INSTRUCTIONS   1. Read these instructions carefully.   2. Answer all questions.   3.  You must not use a dictionary, your notes or a translation software   4.  The total mark for this paper is 40 and contains 5 questions.   5. The marks for each question are shown in brackets – use this as a guide as to how much time to spend on each question.   6. It is advised that you spend approximately 20 minutes on Section A (reading part) and 25 minutes on Section B (writing/grammar part).   7. Read each question carefully before you start to answer.   8. Check your answers if you have time at the end.  

A CEO decides to expand the company’s focus from bottom line profit to contributions that serve the needs of a struggling community. Which level of trust is the CEO working from?

The client reported they experienced wheezing, hypotension, and tachycardia in one of their previous surgeries.  The client stated the nurse administer several medications to relieve their symptoms but does not recall which medications.  Which medications would the nurse expect to administer for the client’s reported history of signs and symptoms?

   LES AMIS   1. Lis le texte et fais correspondre les phrases aux prénoms. (4)   Exemple: son meilleur ami adore les films fantastiques = Sarah     Hélène: Salut! Ma meilleure amie s’appelle Emma et on se connaît depuis dix ans! C’est ma meilleure amie parce qu’on passe des heures à parler de nos copains et des films au cinéma. Elle est gentille et sérieuse.     Victor: Coucou! Mon meilleur copain s’appelle Éric et il a quatorze ans comme moi. On se dispute de temps en temps mais pas trop souvent. Il est intelligent mais un peu paresseux.     Sarah: Bonjour! Mon meilleur ami s’appelle Antoine et on se chamaille rarement. On parle beaucoup de films et il adore les films fantastiques comme moi. Il est travailleur mais un peu égoïste aussi.      Youssef: Salut! mon meilleur ami s’appelle Ahmed et il est marocain comme moi. On s’entend bien parce qu’on adore le foot tous els deux. On y joue au moins cinq fois par semaine.  

3.1 Où habite Fatou exactement? Donne 3 détails. (3)

A client is admitted for Bronchitis and Pneumonia and has a temperature of 100.1 F with a purulent cough and is complaining of chest pain with inspiration rated 4 out of a 10-point pain scale.  Which medication should the nurse administer first?

The nurse received a postoperative client complaining of pain with Vital Signs:  Blood pressure: 90/60 mmHg, Respiratory rate: 22 breaths/min, Heart rate 115 beats/min.  Before administering Morphine, what should the nurse do first?

A client had a thoracentesis for drainage of a pleural effusion.  The nurse assesses a large quantity of yellow, thick purulent drainage in the specimen container sent to lab. Which condition does the nurse suspect with the pleural effusion characteristics? 

The nurse is caring for a client with 2 chest tubes.  One chest tube for a hemothorax and one for a pneumothorax. When monitoring the client with a chest tube, what should the nurse be most concerned about and report to the health care provider?

A client with a tracheostomy tube coughs violently during suctioning and dislodges the tracheostomy tube onto their chest.  Which intervention should the nurse implement first?