(100% CORRECT) | LATEST EXAM VERSION
For which patient condition would you most likely expect a capillary refill time
longer than two seconds?
Malignant melanoma.
Inflammatory bowel disease.
Peripheral vascular disease.
Multiple sclerosis. - CORRECT ANSWER - Peripheral vascular disease
Which of the following is incorrect about pain in the older adult?
Opioids are often the drug of choice.
Older patients may have more than one source of pain.
There is a greater likelihood of having developed a pathological condition
accompanied by pain.
Elderly people who are confused or cognitively impaired do not experience pain. -
CORRECT ANSWER - Elderly people who are confused or cognitively impaired
do not experience pain.
Where is the correct location to auscultate the apical pulse?
Fourth intercostal space, left midclavicular line.
Second intercostal space, right midclavicular line.
Third intercostal space, mid axilla.
Fifth intercostal space, left midclavicular line. - CORRECT ANSWER - Fifth
intercostal space, left midclavicular line.
,Which of the following would be the most appropriate for you as the student nurse
to do next, after a patient LOC?
Leave the patient to go and talk to the other residents about what happened.
Perform a Glasgow Coma Score.
Refer the patient for immediate follow-up.
Ask if the patient has ever had a seizure. - CORRECT ANSWER - Perform a
Glasgow Coma Score.
When performing a physical examination, which of the following would be most
appropriate?
Allow the patient to remain dressed.
Omit intrusive parts of the exam.
Dim the room light.
Try to minimize position changes for the patient. - CORRECT ANSWER - Try to
minimize position changes for the patient.
Which test would be most appropriate to perform when assessing the patient eye
muscle strength and cranial nerve function?
Visual fields test.
Cover test.
Corneal light reflex test.
Extra ocular movement test. - CORRECT ANSWER - Extra ocular movement
test.
,Which of the following nursing assessments will give you objective data relating to
the functioning of the patient's cerebellum?
Vital signs.
Coordination.
Glasgow Coma Score
Cardiac function. - 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 the patient do?
Lock the fingers together and pull against each other.
Stretch the arms over head.
Squeeze a thigh with the opposite hand.
Clench the jaw tightly. - CORRECT ANSWER - Lock the fingers together and
pull against each other.
The patient's patellar reflex is normal. Which of the following is the correct
number to document this?
2+.
3+.
4+.
5+. - CORRECT ANSWER - 2+
Which of the following would be the most likely sign of a frontal lobe contusion?
Inability to hear high‐pitched sounds.
Difficulty speaking.
, Blurred vision.
Loss of tactile sensation. - CORRECT ANSWER - Difficulty speaking.
Which of the following represents the break in sounds between the first and second
sounds when auscultating blood pressure?
Diastolic value.
Korotkoff sounds.
Auscultatory gap.
Phase V. - CORRECT ANSWER - Auscultatory gap.
You are having difficulty auscultating heart sounds, specifically S1 and S2. Which
of the following would help?
Use the bell of the stethoscope to help distinguish the sounds.
Palpate the apical impulse.
Palpate the carotid pulse while auscultating the heart.
Determine the pulse deficit. - CORRECT ANSWER - Palpate the carotid pulse
while auscultating the heart.
Which type of pain would be associated with arthritis?
Somatic.
Chronic.
Visceral.
Cutaneous. - CORRECT ANSWER - Chronic.