The nurse understands that a stroke or CVA (Cerebro-Vascular Accident) is very serious condition and it needs to be identified quickly, so that interventions may be initiated as soon as possible.   Check the symptoms and signs (S&S) that the nurse would expect to find with a newly suspected or diagnosed stroke in the Cerebral Cortex:

Modified Early Warning Score     MEWS Physiological Score 3 2 1 0 1 2 3 Resp. Rate per min   30 Pulse per min   130 Systolic BP mmHg 220 Temperature  

Label the cranial nerves as M = motor, S = sensory, or B = both sensory and motor functions (not para-sympathetic): (Match with M, S, or B.)   (The Lab sheet will be used as your appropriate reference.)

The components of the mental status exam include the following assessments: (Check all the correct answer(s) that apply.)

3) The first heart sound- S1 occurs when the ________ valves (the _________ valve and the  _________ valve) close, and at the beginning of the ______________ cardiac cycle, coincides with _______wave of the QRS complex, and is heard best at the __________________.  (Fill in the blanks.)

5. Signs of respiratory distress are varied related to the condition. Check the abnormal finding(s) associated with respiratory distress.

4. The nurse assessed the lungs using the palpation and percussion techniques. The following normal findings included: Check all the normal/correct answer(s) that apply.

7) When the nurse obtained a patient’s history, the patient reported having swelling in the lower extremities. The nurse understands that swelling in this patient’s leg(s) could be associated to a thrombophlebitis or clotting type of problem, as compared to peripheral vascular disease, and that these conditions exhibits different signs and symptoms. Choose the signs and symptoms of a DVT from the following: (Check all that apply.)

1. The nurse understands the mechanics of respirations. Check the correct statement(s) from the following:

In Zimbardo’s prison study, male college students agreed to participate in a two-week experiment to discover what would happen when they took on the roles of prisoners and guards. After the prisoners staged a revolt, the researchers found that _______________.