A 62-year-old man presents with severe low back pain that began 2 days ago after lifting a heavy box. Today he reports difficulty urinating, numbness in the groin, and weakness in both legs. On examination, he has decreased rectal tone and reduced sensation over the perineum.   What is the most appropriate next step?

A nurse is caring for a client who received opioid pain medication after surgery. The client is difficult to arouse, has a respiratory rate of 8 breaths/min, and has the following ABG results: pH: 7.28 PaCO₂: 55 mmHg HCO₃⁻: 24 mEq/L Which acid-base imbalance does the nurse identify?

Extra Credit [Up to .5 pts]  Discuss Trump v. Slaughter (2026). What did the court decide? What case did it overturn? What are the arguments on both sides?   Extra Credit [Up to .5 pts] 

A dog with pneumonia is receiving oxygen at 3 L/min. If oxygen therapy continues for 40 minutes, approximately how much oxygen will be used?  

A patient weighs 11 lb. The veterinarian prescribes Prednisolone 1 mg/kg. How many milligrams should be administered?  

A dog is prescribed hydrocodone 0.25 mg/kg PO and weighs 32 kg. How many milligrams should be administered?  

A cat with an acute asthma attack is prescribed albuterol. What is the primary mechanism of action of this medication?  

A patient tells the nurse they have started taking kava supplements to help with insomnia. Which statement by the nurse is most appropriate?

–SECTION 1– This section contains 15 questions, each worth 3 points. The questions are pooled from concepts covered in: Murach’s Chapters 1, 2, 8, 10, 11, and 12 Module 3 Lectures 3.1 – 3.6

An appropriate physical assessments for someone with severe brain injury may include: