEL 2025/2026
, B. Coordination.
C. Glasgow Coma Score
D. Cardiac function. - ANS 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. - ANS 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+
3
D. 5+ - ANS A. 2+
Page
@COPYRIGHT SIRJOEL 2025/2026
, 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 - ANS 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.
4
Page
C. Peripheral vascular disease.
@COPYRIGHT SIRJOEL 2025/2026