Skin_Integrity_quiz.docx

Top of Form Maximum number of choices allowed is {0}. Assessment The nurse observes that the reddish area is round, 3 cm in diameter, and is directly over the client's sacrum. The skin is intact. 1. In addition to measuring the length of time the redness lasts, which assessment measure should the nurse perform? A) Gently lift a fold of skin.Feedback: INCORRECT Assessment of skin turgor provides valuable data about hydration status, but it is not performed at the sacral area while assessing a wound. B) Observe for wound approximation.Feedback: INCORRECT Since the skin is intact, there are no wound edges. C) Obtain a wound culture.Feedback: INCORRECT Since the skin is intact, and there is no drainage, there is no reason to obtain a wound culture. D) Apply light pressure to the area with the fingertips.Feedback: CORRECT The nurse applies light pressure with the fingertips to assess for blanching. This is a normal response in light-skinned clients, which indicates there is no tissue perfusion impairment. The sacral area has remained red for two hours and does not blanch when tested. 2. How will the nurse document this finding? A) Reactive hyperemia.Feedback: CORRECT Reactive hyperemia occurs when tissue is relieved of pressure. It is considered abnormal when the redness lasts longer than one hour and the surrounding tissue does not blanch.    B) Dependent sacral rubor.Feedback: INCORRECT Dependent rubor is redness that occurs when an area is lower than the heart. It is most commonly seen in the legs. C) Unusual skin mottling.Feedback: INCORRECT Mottling is irregular or patchy discoloration of the skin. D) Excessive pallor.Feedback: INCORRECT Pallor refers to a pale color. The nurse identifies that Aaron has developed a Stage 1 pressure ulcer. The nurse is concerned that Aaron may have other pressure ulcers.   3. Which areas are most important for the nurse to observe for additional pressure ulcers? A) Lower abdominal folds.Feedback: INCORRECT This is not an area where ulcers typically occur. B) Distal tips of the toes.Feedback: INCORRECT Ulcers occur on the tips of the toes when there is diminished arterial circulation. That is not Aaron's primary problem. C) Thighs and calves.Feedback: INCORRECT These are areas where ulcers typically do not occur. D) Heels and ankles.Feedback: CORRECT Pressure ulcers typically occur over bony prominences, such as the heels, ankles, and sacral area. While bony prominences are the most common sites for pressure ulcer development, the nurse should perform a complete skin assessment.   During the assessment of these high-risk areas, the nurse finds no redness, but the underlying tissue feels spongy. 4. What action should the nurse implement? A) Identify these areas as sites where pressure damage has occurred.Feedback: CORRECT Palpable changes in the consistency of the tissue underlying a bony prominence, often described as "spongy" or "beefy" are an indication that pressure damage has occurred. Additional manifestations may include a change in skin temperature and induration. B) Reassure the client that no pressure damage is present at these sites.Feedback: INCORRECT This finding is significant, and is related to pressure damage, therefore this would be false reassurance. C) Notify the healthcare provider that the client is retaining excess fluid.Feedback: INCORRECT Excess fluid, if present, is most likely related to a different problem. D) Apply heat to reduce the inflammation that has occurred at these sites.Feedback: INCORRECT Heat may be damaging to the tissues with impaired perfusion. Nursing Diagnosis The nurse identifies a priority problem for Aaron?s plan of care as "Impaired skin integrity." 5. What etiology should the nurse identify? A) Impaired adjustment.Feedback: INCORRECT Although this can be a factor that contributes to pressure ulcer development, it is not the case in Aaron's situation. B) Poor nutritional intake.Feedback: INCORRECT Although this can be a factor that contributes to pressure ulcer development, in this situation, no data has been obtained that supports this etiology. C) Impaired physical mobility.Feedback: CORRECT Since Aaron is paraplegic, he has impaired physical mobility, a major factor that contributes to pressure ulcer development. D) Noncompliance with turning schedule.Feedback: INCORRECT Although this can be a factor that contributes to pressure ulcer development, in this situation, no data has been obtained that supports this etiology. After establishing the priority diagnosis, the nurse identifies goals and expected outcomes. 