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)

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

In a child that weighs 18kg what is the total dose of local anesthetic administered during a caudal anesthetic if 0.125% bupivacaine with epinephrine 1:200,000 is administered at 1 mL/kg?  Please provide a numerical answer with one decimal point in milligrams. 

A nurse is assessing a client and finds the following data: the client has had little motivation with blunted affect, they also seem confused and withdrawn. The client’s caregiver reports they are “slipping away”. These symptoms are consistent with which phase of psychosis?

The nurse is screening the client to determine if the client has any problems associated with alcohol use. The client states, “My wife is always nagging, stating nothing is ever good enough. We don’t get along well, so I am always drinking. I can’t talk to her about anything, because she won’t listen.” Which of the following is the best response by the nurse?

What anesthetic considerations should be considered when developing the plan of care for a 6-month-old who presents to the operating room for craniosynostosis surgery? (Select 2) 

A child with attention deficit hyperactivity disorder (ADHD) has been prescribed methylphenidate (Ritalin). Which of the following side effects should the nurse tell the parents to monitor in the child? Select all that apply.

A client with a persecutory delusion has been explaining to the nurse the specifics of the conspiracy against the client. The client pauses and says, “I get the feeling that you don’t actually believe that what I’m telling you is true.” Which of the following is the most therapeutic response by the nurse?

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

The nurse is conducting an admission history and assessment with a client diagnosed with schizophrenia. Using the drop-down choices, indicate whether each symptom identified is a positive or negative symptom of schizophrenia. The client says, “My brain is in the drain in the rain, take a train.”   The client has a flat affect.   The client states she has no interest in activities she used to enjoy.   The client appears to be hearing and talking back to voices.