ATI Med Surg/Neuro Test bank (Latest-
2024, Verified And 100% Correct Answers)
Test Bank
1. bbA bbpatient bbis bbbrought bbto bbthe bbER bbfollowing bba bbmotor bbvehicle bbaccident bbin bbwhich bbhe
bbsustained bbhead bbtrauma. bbPreliminary bbassessment bbreveals bba bbvision bbdeficit bbin bbthe bbpatient's
bbleft bbeye. bbThe bbnurse bbshould bbassociate bbthis bbabnormal bbfinding bbwith bbtrauma bbto bbwhich bbof bbthe
bbfollowing bbcerebral bblobes? bb
A) bbTemporal bb
B) bbOccipital bb
C) bbParietal
bbD) bbFrontal B) bbOccipital
.A bbpatient bbscheduled bbfor bbmagnetic bbresonance bbimaging bb(MRI) bbat bbthe bbradiology bbdepartment.
bbThe bbnurse bbwho bbprepares bbthe bbpatient bbfor bbthe bbMRI bbshould bbprioritize bbwhich bbof bbthe
bbfollowing bbactions? bb
A) bbWithholding bbstimulants bb24 bbto bb48 bbhours bbprior bbto bbexam bb
B) bbRemoving bball bbmetal-containing bbobjects bb
C) bbInstructing bbthe bbpatient bbto bbvoid bbprior bbto bbthe bbMRI
bbD) bbInitiating bban bbIV bbline bbfor bbadministration bbof bbcontrast B) bbRemoving bball bbmetal-containing
bbobjects
A bbgerontologic bbnurse bbplanning bbthe bbneurologic bbassessment bbof bban bbolder bbadult bbis bbconsidering
bbnormal, bbage-related bbchanges. bbOf bbwhat bbphenomenon bbshould bbthe bbnurse bbbe bbaware? bb
A) bbHyperactive bbdeep bbtendon bbreflexes bb
B) bbReduction bbin bbcerebral bbblood bbflow bb
C) bbIncreased bbcerebral bbmetabolism bb
D) bbHypersensitivity bbto bbpainful bbstimuli B) bbReduction bbin bbcerebral bbblood bbflow
The bbnurse bbhas bbadmitted bba bbnew bbpatient bbto bbthe bbunit. bbOne bbof bbthe bbpatient's bbadmitting bborders
bbis bbfor bban bbadrenergic bbmedication. bbThe bbnurse bbknows bbthat bbthis bbmedication bbwill bbhave bbwhat
bbeffect bbon bbthe bbcirculatory bbsystem? bb
A) bbThin, bbwatery bbsaliva bb
,B) bbIncreased bbheart bbrate bb
C) bbDecreased bbBP bb
D) bbConstricted bbbronchioles B) bbIncreased bbheart bbrate
A bbnurse bbis bbassessing bbreflexes bbin bba bbpatient bbwith bbhyperactive bbreflexes. bbWhen bbthe bbpatient's
bbfoot bbis bbabruptly bbdorsiflexed, bbit bbcontinues bbto bb"beat" bbtwo bbtimes bbbefore bbsettling bbinto bba
bbresting bbposition. bbHow bbwould bbthe bbnurse bbdocument bbthis bbfinding? bb
A) bbRigidity
bbB) bbFlaccidity
bbC) bbClonus bb
D) bbAtaxia C) bbClonus
he bbnurse bbis bbdoing bban bbinitial bbassessment bbon bba bbpatient bbnewly bbadmitted bbto bbthe bbunit bbwith bba
bbdiagnosis bbof bbcerebrovascular bbaccident bb(CVA). bbThe bbpatient bbhas bbdifficulty bbcopying bba bbfigure
bbthat bbthe bbnurse bbhas bbdrawn bband bbis bbdiagnosed bbwith bbvisual-receptive bbaphasia. bbWhat bbbrain
bbregion bbis bbprimarily bbinvolved bbin bbthis bbdeficit? bb
A) bbTemporal bblobe
bbB) bbParietal-occipital bbarea bb
C) bbInferior bbposterior bbfrontal bbareas bb
D) bbPosterior bbfrontal bbarea B) bbParietal-occipital bbarea
The bbnurse bbis bbadmitting bba bbpatient bbto bbthe bbunit bbwho bbis bbdiagnosed bbwith bblower bbmotor bbneuron
bblesion. bbWhat bbentry bbin bbthe bbpatient's bbelectronic bbrecord bbis bbmost bbconsistent bbwith bbthis
bbdiagnosis?
