Module test Please provide some personal information before proceeding with this Module Test. This information is required for creating your certificate and will also assist us in evaluating the website. Each of the Managed Clinical Networks (MCNs) in Scotland will be given the names of those who have been awarded Module Test Certificates within their areas. We do not collect or share information on the number of times a person attempts the Test, or where a certificate is not awarded.Name* First Last Email* Do you live / work in Scotland?* Yes No Are you:* Employed by NHS Employed by Local Authority/Private/Voluntary sector A student A Carer or other Do you work in a:* Hospital Community Name of service (eg ESD, GP surgery): Enter your service nameWard no. / name:* You work in:*Nursing / residential homeHome care / communityPrivate hospitalCharitable organisationChoose your work environmentIs this ward a Stroke Unit?* Yes No Hospital name* Name of institution:* Enter the name of your institutionTown / City:* Enter the town / city where you workNHS Board*Ayrshire and ArranBordersDumfries and GallowayFifeForth ValleyGrampianGreater Glasgow and ClydeHighlandLanarkshireLothianOrkneyShetlandTaysideWestern IslesEnglandWalesIrelandNorthern IrelandCanadaUSAAustraliaNew ZealandOtherSelect your NHS BoardYou are an AHP student a Medical student a Nursing student Carer* Carer Person who has had a stroke Your profession*Academic researcherAdministratorDoctorDietitianHealth Care AssistantOccupational TherapistOrthoptistPhysiotherapistRegistered NurseSocial WorkerSocial Care WorkerSpeech and Language TherapistTherapy AssistantOtherSelect your professionProfession (other)* AfC Band*Band 2Band 3Band 4Band 5Band 6Band 7Band 8AfC not applicableSelect your AfC bandUniversity / College*Aberdeen UniversityDundee UniversityEdinburgh UniversityEdinburgh Napier UniversityGlasgow UniversityGlasgow Caledonian UniversityQueen Margaret UniversityRobert Gordon UniversityStirling UniversityUniversity of the West of ScotlandOtherSelect your University / CollegeCountry*EnglandWalesNorthern IrelandIrelandCanadaUSAAustraliaNew ZealandOtherSelect your countryThis is the module test for 'Physiological Monitoring'. It is strongly recommended that you work though the learning materials of the module prior to commencing this test. By going straight to the test you may miss out on valuable learning contained within the module. The answers to all the test questions are contained within the module. This information may have been provided in the 'Additional Information' boxes on some of the pages. There are 20 questions and you must answer all of these correctly to obtain a certificate of completion. You should allow approximately 20 minutes to complete this test. Physiological Monitoring: Module test – Part 1. Q. The most accurate and consistent method of delivering high dosage oxygen therapy in stroke patients is by nasal prongs* True False Part 1. Answer. Unfortunately, you have answered part 1 incorrectly. Revise the learning materials for Physiological Monitoring.Part 1. Answer. Well done, the most accurate and consistent method of delivering high-dosage oxygen therapy in stroke patients is NOT by nasal prongs. Physiological Monitoring: Module test – Part 2. Q. You might expect a stroke patient developing pneumonia to have a respiratory rate of:* A. 10 – 12 B. 13 – 16 C. 17 – 20 D. 21 – 25 Part 2. Answer. Unfortunately, you have answered part 2 incorrectly. Revise the learning materials for Physiological Monitoring.Part 2. Answer. Well done, you might expect a stroke patient developing pneumonia to have a respiratory rate of 21 – 25. Physiological Monitoring: Module test – Part 3. Q. The oxygen saturation probe should be placed on which of the following (Select all that apply)* Select All A. on the ear lobe B. on the nasal septum C. on the finger D. on the lip Part 3. Answer. Unfortunately, you have answered part 3 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Physiological Monitoring.Part 3. Answer. Well done, the oxygen saturation probe should be placed on the finger or ear lobe. Physiological Monitoring: Module test – Part 4. Q. Which of the following statements about respiration are correct? (Select all that apply)* Select All A. Symptoms of hypoxia may include confusion, agitation and worsening of neurological condition. B. the amount of oxygen on the flow meter (in lts/min) on