FUNDAMENTALS RLE

1. In providing bed bath, what should be used if there's a potential contact with body
fluids?
A. Waterproof apron
B. Mask
C. Face shield
D.Gloves

2. In assuring the safety of the client while performing bed bath, what should you do?
A. Ask the significant other to stay at the bedside if something happens.
B. Secure consent to restrain the patient.
C. Raise the side rails.
D. All of the above.

3. To promote venous return, what should be observed in providing a bed bath?

A. Use warm water
B. Secure consent to restrain the patient
C. Avoid CHG (Chlorhexidine gluconate)
D. Use firm strokes from ankle to groin

4. A patient is to receive medication TID. What does this abbreviation mean?

A. Twice a day
B. Thrice a day
C. Two tabs, once a day
D. Three tabs, once a day

5. It is a route of medication administration where the drug is placed under the patient's
tongue:
A. Oral administration
B Sublingual administration
C. Buccal administration
D. Mucous membrane administration

6. It is a parenteral administration where medication is injected into tissues just below

the dermis of the skin
A. Intradermal
B. Intramuscular
C. Subcutaneous
D. Intravenous

7. In preventing medication errors, which of the following should be done by the nurse?
EXCEPT
A. Interpret illegible handwriting then clarify with health care provider.
B. Prepare medications for only one patient at a time.
C. Document all medications as soon as they are given.
D. When you have made an error, reflect on what went wrong and ask how you could have
prevented the error. Complete an occurrence report per agency policy. -

8. Preparing oral medications in syringes can be fatal when administered in a differently.

Which among the 10 rights is concerned in this situation?
A Right patient
B. Right time
C. Right dose
D. Right route

9. It is a type of medication route where drugs are given by mouth:

A. Oral route
B. Sublingual route
C. Buccal route
D. All of the above

10. Which of the following statements is true regarding oral administration:

A easiest and most desirable route for administering medications
B. Food sometimes affects their absorption
C. Meals enhances medication absorption
D. Many medications do interact with nutritional and herbal supplements.

11. (wala nakita sa pic)

12. It is made of glass with a constricted neck that must he snapped off to allow access
to the medication:
A Syringes
B. Vials
C. Needles
D. Ampules

13. You are to give a SC injection to a pediatric patient who's slim and underweight. How
should you introduce the medication to ensure that it reaches the required site?
A. Grasp the skin, 2 inches, 90 degrees intramuscularly.
B. Grasp the skin, 2 inches, 90 degrees subcutaneously.
C. Grasp the skin, 1 inch, 45 degrees, intradermally.
D. Grasp the skin, 1 inch, 45 degrees, subcutaneously.

14. In giving intramuscular injections, which among the following should you NOT
practice:
A. Giving medications 2-5 ml intramuscularly to well-developed adults.
B.Giving medications 2 intramuscularly to well-developed adults.
C. Giving more than 1 mL to small children and older infants.
D. Do not give more than 0.5 mL to smaller infants.

15. A patient has difficulty taking liquid medications from a cup. How should the nurse
administer the medications?
A. Request that the prescriber change the order to the IV route:
B. Administer the medication by the IM route.
C. Use a needleless syringe to place the medication in the side of the mouth.
D. Add the dose to a small amount of food or beverage to facilitate swallowing

16. How should the nurse dispose of a contaminated needle after administering an
injection?
A. Place the needle in a specially marked, puncture-proof container.
B. Recap the needle, and carefully place it in the trash can.
C. Recap the needle, and place it in a puncture proof container.
D. Place the needle in a biohazard bag with other contaminated supplies.

17. The nurse must administer hepatitis B immunoglobulin 0.5 mL intramuscularly to a

3-day-old infant by an HB Ag-positive mother. Which injection site should the nurse
choose to administer this injection?
A. Ventrogluteal
B. Vastus lateralis
C. Deltoid
D. Dorsogluteal

18. The nurse must administer eardrops to an infant. How should she proceed?
A. Pull the pinna down and back before instilling the drops.
B. Pull the pinna upward and outward before instilling the drops.
C. Instill the drops directly, no special positioning is necessary.
D. Position the patient supine with the head of the bed elevated 30°.