6. Which goal will the nurse include in Aaron's plan of care? A) Client teaching will be provided.Feedback: INCORRECT This is an intervention rather than a goal. B) Impaired skin integrity will not occur.Feedback: INCORRECT The nurse has already determined that the defining characteristics of impaired skin integrity are present. C) Client's skin will remain intact.Feedback: CORRECT A goal should be a broad statement that includes, in positive terminology, the intended effect of the planned interventions. D) Client's motor function will be restored.Feedback: INCORRECT This is unrealistic and does not address the problem. Self-Care Measures At the end of the appointment, the nurse provides client teaching about measures to promote healing and prevent further tissue destruction. 7. To provide pressure relief at night, the nurse teaches Aaron to sleep in which position? A) Thirty-degree lateral inclined position.Feedback: CORRECT This position best reduces pressure on bony prominences where pressure ulcers frequently develop. Pillows and foam wedges may be used for support and protection in this position. B) Full side-lying position supported with pillows.Feedback: INCORRECT A full side-lying position results in prolonged pressure on the trochanter, another bony prominence where pressure ulcers frequently develop. C) Supine with a foam wedge between the knees.Feedback: INCORRECT While a wedge reduces the contact between the knees, lying supine leaves direct pressure on the sacral area and the heels. D) Supine with the head of the bed elevated.Feedback: INCORRECT Elevating the head of the bed increases the potential for shearing forces to worsen skin integrity. 8. Upon learning that Aaron has a pressure-reducing gel chair cushion for his wheelchair, which action should the nurse take? A) Encourage him to continue to use this device in his wheelchair at all times.Feedback: CORRECT These cushions help redistribute weight so that it is not all on the ischium. The client should also be instructed to shift weight frequently. B) Advise him to avoid the use of any form of pressure cushion on his wheelchair.Feedback: INCORRECT This will increase the risk of tissue destruction. C) Teach him that regular use of skin moisturizer is more important than cushion use.Feedback: INCORRECT Maintaining skin integrity is a multi-faceted task, which includes both hygiene measures and pressure-reducing measures. D) Recommend that he replace the gel pad with a donut-shaped foam cushion.Feedback: INCORRECT Donut-shaped cushions are no longer recommended, since they are likely to reduce blood supply to the area, worsening the ischemia. 9. The nurse teaches Aaron to apply a transparent film dressing over the sacral area and advises him to follow which schedule for dressing changes?   A) Once weekly.Feedback: CORRECT As long as the occlusive seal remains intact, a transparent film dressing may be left in place up to one week. A transparent film dressing allows visualization of the site and helps protect it from shearing force. B) Every third day.Feedback: INCORRECT Changing the dressing this often is not cost effective and may result in additional damage to the surrounding tissue. C) Once daily.Feedback: INCORRECT Changing the dressing this often is not cost effective and may result in additional damage to the surrounding tissue. D) Twice daily.Feedback: INCORRECT Changing the dressing this often is not cost effective and may result in additional damage to the surrounding tissue. The nurse also reminds Aaron to assess pressure points using a long-handled mirror twice a day. A Complication Occurs A month later, Aaron comes to the emergency room at the local hospital. He reports that he has had the flu and has spent most of his time in bed for the last several days. He has been experiencing vomiting and diarrhea. The nurse observes that the sacral ulcer is open, has a crater-like appearance, and is draining a large amount of thick yellow-tan fluid with an unpleasant odor. A small amount of eschar is present. Aaron is admitted to the hospital with a fever, fluid volume deficit, and possible sepsis. 10. Which documentation best describes the drainage from Aaron's wound? A) Sanguineous.Feedback: INCORRECT Sanguineous describes a bright red substance. B) Infectious.Feedback: INCORRECT While the wound has manifestations that indicate possible infection, this is not the best terminology to describe the appearance of the drainage. C) Serous.Feedback: INCORRECT Serous describes a thin, watery substance. D) Purulent.Feedback: CORRECT Purulent refers to something that contains or produces pus. Pus is an indication that an infection is likely.  11. Which intervention is important to reduce the effect of the diarrhea on Aaron's skin? A) Apply a moisture-repellent ointment to intact skin areas.Feedback: CORRECT After cleaning and drying the skin, a moisture-repellent ointment should be applied to protect and moisturize the skin. Fecal toxins are damaging to tissue, and excessive moisture causes skin maceration and damage. B) Apply moist heat to the area following exposure to feces.Feedback: INCORRECT Heat and excessive moisture are damaging to the skin. C) Position a plastic-lined pad under the buttocks.Feedback: INCORRECT Plastic-lined underpads are designed to protect bed linens by retaining the moisture. They are not designed to wick the moisture away from the client?s skin. D) Rinse ulcerated areas with an alcohol-based irrigating solution.Feedback: INCORRECT Alcohol is drying and damaging to tissue. Legal/Ethical Issue The nurse prepares a written positioning schedule and places it in Aaron's room as a reminder for the unlicensed assistive personnel (UAP) assigned to help with Aaron's care. The charge nurse removes the schedule and states that it violates Aaron's privacy. 12. What action should the nurse take? A) Provide verbal instructions about positioning to the UAP and document the instructions in the nurse's notes.Feedback: INCORRECT Verbal instructions do not ensure continuity of care. B) Assure the charge nurse that written instructions in the client's room are effective and do not violate any client rights.Feedback: CORRECT A written, individualized schedule is the most effective method to ensure consistent positioning and may be placed in the client's room without compromising client confidentiality. C) Advise the charge nurse that client confidentiality is secondary to continuity of care.Feedback: INCORRECT Client confidentiality should be a priority in nursing care. One does not have to breach confidentiality to ensure continuity of care. D) Ask the charge nurse to assist with verbal communication to all of the staff involved in Aaron's care to ensure continuity of care.Feedback: INCORRECT Verbal instructions do not ensure continuity of care. Caring for an Infected Wound A wound culture indicates that Aaron's wound is infected with methicillin-resistant Staphylococcus aureus (MRSA). Wound care prescribed by the healthcare provider includes wound irrigation. 13. Which protective equipment will the nurse use when providing the prescribed wound care? A) Gloves only.Feedback: INCORRECT This is inadequate protection. B) Gloves, gown, and goggles.Feedback: INCORRECT This is inadequate protection. C) Gloves, gown, goggles, and face mask.Feedback: CORRECT When there is potential for wound drainage and debris to splatter during the irrigation, the nurse should be fully protected. The mode of transmission of MRSA includes direct contact, as well as contact with infected surfaces. D) Gloves and gown.Feedback: INCORRECT This is inadequate protection. The nurse suspects that Aaron's wound has developed a sinus tract, or tunneling. 14. What equipment will the nurse use to assess the length of the tract? A) Sterile irrigation tray with syringe.Feedback: INCORRECT This is not the correct choice of equipment to assess the length of a sinus tract. B) Sterile cotton-tipped applicator.Feedback: CORRECT A sinus tract is an extension of the wound under the skin, and it is best assessed by gentle insertion of a sterile cotton-tipped applicator to determine the location and length of the tunneling. C) Sterile tape measure.Feedback: INCORRECT This is not the correct choice of equipment to assess the length of a sinus tract. D) Sterile gloves and lubricant.Feedback: INCORRECT This is not the correct choice of equipment to assess the length of a sinus tract. After assessing for sinus tracts, the nurse irrigates the wound as prescribed with normal saline. 15. Which irrigation technique is best? A) Pour the saline directly onto the wound from the bottle.Feedback: INCORRECT This will not provide effective irrigation. B) Irrigate as gently as possible using a 60-ml bulb syringe.Feedback: INCORRECT This will not provide effective irrigation. C) Moisten a sterile gauze pad and pat the gauze over the wound.Feedback: INCORRECT This will not provide effective irrigation. D) Apply steady pressure using a 35-ml syringe and 19-gauge needle.Feedback: CORRECT Using a 35-ml syringe and 19-gauge needle provides 8 PSI, which applies adequate pressure to ensure effective irrigation. Safe, effective pressure is between 4 and 15 pounds per square inch (PSI). More than 15 PSI will drive bacteria into the wound and destroy healthy tissue.  Following wound irrigation, the nurse plans to apply a wet-to-dry dressing. 16. What is the purpose of this type of dressing? A) Reduce local tissue macertion.Feedback: INCORRECT This type of dressing increases the client's risk for local tissue maceration. B) Preserve granulation tissue.Feedback: INCORRECT These dressings may destroy granulation tissue. C) Mechanically debride the tissue.Feedback: CORRECT Moistened gauze is placed on the wound and allowed to dry. It then adheres to the wound tissue and debrides necrotic or infected tissue as it is removed.  D) Prevent bacterial growth.Feedback: INCORRECT Moist environments do not prevent bacterial growth. Math The nurse plans to administer a prescribed dose of linezolid (ZYVOX), an antibiotic, which interferes with the production of proteins that bacteria need to multiply and divide. The prescription states, "ZYVOX suspension 600 mg PO q12h for 14 days." The medication is labeled, "100 mg/5 ml." 17. How many ml of medication will the nurse administer? A) 4 ml.Feedback: INCORRECT Calculate again. Remember the formula Desired/Have × Volume. B) 30 ml.Feedback: CORRECT 600 mg/100 mg × 5 ml = 30 ml. C) 18 ml.Feedback: INCORRECT Calculate again. Remember the formula Desired/Have × Volume. D) 10 ml.Feedback: INCORRECT Calculate again. Remember the formula Desired/Have × Volume. Medication Dosage The nurse reviews the drug reference guide, which indicates that the recommended daily dosage for the medication is 800 to 1200 mg. 18. What is the total daily dosage that Aaron will be receiving? A) 600 mg.Feedback: INCORRECT Review the dose and frequency and recalculate. B) 1200 mg.Feedback: CORRECT 600 mg × 2 daily doses (q 12 hours) = 1200 mg/24 hours. C) 1400 mg.Feedback: INCORRECT Review the dose and frequency and recalculate. D) 400 mg.Feedback: INCORRECT Review the dose and frequency and recalculate. Medication Administration: Administering a Liquid Suspension by Mouth Before pouring the suspension, the nurse determines that the medication and dose on the bottle's label are correct as prescribed, but the client name listed on the bottle is incorrect. 19. Who is the best member of the interdisciplinary team for the nurse to collaborate with to resolve this discrepancy? A) Pharmacist.Feedback: CORRECT Incorrectly labeled medications are the responsibility of the pharmacist. B) Charge nurse.Feedback: INCORRECT The charge nurse can provide the nurse with guidance, but this person is not the professional with responsibility for medication labeling. C) Healthcare provider.Feedback: INCORRECT The healthcare provider does not have responsibility for the resolution of this problem. D) Client.Feedback: INCORRECT The client does not have responsibility for the resolution of this problem. When the medication bottle is properly relabeled, the nurse mixes the suspension prior to pouring it. 20. Which technique should the nurse use to mix the linezolid (ZYVOX)? A) Stir medicine after pouring it into the medication measuring cups.Feedback: INCORRECT This is not the recommended way to mix this suspension. B) Turn the bottle upside down 3 to 5 times.Feedback: CORRECT This method mixes the suspension according to manufacturer's specifications. Linezolid (ZYVOX) should never be shaken. C) Shake gently for 60 seconds.Feedback: INCORRECT This is not the recommended way to mix this suspension. D) Shake vigorously until mixed.Feedback: INCORRECT This is not the recommended way to mix this suspension. 21. The nurse correctly uses which technique when pouring the suspension? A) Place the medication cup on a flat surface at eye level.Feedback: CORRECT To safely measure the prescribed dose, the medication cup must be on a flat surface at eye level. B) Hold the medication cup up to eye level.Feedback: INCORRECT This will not ensure an accurate medication measurement. C) Place the medication bottle on a flat surface at eye level.Feedback: INCORRECT This will not ensure an accurate medication measurement. D) Hold the medication bottle up to eye level.Feedback: INCORRECT This will not ensure an accurate medication measurement. Pharmacology: Antibiotics Prior to administering the first dose of the antibiotic, the nurse asks Aaron about any drug allergies. 22. The nurse explains to Aaron that this precaution reduces the risk for what potential problem? A) Anaphylactic reaction.Feedback: CORRECT An anaphylactic reaction is a severe allergic response that can be life-threatening. B) Resistance to the antibiotic.Feedback: INCORRECT Resistance to the antibiotic is not related to medication allergies. C) Drug tolerance.Feedback: INCORRECT Tolerance refers to the need for increasing the doses of a drug to produce the same therapeutic response. It is not related to allergies. D) Idiosyncratic response.Feedback: INCORRECT An idiosyncratic, or individually unique response to a medication is not predictable or related to allergies. After receiving the first dose of Zyvox, Aaron develops a rash and itching on his thorax, but no respiratory symptoms. 23. Which class of medication should the nurse expect to administer? A) An antihistamine, such as diphenhydramine (Benadryl).Feedback: CORRECT An antihistamine should control the itching and rash of this reaction. Rash and itching are identified side effects of linezolid (ZYVOX). The nurse should, however, continue to monitor for a more severe allergic response. B) An antipyretic medication, such as acetaminophen (Tylenol).Feedback: INCORRECT Antipyretic (fever-reducing) effects are not needed for this allergic reaction. C) An adrenergic medication, such as epinephrine (Adrenalin).Feedback: INCORRECT Adrenergic effects are needed for severe allergic reactions, but they are not needed for this allergic reaction. D) An anticholinergic medication, such as atropine (AtroPen).Feedback: INCORRECT Anticholinergic effects are not needed for this allergic reaction. Aaron has been receiving antibiotic therapy for several days. He has a mild elevation in blood pressure and a 2 × 2 cm bruise in the antecubital space, where blood was obtained earlier that day, and has had two diarrheal stools in 4 hours. The nurse is concerned that he is exhibiting signs of hepatoxicity related to antibiotic use. 24. Which diagnostic test should the nurse request a prescription for to determine if Aaron is developing drug toxicity? A) Half life.Feedback: INCORRECT This calculated value provides useful information related to medication dosing, but it is not a diagnostic test performed for the individual client. B) Culture and sensitivity.Feedback: INCORRECT This test is performed to determine what microorganism is present and which antibiotic will be effective. This test should be performed prior to the initiation of antibiotic therapy. C) Therapeutic index.Feedback: INCORRECT This is a calculated value which identifies the range between the therapeutic level and the toxic level of a medication. It is a useful reference for the nurse to identify which medications are likely to lead to toxicity, but it is not a diagnostic test performed for the individual client. D) Peak and trough.Feedback: CORRECT Serum drug levels are obtained at the highest (peak) and lowest (trough) levels, which provides useful information regarding the amount of drug the individual client has in the bloodstream. If the trough is greater than the acceptable limit for the drug, the next dose should be withheld and the blood level rechecked six hours later.  Psychosocial Support No evidence of drug toxicity is found. Aaron's next B/P is within normal limits for him and he has no further episodes of diarrhea. The wound eschar has all been removed, and there is no further drainage. A hydrocolloid dressing is placed over the wound, and Aaron is discharged. Aaron will complete the 2-week antibiotic treatment at home. The home care nurse visits Aaron a week after discharge to assess the wound. The nurse reviews symptoms of pressure ulcers with Aaron as well as when to call the healthcare provider. Aaron yells at the nurse and says, "I don't need a nurse to tell me that I will spend the rest of my life in and out of hospitals!" 25. What initial action should the nurse take? A) Confront Aaron about his rude and unacceptable behavior and attitude.Feedback: INCORRECT While confrontation can be a helpful technique, it is not the best initial action since it may discourage further communication. B) Ask Aaron's parents to calm him so the nursing assessment can be completed.Feedback: INCORRECT This action does not allow Aaron to deal with his anger. C) Offer Aaron the opportunity to discuss his feelings of anger and hopelessness.Feedback: CORRECT Using therapeutic communication techniques, the nurse can provide the opportunity for Aaron to deal with his concerns. D) Reassure Aaron that he will not need to spend the rest of his life in and out of hospitals.Feedback: INCORRECT This is a non-therapeutic approach that offers false reassurance, which may discourage further communication. Aaron states, "I'm sorry I yelled at you, but I'm so discouraged about this bed sore and the infection." 26. How should the nurse respond to Aaron's statement? A) "You had an infected pressure ulcer, not a bed sore."Feedback: INCORRECT Correcting Aaron's terminology will not promote further communication. Teaching is not the priority at this time. B) "You can't allow yourself to become discouraged about this."Feedback: INCORRECT "You can't" is a phrase that the nurse should avoid. It may be perceived as giving advice, rather than encouraging further insight and verbalization by the client. C) "You are trying to cope with a lot of concerns right now."Feedback: CORRECT This response acknowledges the client's experience and encourages further insight and verbalization by the client. D) "You don't need to worry, this infection is almost resolved."Feedback: INCORRECT The nurse is providing false reassurance, which does not encourage further insight and verbalization by the client. Growth and Development 27. Considering Aaron's developmental stage, the nurse's plan of care emphasizes interaction with which group? A) Aaron's parents, aunts, uncles, and cousins.Feedback: INCORRECT As a young adult, the family group is not the primary developmental focus. B) A large group of Aaron's former high school classmates.Feedback: INCORRECT As a young adult, a large group of former friends is not the primary developmental focus. C) Aaron's girlfriend and his two best male friends from the college.Feedback: CORRECT As a young adult, Aaron's primary developmental task, according to the theorist Erikson, is to develop intimacy. The nurse should emphasize interaction with a small group of intimate friends to support this developmental task. D) A small group of Aaron's professors from the college.Feedback: INCORRECT As a young adult, older role models are not the primary developmental focus. 