the wall should always match the coloured delivery device attached to the mask (measured in % oxygen delivered to the patient). C. respiratory rate can easily be underestimated or overestimated if the patient has a Cheyne-Stokes breathing pattern. D. Hypoxic episodes are observed in about 1 in 5 acute stroke patients in the first few hours after admission. Part 4. Answer. Unfortunately, you have answered part 4 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Physiological Monitoring.Part 4. Answer. Well done, all statements above are correct. Physiological Monitoring: Module test – Part 5. Q. For a patient on the acute stroke unit, which of the following are correct about blood glucose? (Select all that apply)* Select All A. About 75% of patients have hyperglycaemia on the day of their acute stroke. B. If the patient has a sudden fall in GCS, BM stix are generally not worth performing as laboratory glucose measurements are so much more accurate. C. Hyperglycaemia is associated with worse outcome. D. There is often a spontaneous gradual fall in blood glucose over the days following acute stroke. Part 5. Answer. Unfortunately, you have answered part 5 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Physiological Monitoring.Part 5. Answer. Well done, C and D are correct. Physiological Monitoring: Module test – Part 6. Q. Which of the following fasting laboratory glucose test results would indicate that a person has diabetes mellitus?* A. 2.2mmols per litre B. 4.7mmol per litre C. 6.8mmol per litre D. 12.1mmol per litre Part 6. Answer. Unfortunately, you have answered part 6 incorrectly. Revise the learning materials for Physiological Monitoring.Part 6. Answer. Well done, a fasting laboratory glucose test result of 12.1 mmol per litre would indicate that a person has diabetes mellitus. Physiological Monitoring: Module test – Part 7. Q. Both high blood pressure and low blood pressure are associated with poorer outcomes post stroke* True False Part 7. Answer. Unfortunately, you have answered part 7 incorrectly. Revise the learning materials for Physiological Monitoring.Part 7. Answer. Well done, this is true. Both high blood pressure and low blood pressure are associated with poorer outcomes post stroke. Physiological Monitoring: Module test – Part 8. Q. Which of the following would you use to accurately measure heart rate in an acute stroke patient with atrial fibrillation? (Select all that apply)* Select All A. Feeling and counting the wrist pulse B. Listening to the heart with a stethoscope & counting heart rate C. Cardiac monitor D. Pulse oximeter E. Automated blood pressure cuff Part 8. Answer. Unfortunately, you have answered part 8 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Physiological Monitoring.Part 8. Answer. Well done, the correct answers are B and C. Physiological Monitoring: Module test – Part 9. Q. Which of the following are known to cause low blood pressure in acute stroke patients? (Select all that apply)* Select All A. Pain B. Dehydration C. Myocardial infarction D. Arrythmia E. Cerebral haemorrhage Part 9. Answer. Unfortunately, you have answered part 9 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Physiological Monitoring.Part 9. Answer. Well done, the correct answers are B, C and D. Physiological Monitoring: Module test – Part 10. Q. Low blood pressure is a normal response to an acute stroke?* True False Part 10. Answer. Unfortunately, you have answered part 10 incorrectly. Revise the learning materials for Physiological Monitoring.Part 10. Answer. Well done, this is false. Low blood pressure is NOT a normal response to an acute stroke. Physiological Monitoring: Module test – Part 11. Q. Which of the following BP readings in an acute stroke patient would NOT require immediate intervention? (Select all that apply)* Select All A. >230/130 B. <180/110 C. 140/90 D. 110/80 E. 80/55 Part 11. Answer. Unfortunately, you have answered part 11 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Physiological Monitoring.Part 11. Answer. Well done, the correct answers are B,C and D. Physiological Monitoring: Module test – Part 12. Q. GCS should always be performed on the affected side.* True False Part 12. Answer. Unfortunately, you have answered part 12 incorrectly. Revise the learning materials for Physiological Monitoring.Part 12. Answer. Well done, this is false. GCS should never be performed on the affected side. Physiological Monitoring: Module test – Part 13. Q. The most important aspect of GCS is the total score.