19. The nurse is teaching a patient about using sublingual nitroglycerin at home. Which
statement by a patient indicates understanding of the teaching?
A. "I may put the tablet in food if I don't like the taste."
B. "I may take a sip of water after placing the tablet in my mouth."
C. "I will place the tablet between my cheek and gum." will place the tablet under my tongue and
let it absorb."

20. When administering topical medications, which is an important nursing action?

A. Applying the medication liberally
B. Cleaning skin with alcohol before applying
C. Using sterile technique
D. Wearing gloves
21. The nurse is performing skin testing on a patient. Which action by the nurse is
correct?
A. Insert the needle, bevel up, at a 30-degree angle.
B. Massage the area gently after the injection,
C. Measure the diameter of the area of erythema when reading the result.
D. Use a 25-gauge, 3/8* needle.

22. Mr. Martinez has just passed. His family traveled from Mexico last week and got to
share moments before his passing. You do not have any records for what the family
would like. Who would be a good person to ask?
A. The wife
B. The oldest child
C. Pastor

23. You are providing care for the deceased patient and the family member asks, “Could
you shave his beard well? He would be so embarrassed knowing how much his beard
has grown.” Which of the following is an appropriate response?
A. I can shave the beard as long as I use lotion on the face afterwards
B. I like to involve family members in the shaving process if they are comfortable. Would your
son appreciate being involved with this?
C. We should not shave him since he was on anticoagulant therapy
D. Shaving too soon after death can cause bruising, so this is done by the funeral director

24. What is the bag called that you place the body in after the family viewing?
A. Shroud
B. Should
C. Cloth
D. Cloud

25. An instructor is supervising the post mortem care of a student. Which action by the
student performing the care is appropriate?
A. Keeps the dient's body in a flat, supine position
B. Closes the dient's eyes by taping the eyelids shut
C. Elevates the head of the bed 30 degrees as soon as possible after death
D. Removes the clients dentures and places them in a denture cup with the clients name on the
lid

26. The hospice nurse visits a client who is dying of ovarian cancer. During the visit, the
client says, “If I can just live long enough to celebrate my daughter's sweet 16 birthday
party. I be ready to die." Which phase of coping is this client experiencing?
A. Anger B. Denial
C. Bargaining D. Depression
E) Acceptance
27. The nurse is preparing to care for a dying client, and several family members are at
the clients bedside. Which therapeutic techniques should the nurse use when
communicating with the family? EXCEPT:
A. Make the decisions for the family.
B. Encourage expression of feelings, concerns, and fears.
C. Touch and hold the client's or family member's hand if appropriate.
D. Be honest and let the client and family know that they will not be abandoned by the nurse.

28. How would describe post mortem care?

The care you provide a patient after they awaken.
The treatment you provide after suffering motion sickness.
Morning sickness expectant mothers experience
The care you give to a recently deceased person.

29. As it relates to the health care profession, which definition best defines the word
"demise"?
A. The state of being dizzy
B. Someone that is disorganized
C. The end of life
D. The termination of a loan

30, You should wash the body of a deceased person

A. True
B. False
C. Maybe
D. I do not know

31. If your patient dies would you always disconnect and throw away all of the IV lines?
A. True
B. False
C. Maybe D. I do not know

32. What is the importance of tagging the deceased body and the shroud?
A.To ensure the identity
B. To discriminate left from right
C. Because you have an extra leg
D. None of the above

33. In working with a dying client, the nurse demonstrates assisting the client to die with
dignity when performing which action?
A Allows the client to make as many decisions about care as is possible.
B. Shares with the client the nurse's own views about life after death.
C. Avoids talking about dying and focuses on the present.
D. Relieves the client of as much responsibility for self-care as is possible.
34. The physician tells your assigned client that their chest X-ray shows they have lung cancer.
They respond by throwing their lunch tray. Based on your understanding of the work of
Kubler-Ross, which stage of grief are they displaying?
A acceptance
B. anger
C. depression
D. denial