bbA) bb"Patient bbexhibits bbincreased bbmuscle bbtone." bb
B) bb"Patient bbdemonstrates bbnormal bbmuscle bbstructure bbwith bbno bbevidence bbof bbatrophy." bb
C) bb"Patient bbdemonstrates bbhyperactive bbdeep bbtendon bbreflexes." bb
D) bb"Patient bbdemonstrates bban bbabsence bbof bbdeep bbtendon bbreflexes." D) bb"Patient
bbdemonstrates bban bbabsence bbof bbdeep bbtendon bbreflexes."
8. bbAn bbelderly bbpatient bbis bbbeing bbdischarged bbhome. bbThe bbpatient bblives bbalone bband bbhas bbatrophy
bbof bbhis bbolfactory bborgans. bbThe bbnurse bbtells bbthe bbpatient's bbfamily bbits bbessential bbthat bbthe bbpatient
bbhave bbwhat bbinstalled bbin bbthe bbhome?
bbA) bbGrab bbbars bb
B) bbNonslip bbmats
bbC) bbBaseboard bbheaters bb
D) bbA bbsmoke bbdetector D) bbA bbsmoke bbdetector
A bbnurse bbis bbcaring bbfor bba bbpatient bbdiagnosed bbwith bbMénière's bbdisease. bbWhile bbcompleting bba
bbneurologic bbexamination bbon bbthe bbpatient, bbthe bbnurse bbassesses bbcranial bbnerve bbVIII. bbThe bbnurse
bbwould bbbe bbcorrect bbin bbidentifying bbthe bbfunction bbof bbthis bbnerve bbas bbwhat? bb
,A) bbMovement bbof bbthe bbtongue
bbB) bbVisual bbacuity
bbC) bbSense bbof bbsmell bb
D) bbHearing bband bbequilibrium D) bbHearing bband bbequilibrium
. bbA bbpatient bbexhibiting bban bbuncoordinated bbgait bbhas bbpresented bbat bbthe bbclinic. bbWhich bbof bbthe
bbfollowing bbis bbthe bbmost bbplausible bbcause bbof bbthis bbpatient's bbhealth bbproblems? bb
A) bbCerebellar bbdysfunction
bbB) bbA bblesion bbin bbthe bbpons bb
C) bbDysfunction bbof bbthe bbmedulla
bbD) bbA bbhemorrhage bbin bbthe bbmidbrain A
The bbnursing bbstudents bbare bblearning bbhow bbto bbassess bbfunction bbof bbcranial bbnerve bbVIII. bbTo
bbassess bbthe bbfunction bbof bbcranial bbnerve bbVIII bbthe bbstudents bbwould bbbe bbcorrect bbin bbcompleting
bbwhich bbof bbthe bbfollowing bbassessment bbtechniques?
bbA) bbHave bbthe bbpatient bbidentify bbfamiliar bbodors bbwith bbthe bbeyes bbclosed
B) bbAssess bbpapillary bbreflex. bb
C) bbUtilize bbthe bbSnellen bbchart. bb
D) bbTest bbfor bbair bband bbbone bbconduction bb(Rinne bbtest). D
A bbpatient bbis bbbeing bbgiven bba bbmedication bbthat bbstimulates bbher bbparasympathetic bbsystem.
bbFollowing bbadministration bbof bbthis bbmedication, bbthe bbnurse bbshould bbanticipate bbwhat bbeffect?
bbA) bbConstricted bbpupils bb
B) bbDilated bbbronchioles
bbC) bbDecreased bbperistaltic bbmovement bb
D) bbRelaxed bbmuscular bbwalls bbof bbthe bburinary bbbladder A) bbConstricted bbpupils
A bbpatient bbis bbhaving bba bb"fight bbor bbflight bbresponse" bbafter bbreceiving bbnews bbabout bbhis bbprognosis.