* True False Part 13. Answer. Unfortunately, you have answered part 13 incorrectly. Revise the learning materials for Physiological Monitoring.Part 13. Answer. Well done, this is false. The total score is NOT the most important aspect of GCS. Physiological Monitoring: Module test – Part 14. Q. In the motor response section of the GCS how would you score a patient who is localising to pain?* 1 2 3 4 5 6 Part 14. Answer. Unfortunately, you have answered part 14 incorrectly. Revise the learning materials for Physiological Monitoring.Part 14. Answer. Well done, a patient who is localising to pain in the motor response section of the GCS would score 5. Physiological Monitoring: Module test – Part 15. Q. A reduction in total GCS score of 1 or 2 is significant* True False Part 15. Answer. Unfortunately, you have answered part 15 incorrectly. Revise the learning materials for Physiological Monitoring.Part 15. Answer. Well done, this is true. A reduction in total GCS score of 1 or 2 IS significant. Physiological Monitoring: Module test – Part 16. Q. For acute stroke patients who suddenly drop their GCS which of the following are correct? (Select all that apply)* Select All A. An epileptic seizure occurs in about 1 in 20 patients within their first week after an acute stroke. B. Dehydration resulting in an increase in urea from 6mmol/l on admission to 29mmol/l is unlikely on its own, to be enough of an increase to alter a patients conscious level. C. You should consider malignant MCA infarction as a differential diagnosis. D. 5 days after the first stroke, a sudden deterioration in GCS could be explained by haemorrhagic transformation of an infarct. Part 16. Answer. Unfortunately, you have answered part 16 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Physiological Monitoring.Part 16. Answer. Well done, A, C and D are correct. Physiological Monitoring: Module test – Part 17. Q. In acute stroke patients a raised temperature (>37.5°C) could be due to: (Select all that apply)* Select All A. Infected IV access site B. Constipation C. Anxiety D. DVT / PE E. Chest infection Part 17. Answer. Unfortunately, you have answered part 17 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Physiological Monitoring.Part 17. Answer. Well done, the correct answers are A, D and E. Physiological Monitoring: Module test – Part 18. Q. Administering regular paracetamol is effective in reducing pyrexia in stroke patients.* True False Part 18. Answer. Unfortunately, you have answered part 18 incorrectly. Revise the learning materials for Physiological Monitoring.Part 18. Answer. Well done, this is true. Administering regular paracetamol is effective in reducing pyrexia in stroke patients. Physiological Monitoring: Module test – Part 19. Q. When managing the physiological monitoring of early acute stroke patients which of the following are correct? (Select all that apply)* Select All A. Both those with the highest and lowest blood pressures have the most risk of early neurological decline and poor outcome. B. High blood pressure (eg 174/100) should be actively reduced in the early post-stroke phase. C. Early pyrexia is associated with poor final neurological outcome. D. The frequency of measuring each parameter should normally increase over the days after admission. E. The frequency of measuring each parameter should be tailored to the individual depending on their condition. Part 19. Answer. Unfortunately, you have answered part 19 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Physiological Monitoring.Part 19. Answer. Well done, A, C and E are correct. Physiological Monitoring: Module test – Part 20. Q. An acute stroke patient (24 hrs post stroke) has been noted to have a rise in blood pressure (160/90 to 220/120) and drop in GCS (14 to 9) What would you do? (Select all that apply)* Select All A. Reassess after 6 hours B. Reassess immediately C. Call the doctor to review urgently D. Give sublingual nifedipine to reduce BP E. Check the papillary responses and BM Part 20. Answer. Unfortunately, you have answered part 20 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Physiological Monitoring.Part 20. Answer. Well done, the correct answers are B, C and E. Back to: 02: Physiological Monitoring module home page Advancing Modules Page last reviewed: 26 May 2020