35. Proper handling of the body following death is an important intervention for the
client, family, and nurse. intervention that reflects an important principle of postmortem
care is:
A Preparing the body to look as clean and natural as possible
B. Puling the sheet over look as clean

36. A nurse is providing postmortem care. Which nursing action violates the standards of
caring for the t after a patient has been pronounced dead and is not scheduled for an
autopsy?
A. The nurse places the patient in a sitting position while the family visits.
B. The nurse places identification tags on both the shroud and the ankle.
C. The nurse removes soiled dressings and tubes.
D. The nurse makes sure a death certificate is issued and signed.

37. The family of a patient who has just died asks to be alone with the body and asks for
supplies to wash the body. The nurse providing care knows that the mortician usually
washes the body. Which response would be most appropriate?
A. Inform the family that there is no need for them to wash the body since the mortician typically
does this
B. Explain that hospital policy forbids their being alone with the deceased patient and that
hospital supplies to be used only by hospital personnel.
C. Give the supplies to the family but maintain a watchful eye to make sure that nothing unusual
happens
D. Provide the requested supplies, checking if this request is linked to their religious or cultural c
asking if there is anything else you can do to help.

38. Which of the senses is believed to be the last one lost as a person nears death?
A. hearing
B. Vision
C. touch
D. smell

39. When providing postmortem care, the nurse appropriately:

A. Places the body in an upright position with three pillows under the head.
B. Positions the arms over the chest and ties the wrists together.
C. Removes all jewelry, and give it to the significant others.
D. Removes dentures

40. Place where dead bodies are kept temporarily

A morgue
B. basement
C. Coffin
D. funeral car

41. Nursing responsibilities before post mortem care are the following but one
A. Call Doctor to pronounce death, complete death certificate, and secure consent for autopsy
B. prepare body for viewing by the family
C. ensure proper identification of client prior to transport
D. provide appropriate disposition of client's belongings
E. maintain vital signs

42. A nurse must make the decision to give a patient a full or partial bed bath. Which
criterion is mo.. for the basis of this decision?
A. Primary health-care providers order for the patient's activity.
B. Immediate need of the patient
C. Time of the patients last bath
D. Patient preference

43. A nurse is giving a patient a bed bath. Which nursing action is most important?
A. Lower the 2 side rails on the working side of the bed.
B. Ensure that the bath water is at least 110 degrees F
C. Fold the washcloth like a mitt on a hand
D. Raise the bed to the highest position. p

44. A nurse is responsible for providing hair care for a patient. Which should the nurse
do to distribute oil evenly along hair shafts?
A. Brush from the scalp toward the hair ends.
B. Lift opened fingers through the hair.
C. Apply a conditioner to wet hair.
D. Use a fine toothed comb.

45. A nurse planning to shampoo the hair of a patient who has an order for bedrest.
Which should the nurse first?
A. Wet hair thoroughly before applying shampoo.
B. Encourage the use of dry shampoo.
C. Brush the hair to remove tangles
D. Tape eye shields over both eyes.
46. A nurse plans to assist a patient who has impaired vision with a bed bath. Which is
the most appropriate nursing intervention to facilitate bathing for this patient?
A Providing the patient with a liquid bath gel rather than a bar of soap.
B. Giving the patient an adapted toothbrush to use when brushing the teeth.
C. Checking the patient’s ability to give self care through a crack in the curtain
D. Ensuring chuchu

47. Which common problem with the hair should the nurse anticipate when patients are
on complete bed rest?
A. Dry hair
B. Oily hair
C. Split hair
D. Matted hair

48. Which is the first assessment that should be performed by the nurse before planning
to meet the hygiene needs of a patient?
A Recognize the patients developmental stage
B. Collect the patients toiletries needed for the bath.
C. Identify the patients ability to assist in hygiene activities.
D. Determine the patients preferences about hygiene practices.