bbWhat bbaffect bbwill bbthis bbhave bbon bbthe bbpatient's bbsympathetic bbnervous bbsystem? bb
A) bbConstriction bbof bbblood bbvessels bbin bbthe bbheart bbmuscle bb
B) bbConstriction bbof bbbronchioles
bbC) bbIncrease bbin bbthe bbsecretion bbof bbsweat bb
D) bbConstriction bbof bbpupils C
The bbnurse bbis bbplanning bbthe bbcare bbof bba bbpatient bbwith bbParkinson's bbDisease bbThe bbnurse bbshould
bbbe bbaware bbthat bbtreatment bbwill bbfocus bbon bbwhat bbpathophysiological bbphenomenon? bb
A) bbPremature bbdegradation bbof bbacetylcholine bb
B) bbDecreased bbavailability bbof bbdopamine bb
C) bbInsufficient bbsynthesis bbof bbepinephrine bb
D) bbDelayed bbreuptake bbof bbserotonin B) bbDecreased bbavailability bbof bbdopamine
, A bbpatient bbin bbthe bbOR bbgoes bbinto bbmalignant bbhyperthermia bbdue bbto bban bbabnormal bbreaction bbto
bbthe bbanesthetic. bbThe bbnurse bbknows bbthat bbthe bbarea bbof bbthe bbbrain bbthat bbregulates bbbody
bbtemperature bbis bbwhich bbof bbthe bbfollowing? bb
A) bbCerebellum bb
B) bbThalamus
bbC) bbHypothalamus
bbD) bbMidbrain C) bbHypothalamus
. bbA bbpatient bbis bbadmitted bbto bbthe bbmedical bbunit bbwith bban bbexacerbation bbof bbmultiple bbsclerosis.
bbWhen bbassessing bbthis bbpatient, bbthe bbnurse bbhas bbthe bbpatient bbstick bbout bbher bbtongue bband bbmove bbit
bbback bband bbforth. bbWhat bbis bbthe bbnurse bbassessing?
bbA) bbFunction bbof bbthe bbhypoglossal bbnerve
bbB) bbFunction bbof bbthe bbvagus bbnerve bb
C) bbFunction bbof bbthe bbspinal bbnerve
bbD) bbFunction bbof bbthe bbtrochlear bbnerve A) bbFunction bbof bbthe bbhypoglossal bbnerve
When bbcaring bbfor bba bbpatient bbwith bban bbaltered bblevel bbof bbconsciousness, bbthe bbnurse bbis bbpreparing
bbto bbtest bbcranial bbnerve bbVII. bbWhat bbassessment bbtechnique bbwould bbthe bbnurse bbuse bbto bbelicit bba
bbresponse bbfrom bbcranial bbnerve bbVII? bb
A) bbPalpate bbtrapezius bbmuscle bbwhile bbpatient bbshrugs bbshould bbagainst bbresistance.
bbB) bbAdminister bbthe bbwhisper bbor bbwatch-tick bbtest.
bbC) bbObserve bbfor bbfacial bbmovement bbsymmetry, bbsuch bbas bba bbsmile. bb
D) bbNote bbany bbhoarseness bbin bbthe bbpatient's bbvoice C) bbObserve bbfor bbfacial bbmovement
bbsymmetry, bbsuch bbas bba bbsmile.
The bbnurse bbcaring bbfor bban bb80 bbyear-old bbpatient bbknows bbthat bbshe bbhas bba bbpre-existing bbhistory bbof
bbdulled bbtactile bbsensation. bbThe bbnurse bbshould bbfirst bbconsider bbwhat bbpossible bbcause bbfor bbthis
bbpatient's bbdiminished bbtactile bbsensation? bb
A) bbDamage bbto bbcranial bbnerve bbVIII bb
B) bbAdverse bbmedication bbeffects bb
C) bbAge-related bbneurologic bbchanges bb
D) bbAn bbundiagnosed bbcerebrovascular bbaccident bbin bbearly bbadulthood C) bbAge-related
bbneurologic bbchanges
A bbgerontologic bbnurse bbeducator bbis bbproviding bbpractice bbguidelines bbto bbunlicensed bbcare
bbproviders. bbBecause bbreaction bbto bbpainful bbstimuli bbis bbsometimes bbblunted bbin bbolder bbadults, bbwhat
bbmust bbbe bbused bbwith bbcaution?
