MN Exam With Complete Solutions 2024

80 years old, is a resident of the rest home. Whilst playing cards in the day room with a fellow resident she became unresponsive without warning for about 30 seconds. Five minutes have passed and she has now regained consciousness and is lying on her bed, after being taken there by her carer. The Activities Coordinator reported that she had some slurring of speech immediately after regaining consciousness. - correct answer-MRS WINNIE BAGO 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-Which of the following would be the most appropriate for you as the student nurse to do next? 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-When performing a physical examination of Winnie which of the following would be most appropriate? A. Visual fields test. B. Cover test. C. Corneal light reflex test. D. Extra ocular movement test. - correct answer-Which test would be most appropriate to perform when assessing Winnies eye muscle strength and cranial nerve function? A. Vital signs. B. Coordination. C. Glasgow Coma Score D. Cardiac function. - correct answer-Which of the following nursing assessments will give you objective data relating to the functioning of Winnies cerebellum? 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-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. 2+ B. 3+ C. 4+ D. 5+ - correct answer-Winnies patellar reflex is normal. Which of the following is the correct number to document this?