49. An older adult patient is concerned that her hair is dry. What should the nurse tell the
patient?
A. Dry hair is a common and normal result of the aging process.
B. The practitioner will be notified that there is most likely a vitamin deficiency.
C. More frequent shampooing using a moisturizing shampoo is necessary to prevent dry hair.
D. Oil needs to be massaged through the hair twice a day.

50. preparing a patient for shampooing with a shampoo board, the nurse assists the
patient to wh ng, with the head tilted back over the sink
Sitting, with the head tilted forward over the sink
A. Sitting with the head tilted back over the sink
B. Sitting with the head tilted forward over the sink
C Supine, with the head and shoulders on the far right edge of the bed
D. Supine, with the head and shoulders at the top edge of the bed
 HEALTH ASSESSMENT RLE

Assessing the Abdomen

Scenario:
Student Nurse Xavie is assigned to assess Mr. Jovic Hernandez, a 45-year-old male with a
history of Gastroesophageal Reflux Disease (GERD) and hypertension. Mr. Hernandez is
experiencing intermittent abdominal discomfort, particularly in the upper abdomen, and has
reported episodes of heartburn and acid regurgitation. He is curious about whether these
symptoms are related to his existing medical conditions or if there could be an underlying issue.

1. Why does Student Nurse Xavie ask the client to take a deep breath and hold it during
the assessment of abdominal contour and symmetry?
A. To assess for signs of respiratory
B. To evaluate the client's lung capacity
C. To observe changes in abdominal movement
D. To check for skin color changes

2. What is the significance of observing abdominal movements associated with

respiration, peristalsis, or aortic pulsations during the abdominal examination?
A. To assess for signs of abdominal distention
B. To evaluate the effectiveness of the digestive system
C. To identify the abnormalities or irregularities in abdominal function
D. To document findings for legal purposes

3. When assessing vascular sounds, why does Student Nurse Xavie use the bell of the
stethoscope over the aorta, renal arteries, iliac arteries, and femoral arteries?
a) To detect bruits indicating vascular abnormalities
b) To assess for deep abdominal structures
c.To enhance bowel sound detection
d) To assess for peritoneal friction rubs

4. What information does Student Nurse Xavie gather by observing the vascular pattern
during the abdominal examination?
a) Signs of respiratory distress
b) Indications of abdominal distention
c) Evidence of skin integrity
d) Clues to circulatory function and potential abnormalities

5. During percussion of the abdomen, why does Student Nurse Xavie begin in the lower
right quadrant and proceed in a systematic pattern?
a) To follow facility protocol
b)To assess for bruits in vascular structures
C. To determine the presence of gas in stomach and intestines
D. To ensure thorough assessment of each quadrant

6. Why is it crucial to systematically explore all four quadrants during light palpation?
a) To assess for deep abdominal structures
B. To detect areas of tenderness and muscle guarding
c)To assess bowel sounds
d) To facilitate palpation of the bladder

7. What additional considerations should Student Nurse Xavie keep in mind while
palpating the bladder, especially if the client's history indicates possible urinary
retention?
a. To apply deep palpation for accurate bladder assessment
B. To assess for abdominal distention related to bladder enlargement
c) To palpate the area above the pubic symphysis
d) To document findings for legal purposes

8. Why is it essential to remove and discard gloves after the examination and perform
hand hygiene?
a)To comply with facility protocol
•b) To maintain professional decorum
C. To prevent infection transmission
d) To facilitate documentation

9. Why does Student Nurse Xavie document findings in the client record using printed or
electronic forms of checklists supplemented by narrative notes?
a)To fulfill regulatory requirements
B. To maintain professional decorum
с)To facilitate interdisciplinary communication
d) To comply with facility protocol

10. Why is it necessary to perform a detailed follow-up examination of other systems

based on findings that deviated from expected or normal for the client?
a)To comply with facility protocol
b)To assess the effectiveness of the abdominal examination
c) To identify potential complications or
related issues
d)To maintain professional decorum
Assessing the Cardiovascular System
Scenario:
Student Nurse Xavie is tasked with performing a comprehensive cardiovascular examination on
Ms. Dianne Richards, a 58-year-old woman with a history of hypertension and hyperlipidemia.
Ms. Richards has been experiencing occasional chest discomfort and wants to rule out any
potential cardiac issues.