bbA) bbHot bbor bbcold bbpacks bb
B) bbAnalgesics
bbC) bbAnti-inflammatory bbmedications
bbD) bbWhirlpool bbbaths A) bbHot bbor bbcold bbpacks
2024, Verified And 100% Correct Answers)
Test Bank
1. bbA bbpatient bbis bbbrought bbto bbthe bbER bbfollowing bba bbmotor bbvehicle bbaccident bbin bbwhich bbhe
bbsustained bbhead bbtrauma. bbPreliminary bbassessment bbreveals bba bbvision bbdeficit bbin bbthe bbpatient's
bbleft bbeye. bbThe bbnurse bbshould bbassociate bbthis bbabnormal bbfinding bbwith bbtrauma bbto bbwhich bbof bbthe
bbfollowing bbcerebral bblobes? bb
A) bbTemporal bb
B) bbOccipital bb
C) bbParietal
bbD) bbFrontal B) bbOccipital
.A bbpatient bbscheduled bbfor bbmagnetic bbresonance bbimaging bb(MRI) bbat bbthe bbradiology bbdepartment.
bbThe bbnurse bbwho bbprepares bbthe bbpatient bbfor bbthe bbMRI bbshould bbprioritize bbwhich bbof bbthe
bbfollowing bbactions? bb
A) bbWithholding bbstimulants bb24 bbto bb48 bbhours bbprior bbto bbexam bb
B) bbRemoving bball bbmetal-containing bbobjects bb
C) bbInstructing bbthe bbpatient bbto bbvoid bbprior bbto bbthe bbMRI
bbD) bbInitiating bban bbIV bbline bbfor bbadministration bbof bbcontrast B) bbRemoving bball bbmetal-containing
bbobjects
A bbgerontologic bbnurse bbplanning bbthe bbneurologic bbassessment bbof bban bbolder bbadult bbis bbconsidering
bbnormal, bbage-related bbchanges. bbOf bbwhat bbphenomenon bbshould bbthe bbnurse bbbe bbaware? bb
A) bbHyperactive bbdeep bbtendon bbreflexes bb
B) bbReduction bbin bbcerebral bbblood bbflow bb
C) bbIncreased bbcerebral bbmetabolism bb
D) bbHypersensitivity bbto bbpainful bbstimuli B) bbReduction bbin bbcerebral bbblood bbflow
The bbnurse bbhas bbadmitted bba bbnew bbpatient bbto bbthe bbunit. bbOne bbof bbthe bbpatient's bbadmitting bborders
bbis bbfor bban bbadrenergic bbmedication. bbThe bbnurse bbknows bbthat bbthis bbmedication bbwill bbhave bbwhat
bbeffect bbon bbthe bbcirculatory bbsystem? bb
A) bbThin, bbwatery bbsaliva bb
,B) bbIncreased bbheart bbrate bb
C) bbDecreased bbBP bb
D) bbConstricted bbbronchioles B) bbIncreased bbheart bbrate
A bbnurse bbis bbassessing bbreflexes bbin bba bbpatient bbwith bbhyperactive bbreflexes. bbWhen bbthe bbpatient's
bbfoot bbis bbabruptly bbdorsiflexed, bbit bbcontinues bbto bb"beat" bbtwo bbtimes bbbefore bbsettling bbinto bba
bbresting bbposition. bbHow bbwould bbthe bbnurse bbdocument bbthis bbfinding? bb
A) bbRigidity
bbB) bbFlaccidity
bbC) bbClonus bb
D) bbAtaxia C) bbClonus
he bbnurse bbis bbdoing bban bbinitial bbassessment bbon bba bbpatient bbnewly bbadmitted bbto bbthe bbunit bbwith bba
bbdiagnosis bbof bbcerebrovascular bbaccident bb(CVA). bbThe bbpatient bbhas bbdifficulty bbcopying bba bbfigure
bbthat bbthe bbnurse bbhas bbdrawn bband bbis bbdiagnosed bbwith bbvisual-receptive bbaphasia. bbWhat bbbrain
bbregion bbis bbprimarily bbinvolved bbin bbthis bbdeficit? bb
A) bbTemporal bblobe
bbB) bbParietal-occipital bbarea bb
C) bbInferior bbposterior bbfrontal bbareas bb
D) bbPosterior bbfrontal bbarea B) bbParietal-occipital bbarea
The bbnurse bbis bbadmitting bba bbpatient bbto bbthe bbunit bbwho bbis bbdiagnosed bbwith bblower bbmotor bbneuron
bblesion. bbWhat bbentry bbin bbthe bbpatient's bbelectronic bbrecord bbis bbmost bbconsistent bbwith bbthis
bbdiagnosis?
bbA) bb"Patient bbexhibits bbincreased bbmuscle bbtone." bb
B) bb"Patient bbdemonstrates bbnormal bbmuscle bbstructure bbwith bbno bbevidence bbof bbatrophy." bb
C) bb"Patient bbdemonstrates bbhyperactive bbdeep bbtendon bbreflexes." bb
D) bb"Patient bbdemonstrates bban bbabsence bbof bbdeep bbtendon bbreflexes." D) bb"Patient
bbdemonstrates bban bbabsence bbof bbdeep bbtendon bbreflexes."
8. bbAn bbelderly bbpatient bbis bbbeing bbdischarged bbhome. bbThe bbpatient bblives bbalone bband bbhas bbatrophy
bbof bbhis bbolfactory bborgans. bbThe bbnurse bbtells bbthe bbpatient's bbfamily bbits bbessential bbthat bbthe bbpatient
bbhave bbwhat bbinstalled bbin bbthe bbhome?
bbA) bbGrab bbbars bb
B) bbNonslip bbmats
bbC) bbBaseboard bbheaters bb
D) bbA bbsmoke bbdetector D) bbA bbsmoke bbdetector
A bbnurse bbis bbcaring bbfor bba bbpatient bbdiagnosed bbwith bbMénière's bbdisease. bbWhile bbcompleting bba
bbneurologic bbexamination bbon bbthe bbpatient, bbthe bbnurse bbassesses bbcranial bbnerve bbVIII. bbThe bbnurse
bbwould bbbe bbcorrect bbin bbidentifying bbthe bbfunction bbof bbthis bbnerve bbas bbwhat? bb
,A) bbMovement bbof bbthe bbtongue
bbB) bbVisual bbacuity
bbC) bbSense bbof bbsmell bb
D) bbHearing bband bbequilibrium D) bbHearing bband bbequilibrium
. bbA bbpatient bbexhibiting bban bbuncoordinated bbgait bbhas bbpresented bbat bbthe bbclinic. bbWhich bbof bbthe
bbfollowing bbis bbthe bbmost bbplausible bbcause bbof bbthis bbpatient's bbhealth bbproblems? bb
A) bbCerebellar bbdysfunction
bbB) bbA bblesion bbin bbthe bbpons bb
C) bbDysfunction bbof bbthe bbmedulla
bbD) bbA bbhemorrhage bbin bbthe bbmidbrain A
The bbnursing bbstudents bbare bblearning bbhow bbto bbassess bbfunction bbof bbcranial bbnerve bbVIII. bbTo
bbassess bbthe bbfunction bbof bbcranial bbnerve bbVIII bbthe bbstudents bbwould bbbe bbcorrect bbin bbcompleting
bbwhich bbof bbthe bbfollowing bbassessment bbtechniques?
bbA) bbHave bbthe bbpatient bbidentify bbfamiliar bbodors bbwith bbthe bbeyes bbclosed
B) bbAssess bbpapillary bbreflex. bb
C) bbUtilize bbthe bbSnellen bbchart. bb
D) bbTest bbfor bbair bband bbbone bbconduction bb(Rinne bbtest). D
A bbpatient bbis bbbeing bbgiven bba bbmedication bbthat bbstimulates bbher bbparasympathetic bbsystem.
bbFollowing bbadministration bbof bbthis bbmedication, bbthe bbnurse bbshould bbanticipate bbwhat bbeffect?
bbA) bbConstricted bbpupils bb
B) bbDilated bbbronchioles
bbC) bbDecreased bbperistaltic bbmovement bb
D) bbRelaxed bbmuscular bbwalls bbof bbthe bburinary bbbladder A) bbConstricted bbpupils
A bbpatient bbis bbhaving bba bb"fight bbor bbflight bbresponse" bbafter bbreceiving bbnews bbabout bbhis bbprognosis.
bbWhat bbaffect bbwill bbthis bbhave bbon bbthe bbpatient's bbsympathetic bbnervous bbsystem? bb
A) bbConstriction bbof bbblood bbvessels bbin bbthe bbheart bbmuscle bb
B) bbConstriction bbof bbbronchioles
bbC) bbIncrease bbin bbthe bbsecretion bbof bbsweat bb
D) bbConstriction bbof bbpupils C
The bbnurse bbis bbplanning bbthe bbcare bbof bba bbpatient bbwith bbParkinson's bbDisease bbThe bbnurse bbshould
bbbe bbaware bbthat bbtreatment bbwill bbfocus bbon bbwhat bbpathophysiological bbphenomenon? bb
A) bbPremature bbdegradation bbof bbacetylcholine bb
B) bbDecreased bbavailability bbof bbdopamine bb
C) bbInsufficient bbsynthesis bbof bbepinephrine bb
D) bbDelayed bbreuptake bbof bbserotonin B) bbDecreased bbavailability bbof bbdopamine
, A bbpatient bbin bbthe bbOR bbgoes bbinto bbmalignant bbhyperthermia bbdue bbto bban bbabnormal bbreaction bbto
bbthe bbanesthetic. bbThe bbnurse bbknows bbthat bbthe bbarea bbof bbthe bbbrain bbthat bbregulates bbbody
bbtemperature bbis bbwhich bbof bbthe bbfollowing? bb
A) bbCerebellum bb
B) bbThalamus
bbC) bbHypothalamus
bbD) bbMidbrain C) bbHypothalamus
. bbA bbpatient bbis bbadmitted bbto bbthe bbmedical bbunit bbwith bban bbexacerbation bbof bbmultiple bbsclerosis.
bbWhen bbassessing bbthis bbpatient, bbthe bbnurse bbhas bbthe bbpatient bbstick bbout bbher bbtongue bband bbmove bbit
bbback bband bbforth. bbWhat bbis bbthe bbnurse bbassessing?
bbA) bbFunction bbof bbthe bbhypoglossal bbnerve
bbB) bbFunction bbof bbthe bbvagus bbnerve bb
C) bbFunction bbof bbthe bbspinal bbnerve
bbD) bbFunction bbof bbthe bbtrochlear bbnerve A) bbFunction bbof bbthe bbhypoglossal bbnerve
When bbcaring bbfor bba bbpatient bbwith bban bbaltered bblevel bbof bbconsciousness, bbthe bbnurse bbis bbpreparing
bbto bbtest bbcranial bbnerve bbVII. bbWhat bbassessment bbtechnique bbwould bbthe bbnurse bbuse bbto bbelicit bba
bbresponse bbfrom bbcranial bbnerve bbVII? bb
A) bbPalpate bbtrapezius bbmuscle bbwhile bbpatient bbshrugs bbshould bbagainst bbresistance.
bbB) bbAdminister bbthe bbwhisper bbor bbwatch-tick bbtest.
bbC) bbObserve bbfor bbfacial bbmovement bbsymmetry, bbsuch bbas bba bbsmile. bb
D) bbNote bbany bbhoarseness bbin bbthe bbpatient's bbvoice C) bbObserve bbfor bbfacial bbmovement
bbsymmetry, bbsuch bbas bba bbsmile.
The bbnurse bbcaring bbfor bban bb80 bbyear-old bbpatient bbknows bbthat bbshe bbhas bba bbpre-existing bbhistory bbof
bbdulled bbtactile bbsensation. bbThe bbnurse bbshould bbfirst bbconsider bbwhat bbpossible bbcause bbfor bbthis
bbpatient's bbdiminished bbtactile bbsensation? bb
A) bbDamage bbto bbcranial bbnerve bbVIII bb
B) bbAdverse bbmedication bbeffects bb
C) bbAge-related bbneurologic bbchanges bb
D) bbAn bbundiagnosed bbcerebrovascular bbaccident bbin bbearly bbadulthood C) bbAge-related
bbneurologic bbchanges
A bbgerontologic bbnurse bbeducator bbis bbproviding bbpractice bbguidelines bbto bbunlicensed bbcare
bbproviders. bbBecause bbreaction bbto bbpainful bbstimuli bbis bbsometimes bbblunted bbin bbolder bbadults, bbwhat
bbmust bbbe bbused bbwith bbcaution?
bbA) bbHot bbor bbcold bbpacks bb
B) bbAnalgesics
bbC) bbAnti-inflammatory bbmedications
bbD) bbWhirlpool bbbaths A) bbHot bbor bbcold bbpacks
