Which three assessments make the Cushing triad? 1) Widening pulse pressure, bradycardia, and ...

Which three assessments make the Cushing triad?
 
  1) Widening pulse pressure, bradycardia, and irregular respiratory pattern
  2) Decreased pulse pressure, tachycardia, and irregular respiratory pattern
  3) Confusion, aphasia, and tachycardia
  4) Elevated blood pressure, bradycardia, and aphasia

Question 2

A patient with a suspected stroke must take prescribed medications. How should the nurse assess the patient's gag reflex before administration of medications?
 
  1) Offer the patient a sip of water
  2) Offer the patient a bite of soft food like gelatin
  3) Lightly stimulate the uvula with a tongue blade
  4) All of the above

Question 3

Which is the correct order in which to assess level of arousal?
 
  1) Visual, auditory, and then tactile stimuli
  2) Tactile, visual, and then painful stimuli
  3) Auditory, tactile, and then painful stimuli
  4) Painful, visual, and then auditory stimuli

Question 4

Which may be the reason for an older adult patient to exhibit poorly applied make-up and stains on the clothing?
 
  1) Depression
  2) Poor visual acuity
  3) Impaired range of motion of upper extremities
  4) All of the above

Question 5

A hyperactive patellar knee reflex during pregnancy may be indicative of which disorder?
 
  1) Hypoglycemia
  2) Hyperglycemia
  3) Galactorrhea
  4) Preeclampsia

Question 6

Which question may be the most helpful in identifying the cause of a headache?
 
  1) What were you doing before the headache began?
  2) Do any visual changes accompany the headache?
  3) Does anything make the headache better?
  4) What does it feel like?