11. During the cardiovascular examination, why does Student Nurse Xavie palpate the
precordium for abnormal pulsations, lifts, or heaves?
A. To assess for lung sounds
B. To identify the location of the spleen
C.To evaluate the integrity of the abdominal aorta
D. To assess for signs of cardiac abnormalities

12. Why does Xavie use the stethoscope to auscultate the heart in all four anatomic sites
during the cardiovascular examination?
A.To assess lung sounds
B.To identify bowel sounds
C.To distinguish between S1 and S2 heart sounds
D. To assess for abdominal pulsations

13. Why does Student Nurse Xavie later reexamine the heart with the client in the upright
sitting position during the cardiovascular examination?
A. To assess for signs of respiratory
sounds
b) To evaluate for abdominal pulsations
c) To assess positional variations in heart
distress
d) To check for jugular vein distention

14. Why does Xavie palpate the carotid artery with extreme caution during the
examination?
a)To assess for lung sounds
B. To avoid injury to the trachea
c. To prevent stimulation of the vagus nerve
d)To assess for abdominal pulsations

15. What is the significance of auscultating the carotid artery with the head turned away
from the side being examined during the cardiovascular examination?
a To assess for respiratory sounds
b) To evaluate for abdominal pulsations
c) To enhance audibility of carotid sounds
D. To assess for signs of jugular vein
16. When assessing jugular veins, why does Xavie measure the vertical height of the
highest visible point of distention from the sternal angle during the cardiovascular
examination?
a) To assess for respiratory distress
b) To evaluate for abdominal pulsations
abnormalities
c) To measure jugular venous pressure
d)To assess for signs of cardiac

17. What action should Xavie take if she hears a bruit while auscultating the carotid
artery during the cardiovascular examination?
a) Apply increased pressure during palpation
b) Gently palpate the artery to check for a thrill
C.) Continue with the examination without further action
d.) Document the finding and report it to the primary care provider

18. Why does Xavie inspect the jugular veins for distention with the client in the
semi-Fowler's position during the cardiovascular examination?

A. To assess for abdominal pulsations

B. To evaluate for signs of respiratory distress
C. To facilitate palpation of the carotid artery
D. To enhance visibility of jugular vein distention

19. What is the purpose of assessing the jugular venous pressure during the
cardiovascular examination?
A. To measure blood pressure in the jugular veins
B.To assess for signs of cardiac abnormalities
C. To evaluate for abdominal pulsations
D) To measure central venous pressure

20. What action should Xavie take if she observes jugular vein distention during the
examination?
a)Document the finding and report it to the primary care provider
B. Continue with the examination without further action
c)Apply pressure to the jugular vein to reduce distention
d) Assess for abdominal pulsations
Assessing the Musculoskeletal System
Scenario:
Student Nurse Xavie is assigned to assess Ms. Mikyla Rodriguez, a 30-year-old woman with no
significant musculoskeletal history. Ms. Rodriguez is seeking a routine musculoskeletal
examination to ensure the overall health and function of her muscles and joints.

21. During a musculoskeletal examination, Xavie notices asymmetry in the size of Ms.
Rodriguez's calf muscles. What should be Xavie's immediate action?
a) Document the finding as a normal variation.
b) Measure the calf muscles using a tape.
c) Report the finding to the primary care provider.
d) Continue with the examination without further action.

22. While palpating joints for tenderness, Xavie notes crepitation in Ms. Rodriguez's knee
joint. What does crepitation indicate, and what action should Xavie take?
a Crepitation indicates normal joint movement; no action needed.
b Crepitation indicates inflammation or joint irregularities; report to the primary care provider.
c) Crepitation indicates muscle weakness; continue with the examination.
d) Crepitation indicates joint flexibility; document the finding..

23. During muscle strength testing, Ms. Rodriguez reports pain in the right hip when
lifting her leg. What is Xavie's appropriate response?
a) Continue with the examination, as pain is expected during muscle strength testing.
b) Document the pain and inform the primary care provider after the examination.
C) Modify the examination technique to avoid causing pain.
d) Instruct Ms. Rodriguez to endure the pain for accurate assessment.

24. Why does Xavie use a goniometer to measure joint angles during the musculoskeletal
examination?
a) To assess muscle strength.
b) To identify areas of edema or
c) To evaluate joint range of motion.
d) To measure bone size.
tenderess.

25. What is the primary purpose of inspecting muscles and tendons for tremors during
the musculoskeletal examination?
a) To assess joint stability.
b) To identify areas of muscle weakness.
issues.
c) To evaluate muscle size.g
d) To observe for signs of neurological
26. If Xavie identifies joint swelling during the examination, what additional assessment
should be performed?
a) Assess for muscle contractures.
b) Palpate bones for tenderness.
c) Evaluate joint range of motion.
d) Measure the circumference of the affected joint.

27. What action should Xavie take if Ms. Rodriguez exhibits pain during joint range of
motion testing?
A. Continue with the examination, as pain is expected.
B. Document the pain and report it to the primary care provider.
C. Instruct Ms. Rodriguez to endure the pain for accurate assessment.
D. Modify the examination technique to avoid causing pain.

28. Why does Xavie inquire about Ms. Rodriguez's history of muscle pain during the
assessment?
a) To assess joint stability.
b) To gather information on the onset,location, and character of muscle pain.
tenderness.
c) To evaluate muscle strength.
d) To identify areas of edema or

29. If Xavie notices muscle contractures during the examination, what additional
assessment is necessary?
a) Evaluate joint range of motion.
b) Palpate bones for tenderness.
c) Assess for signs of inflammation.
d) Measure the circumference of the affected muscle.

30. Why is it important for Xavie to perform a detailed follow-up examination of other
systems based on musculoskeletal assessment findings?
a) To gather more information on the patient's musculoskeletal history.
b) To assess the impact of musculoskeletal issues on other body systems.
c) To evaluate the effectiveness of the examination techniques.
d) To gather data for research purposes.

Neurological Assessment
Scenario:
Kiefer is a 45-year-old male who has presented to the dinic for a routine health assessment.
Xavie, a student nurse, is tasked with performing a neurologic examination on Kiefer. The goal
is to assess various aspects of Kiefer's neurologic function, including orientation, memory,
attention span, consciousness level, cranial nerves, reflexes, and motor function.

31. What is the purpose of assessing Kiefer's immediate recall during the memory test?
a) To evaluate recent memory
c) To measure attention span
b) To assess remote memory
d) To identify lapses in memory

32. During the orientation assessment, what question should Xavie ask Kiefer to evaluate
his awareness of time?
a) "What day of the week is it today?"
b) "Can you recall a previous illness or surgery?*
c) Can you repeat this series of numbers backward?"
d) "Who are the members of your family?"

33. What does the Glasgow Coma Scale assess during the examination of level of
consciousness?
a Memory recall
b) Eye response, motor response, and verbal response
c) Cranial nerves
d) Reflexes

34. What is the significance of assessing the Babinski reflex?

a) To evaluate muscle strength
B To assess fine motor skills
c) To identify sensory dysfunction
d) To detect abnormal neurologic conditions

35. What does the Romberg test assess, and why does Xavie instruct Kiefer to perform it
with eyes closed?
a It assesses fine motor skills; eyes closed enhances concentration.
b. It assesses sensory dysfunction; eyes closed challenges balance.
c) It evaluates attention span; eyes closed prevents distraction.
d) It evaluates cranial nerve function; eyes closed enhances vision.

