1. you are taking care of a patient with head injury, you use the glasgow coma scale and the patient score is 5. When the GCS is at this number What would you expect?

2. An elderly female in a nursing home is walking around her room and greats to when you enter, she speaks clearly but her answers are confusing what is her glasgow coma score?

3. A possible overclose patient looks around with an unfocused gaze, mumbles when you ask him questions and pulls away from painful, stimuli wheat is her GCS Score?

4. A newborn 5 minute a pyar acore is 5. Which of the following nursing enter ventions will be provided to this newborn?

5. Dr. order says 2500 ml of D5 1/4 NS to infuse over one day. What is the hourly rate?

6. Dr’s order 100 ml of IV NS to infuse at a rate of 50ml/hr. how long it will take the IV bag

7. A patient is being discharged home after receiving treatmet for a MI patient will be taking carvidelol (coreg) what statement by the patient endicute they understood your educational programme about this drug?

8. A patient admitted in post surgical ICU after abdominal hystirctomy, after 36 hrs patient collapse. What is the reason?
BP – 70/40 mm Hg
Heart rate 120 bpm
Respiration – 32 / min

9. A child child admitted in hospital with hydrocephalus undergone ventriuloperitoneal shunt (VP shunt) After Procedure patient developed fever and hives developed in child What is the reason?

10. A newly tirucheal nurse is curing for a client who has streptococeal pharyngitis placed deoplet precuations. Which of the following observations would require interventions by the charge nurse?

11. One patient is admitted with polyurea, polyolipsia and fatigue. These symptoms mimiks as;

12. Expulsion of cervical mucers plug, mined with blood Ist stage of labour is called as?

13. Which of the following should be avoided for a child admitted with epigottih’s?

14. The most common abdominal surgical emergency in childhood is?

15. During physical enamination of four month old infant with hirschprung’s disease, the nurse would mot libely to note which of the following?

16. A nurse is assessing a client who had abdominal surgery earlier to the day. Which of the following premisting medical conditions would place the client at most risk for postoperative complications?

17. The nurse is caring for a patient who just had a chest tabe inserted due to spontaneous premothorax. An appropriate goal is that the patient will.

18. A physician orders lactated ringer solutions to infuse at 125 cc/hour. This is an example of which type of solution?

19. A client with a traumatic closed head injury shows signs that indicate the presence of cerebral edema. which of the following fludis would increase cellular swelling and cerebral edema?

20. A nurse places a client on the bedpan to void several times during the first stage of labor. This is done because a full bladder?

21. In preparation for cataract surgery, the nurse is to administer cyclopentolate (cyclogyl) eye drops. The nurse administers the eye drops, knowing that the prupose of this medication is to?

22. A nurse is assisting a physician with the removal of a chest tube. The nurse should instruct the client to

23. The nurse is reviewing the laboratory results of a client diagnosed with muttiple myeloma. Which would the nurse expect to note specifically in this disorder?

24. A clients mediccation sheet contains a prescription for sertraline (Zoloft). To ensure safe administration of the medication, a nurse would administer the dose?

25. A 12 weeks gestation the nurse midwife examines a client and finds her uterus is enlarged and;

26. The nurse is performing the ortolani test on a newborn. The finding would indicate a positive result would be

27. The best indicator of fluid balance in children with nephrotic syndrome is the daily measurement of

28. After abdominal surgery a client develops internal hemorrhaging. During further assessments. The nurse should expect the client to exhibit;

29. The nurse is aware that shock associated with a reeptered abdominal aneurysm is called;

30. When assessing a client for signs of right ventricular faliure the nurse should expect to note;

31. A client comes to the outpatient clinic with a painful legulcer. The symptom that supports the dianosis of arterial celer is?

32. When assessing a client with grave’s disease (hyperthyroidism) the nurse would expect to find a history of;

33.  Surgery is performed on a client with a parotid tumor. The postoperative arterial blood gas values are pH 7.32, PCO2 53 mmHg, HCO3 25 meq/L. The nurse should;

34. The nurse is performing a physical assessmart of a client with vlcerative colitis. The finding most often associated with a serious complication of this disorder would be;

35. When performed a neurologic check on a client with head injury, the nurse identifies a diminished corneal reflex. Appropriating nursing care for an absent corneal reflex includes;

36. A client with arthritis states that the aspirin which has been prescribed causes stomach irritation even when taken with food. The nurse should instruct the client to take the aspirin;