Cranial Nerve Assessment
CN I Olfactory
Have pt close eyes
Place a distinct smell under the pt. nose
Each nostril should be tested separate
Anosmia- loss sense of smell
CN II Optic
Have pt read ordinary news print
Visual fields- have pt l
Pharmacology Test One
ACE INHIBITORS (-pril)
Angiotensin-Converting Enzyme Inhibitors
*Largest group of antihypertensive drugs
Diabetic: lower glomolular rate and protect kidneys
Catopril and Lisinopril are NOT prodrugs, they have to go to liver
Define Health: State of complete physical, mental, and social wellbeing.
Connected to body, mind, and spirit
Use NSAIDS and Opioids together because
NSAIDS decrease inflammation
Opioids decrease pain
Medication admin to the elderly:
Patient Assessment: Cardiovascular System
1. Explain the components of the cardiovascular history and
Antidote: Protamine Sulfate
Avoid foods high in vitamin K: Green, leafy vegetables
aPTT: 60-80 seconds
Fastest Insulin: Novolog (10-20)
Insulin that has to be administered after the first bite of
Always make sure diabetics eat a ni
Anticoagulants: Heparin, Warfarin, Lovenox, Eliquis, Xarelto, Fragmin
Use: indwelling devices (mechanical heart valves)
Lovenox and Fragmin: contraindicated w/ indwelling epidural cath. Can
administer 2 hrs after removal
Lovenox: do not expel
Compare the etiology, pathophysiology, assessment,
management, and prevention of community-acquired, hospitalacquired, and health care-associated pneumonia.
Hospital >48 hrs. after
Pediatric Vs. Elderly
Less gastric Ph, Gastric emptying is slower
IM absorption is faster
Greater total body water / Lower fat content
Skin is thinner and more permeable
Always use KG not POUNDS. 1 kg=2.2 pounds
More likely exp
1. Psychosomatic illness refers to physical symptoms that are either created or worsened
by psychic influences. Which conditions are thought to be attributed to the connection
between mind and body? Select all that apply.
1. A community health nurse is planning a substance abuse prevention program. Which
group would be the best target audience for the nurse to plan a program?
A) Teenagers in a high school health class
B) School-age children in an after-school program
1. During the change of shift report in the intensive care unit, the nurse learns that a client
has developed signs of delirium over the past 8 hours. Which behavior documented in
the nursing notes would be consistent with delirium?
A) Unable to identify
1. Which best explains the neurochemical processes responsible for depression?
A) Increased activity of dopamine
B) Decreased glucocorticoid activity
C) Decreased serotonin and norepinephrine activity
D) Potentiating of the kindling process
1. A nurse is working with a client who has frequent angry outbursts. Which of the
following statements is most helpful when working with this client?
A) Anger is a normal feeling, and you can use it to solve problems.
B) You need to learn to suppress you
1. A child is expelled from school for repeated fighting and vandalizing school property.
The school nurse and counselor meet with the parents to explain that the child may
benefit from counseling as the child is experiencing signs of which disorder?
1. The nurse knows that which of the following are stages in Selye's general adaptation
syndrome? Select all that apply.
A) Alarm reaction stage
B) Resistance stage
C) Coping stage
D) Exhaustion stage
E) Panic stage
Ans: A, B, D
The stages in Se
1. A 15-year-old female is admitted for treatment of anorexia nervosa. Which is
characteristic of anorexia nervosa?
A) Body weight less than normal for age, height, and overall physical health
B) Amenorrhea for at least two cycles
C) Absence of hunger fee
1. The nurse is assessing a 16-month-old child during a well-baby checkup. Which of the
following behaviors would be consistent with autism spectrum disorder? Select all that
A) The child displays little eye contact with others.
B) The child thrive
1. The most commonly supported neuroanatomic theory of schizophrenia suggests which
A) Excessive amounts of dopamine and serotonin in the brain
B) Ineffective ability of the brain to use dopamine and serotonin
C) Insufficient amounts of dopamine
1.The nurse is performing a physical assessment of a 3-year-old girl. Which of the
following would be a concern for the nurse?
The toddler gained 4 pounds in weight since last year.
The toddler gained 3 inches in height since last year.
1.The nurse is developing a plan of care for a 5-year-old child with a severe hearing
impairment focusing on psychosocial interventions based on assessment findings. Which
behavior would the nurse have most likely assessed?
1. The nurse is assessing the anxiety level of a young school-age child. The nurse
encourages the child to express feelings through the use of toys in a play situation. The
purpose for this approach to assessment is largely related to which of the followi
1. A client made threats to harm his parents if they come too close to him. The parents
called 911, and the client is now held involuntarily for a psychiatric evaluation. During
this time of involuntary admission, the client retains all client rights exce
1. The nurse is assessing a patient suffering a head injury as a result of an altercation with
two other individuals. The patient has difficulty accurately reporting the events of the
altercation and appears very emotional during the assessment. The nurse
1. A young couple just ended their relationship after a 9-month engagement. The one of
the individuals is seeking short-term counseling to assist in grieving this loss. Which
type of loss best describes what this client is experiencing?
A) Safety loss
1. When assessing a patient's mental health status, which of the following describe the
purpose of the psychosocial assessment? Select all that apply.
A) To assess the client's current emotional state
B) To assess the client's mental capacity
C) To assess
1. Which of the following factors is primarily responsible for the changes in inpatient
hospital treatment between the 1980s and the present?
A) Progress in treatment options for mentally ill persons
B) The growth of managed care
C) Less stigma associated