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This completes Part 1, the multiple choice section of the exam, but before you continue, write your answers to the multiple choice questions down on paper so that you have a record!   Part 2, the free response questions, starts below. Complete questions 7 – 10 by hand on blank paper, make sure your writing is legible! Write the question number then your response – you do not need to write out the question text.   Complete the questions on paper in the order given here, or your exam will be difficult to grade. Do not try to squeeze everything onto 1 page, or your exam will be difficult to grade.

Give the major organic product of the following reaction:

Give the major organic product of the following reaction:

Decide the best reagents/conditions for the following reaction.

The nurse is examining the nail beds of an adult. Which findings are within normal limits?

Which problem does the nurse anticipate when hypoactive bowel sounds are auscultated over all quadrants of an adult patient’s abdomen?

What will be included in the physical examination and documentation of a child that has experienced domestic violence?  (Select all that apply.)

How does the nurse interpret the following information:  an adult patient states that he has the sensation that everything around him is spinning?

A dark skinned adult is in the emergency department following a car crash, resulting in serious injuries and severe bleeding. The nurse notes that the patient’s skin color is ashen, gray.  How should the nurse respond?

The nurse is assessing the abdomen of an adult patient with a history of liver cirrhosis.  Assessment reveals an abdomen that is protuberant and firm with tight, shiny skin and bulging flanks.  What is the etiology of these assessment findings?