1.  NO CELL PHONES ALLOWED  2.  YOU MUST UPLOAD YOUR WORK UNDER THE CHAPTER 1 TEST SCRATCH PAPER ASSIGNMENT.  Turn in the scratch paper on the same day that the test is completed.  If scratch paper is not uploaded, you will receive a 0.   3.  Any evidence of the use of a math solver or AI tool will be considered academic dishonesty and will be marked incorrectly.  4.  You may input your answer in the box or leave them on the scratch paper.  (to input the answer in the box using math symbols, click on the symbol)

A healthy 3-year-old presents to the operating room for a tonsillectomy. An inhalation induction is begun with 8% sevoflurane, 70% nitrous oxide and 30% oxygen. Sixty seconds later the patient becomes tachypneic with a respiratory rate of 44 and the heart rate increases from 110 to 160 beats/min. What is the cause of the patient’s change in vital signs? 

Which “age” that we have discussed in the second half of the course has had the most significant impact on Western Civilization in today’s society?   The “ages” to choose from for the final are Nationalism, Imperialism, WWI, WWII, Cold War, Decolonization and Globalization.  Use specific examples from the time period you choose and connect those examples to current events and cultural trends.   The format of this essay should be five paragraphs with an introduction/thesis paragraph, three body paragraphs with evidence, and a conclusion paragraph.  You have 90 minutes to write your essay.

What ligament is traversed by the needle during a caudal anesthetic? 

A critically ill child presents to the operating room for an exploratory laparotomy. The child arrives to the operating with hyperalimentation solution infusion. What intervention is critical during the anesthetic if the anesthesia provider decreases the infusion rate by one-half? 

K.C. has come into the outpatient clinic and the PMHNP is going to screen for alcohol use.  Which of the following screening tools is utilized to screen for the use of alcohol?

A client is experiencing hallucinations. Which of the following interventions would be the most helpful in this situation?

The public health nurse is identifying strategies to reduce societal violence. Which of the following is an example of a tertiary strategy?

A 6-year-old child presents to the operating room for strabismus surgery under general anesthesia. The child suddenly develops severe bradycardia with premature ventricular contractions but is hemodynamically stable. What intervention is MOST appropriate at this time? 

The client has been living in the community with schizophrenia. Which of the following medications would the nurse expect to see on their medication list?