28. It is most important to include this group in which aspect of Aaron's overall care? A) Reviewing class notes and studying for exams.Feedback: CORRECT The young adult is developmentally involved in establishing intimacy and working toward future goals. In addition, studying together will help maintain a sense of normalcy for Aaron. Other tasks can easily be performed by other groups, such as family members. This task can best be performed by his peers. B) Reminiscing about life when they were all younger.Feedback: INCORRECT This is not the best task for the chose support group. C) Purchasing wound care supplies for Aaron.Feedback: INCORRECT This is not the best task for the chosen support group. D) Helping Aaron plan meals to promote wound healing.Feedback: INCORRECT This is not the best task for the chosen support group. Client Teaching: Wound Healing The home care nurse teaches Aaron about dietary measures to promote wound healing and emphasizes the need for extra protein. 29. The nurse encourages him to select which breakfast items to provide a good source of protein? A) Bagels and cream cheese.Feedback: INCORRECT These items do not provide high amounts of protein. B) Eggs and orange juice.Feedback: CORRECT Eggs are a good source of protein, iron, and zinc, which are all important for wound healing. Citrus juices, such as orange juice, are a good source of vitamin C, which is also important for wound healing. C) Oatmeal and a banana.Feedback: INCORRECT These items provide fiber and other important nutrients, but they are not good sources of protein. D) Whole wheat toast with butter.Feedback: INCORRECT Whole grains are an important source of carbohydrate, iron, and vitamins, but not protein. The home care nurse observes that Aaron's ulcer is red, with obvious granulation tissue filling in the ulcer crater. 30. What teaching should the nurse provide? A) Debridement of the pressure ulcer must be restarted.Feedback: INCORRECT Debridement will destroy the granulation tissue. B) Another round of antibiotic therapy will probably be needed.Feedback: INCORRECT There is no evidence of further infection. C) Hydrocolloid dressings should be continued over the ulcer.Feedback: CORRECT The healing ulcer continues to need the protection and moist environment provided by a hydrocolloid (Duoderm-type) dressing.  D) The pressure ulcer should now be kept open to the air.Feedback: INCORRECT This will not promote safe healing of the wound. Case Outcome The home care nurse advises Aaron that his pressure ulcer is healing well, and that he should continue the measures related to diet, positioning, and wound care that he has learned. Aaron returns to the college Health Clinic weekly, where the nurse monitors the progress of his wound healing until the goal of intact skin integrity is achieved. He is able to make up the course work he missed while in the hospital and continues to pursue an education. 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Points Awarded 17.00 Points Missed 13.00 Percentage 56.7% Points Earned: 1.0/1.0 Correct Answer(s): D Points Earned: 0.0/1.0 Correct Answer(s): A Points Earned: 0.0/1.0 Correct Answer(s): D Points Earned: 1.0/1.0 Correct Answer(s): A Points Earned: 1.0/1.0 Correct Answer(s): C Points Earned: 1.0/1.0 Correct Answer(s): C Points Earned: 0.0/1.0 Correct Answer(s): A Points Earned: 0.0/1.0 Correct Answer(s): A Points Earned: 1.0/1.0 Correct Answer(s): A Points Earned: 0.0/1.0 Correct Answer(s): D Points Earned: 1.0/1.0 Correct Answer(s): A Points Earned: 0.0/1.0 Correct Answer(s): B Points Earned: 0.0/1.0 Correct Answer(s): C Points Earned: 0.0/1.0 Correct Answer(s): B Points Earned: 0.0/1.0 Correct Answer(s): D Points Earned: 1.0/1.0 Correct Answer(s): C Points Earned: 1.0/1.0 Correct Answer(s): B Points Earned: 1.0/1.0 Correct Answer(s): B Points Earned: 1.0/1.0 Correct Answer(s): A Points Earned: 1.0/1.0 Correct Answer(s): B Points Earned: 0.0/1.0 Correct Answer(s): A Points Earned: 1.0/1.0 Correct Answer(s): A Points Earned: 1.0/1.0 Correct Answer(s): A Points Earned: 1.0/1.0 Correct Answer(s): D Points Earned: 1.0/1.0 Correct Answer(s): C Points Earned: 0.0/1.0 Correct Answer(s): C Points Earned: 1.0/1.0 Correct Answer(s): C Points Earned: 0.0/1.0 Correct Answer(s): A Points Earned: 1.0/1.0 Correct Answer(s): B Points Earned: 0.0/1.0 Correct Answer(s): C