36. During the examination, Xavie instructs Kiefer to perform heel-to-toe walking. What is
the primary purpose of this test?
a) To assess fine motor skills
b) To evaluate attention span
c) To test gross motor and balance function
d) To measure the range of joint motion

37. What is the purpose of testing alternating supination and pronation of hands on
knees?
a) To evaluate fine motor skills
b) To assess sensory dysfunction
C) To test reflexes
d) To measure attention span

38. Xavie instructs Kiefer to move his eyes in different directions-up, down, left, and
right. Which cranial nerve is Xavie primarily assessing?
a) Cranial Nerve III (Oculomotor)
b) Cranial Nerve IV (Trochlear)
c) Cranial Nerve VI (Abducens)
d) Cranial Nerve VIII (Vestibulocochlear)

39. During the neurologic assessment, Xavie asks Kiefer to stick out his tongue and
move it from side to side. Which cranial nerve is Xavie primarily evaluating?
a) Cranial Nerve V (Trigeminal)
b) Cranial Nerve VII (Facial)
c) Cranial Nerve IX (Glossopharyngeal)
đ) Cranial Nerve XII (Hypoglossal)

40. Xavie assesses Kiefer's hearing acuity by using a tuning fork. Which cranial nerve is
primarily responsible for hearing?
a) Cranial Nerve VIII (Vestibulocochlear)
b) Cranial Nerve IX (Glossopharyngeal)
c) Cranial Nerve X (Vagus)
d) Cranial Nerve XI (Accessory)

Cardiopulmonary Resuscitation
Case Scenario:
Xavie, a student nurse, is working at a community event when suddenly she notices Patient
Zandrie collapse.
Xavie rushes to the scene and finds Patient Zandrie unresponsive. Here is the sequence of
actions Xavie should take according to the provided CPR protocol:

41. What is the first action that Xavie should take upon reaching Patient Zandrie?
a) Start chest compressions immediately.
b Call out for assistance and ask others to call an ambulance.
c) Check for breathing.
d) Position Patient Zandrie into the recovery position.

42. What is the correct hand placement for chest compressions?

a) On the abdomen
b) On the lower ribs
с)Center of the sternum
d) Over the neck

43. How deep should Xavie push down during chest compressions?
a) 1 inch
b) 2 inches
c) 3 inches
d) As much as possible

44. What should Xavie do after giving 30 chest compressions?

a) Check for breathing
b) Give 2 rescue breaths
c) Check for a pulse
d) Place the client in the recovery position

45. If Patient Zandrie regains consciousness, what is the next step for Xavie?
a) Continue CPR until help arrives
b) Place the patient in the recovery position
C) Assess for a pulse
d) Administer oxygen

46. Why is it important for Xavie to ensure appropriate chest recoil during chest
compressions?l
a) To reduce fatigue
b) To allow the heart to refill with blood between compressions
c) To check for signs of life
d) To assess the depth of compressions

47. During rescue breaths, what should Xavie observe to confirm effective ventilation?
a) Chest rise
b) Breath odor
c) Eye movement
d) Skin color change

48. How often should Xavie reassess Patient Zandrie's pulse and consciousness during
CPR?
a After every 10 chest compressions
b) After completing one cycle of 30 compressions and 2 breaths

c) Every 5 minutes
d) Before starting chest compressions

49. What is the purpose of positioning Patient Zandrie's head back to open the airway
during CPR?
a) To assess breathing sounds
b) To check for neck injuries
c) To facilitate chest compressions
d)To maintain an open airway

50. After completing CPR and the patient has regained consciousness, what is Xavie's
priority action?
a) Assess for any injuries
b) Administer pain medication
c) Provide emotional support
d) Initiate post-resuscitation care

CRANIAL NERVES

I - Olfactory: sensory smell

II - Optic : sensory sight
III - Oculomotor : pupils, EOM
IV - Trochlear : EOM
V - (chewing) Trigeminal : facial expression
VI - Cardinal movement of eye/ abducens : EOM
VII - Facial : motor, facial muscles
VIII - Acoustic : Hearing
IX - Glossopharyngeal : Swallowing, voice
X - Vagus : Swallowing, voice
XI - Accessory : Motor, neck, muscle
XII - Hypoglossal : motor, tongue, muscle