NURS 257/ NURS257 Exam 4: Patient Care Scenarios &
Interventions | Actual Questions and Answers Latest
Updated (Graded A+)- Galen
1. Patient had their first gout attack what medicine would you expect to provide teaching on?
ANS: Colchicine (alopurinol)
2. Patient with osteoarthritis, instruct them how to slow the progression, what should you educate
them to do?
ANS: Moving, swimming, walking (Start swimming twice per week)
3. Who would be at most risk with osteopenia for osteoporosis
ANS: Small framed man who smokes and take steroids for 5 years.
4. A Patient that has gout with exacerbation, what would you expect them to say is the reason for
their exacerbation?
ANS: They got a promotion and they went out to celebrate (beer, off of diet) consume food with
tyramine.
5. Patient who was newly diagnosis with osteoporosis, what would you teach this pt. about safe
home care
ANS: Remove rugs from the floor.
6. Patient discharged for cataracts, if they experience what should they immediately contact
doctor
ANS: Moderate or Severe eye pain
7. patient with painful arthritic joints, what non pharm intervention can be done
tens unit
8. Client has been taking 20mg prednisone daily for their RA, what precautions should the nurse
advise the client about taking this medication?
ANS: They will need to get a bone density test every 2 yrs.
9. Patient with long history of arthritis pain, 115 pulse, 170/80, what intervention first
ANS: assess for pain.
10. Which of the following should the nurse include for exercises for people with osteoporosis?
ANS: Brisk walking
11. giving pain meds to a client with left hip replacement surgery,
ANS: administer pain meds, but at the lowest dose to prevent side effects. Administer opioid and titrate
, slowly.
12. Attending to an older client with impaired vision, which statement by the client requires further
teaching?
ANS: Use a razor to shave my face in the morning.
13. Talking to client suspect hearing loss, what action by client would reinforce suspicion. discharge
ANS: speak loud to the nurse, report dizziness or ringing of the ears, turning an ear and complaining that
people are mumbling when speaking.
14. patient with primary open angle glaucoma, what findings would you observe?
ANS: mild eye itching/aching and headache, increase sensitivity to glare, progressive deterioration of
peripheral fields, fixed dilated pupils, complain of tired eyes
15. Client has neuropathic pain to lower extremity; what medication would be prescribed for this
patient?
ANS: Gabapentin
16. discharge instructions for laser surgery to remove cataracts, what statement indicates correct
teaching?
ANS: I will avoid tying my own tennis shoes for several weeks following surgery.
17. Client has hearing loss in one ear, what should the nurse do.
ANS: keep your hands away from your mouth when you are speaking and keep eye contact. Get the
clients attention before talking to them
18. Working in a long-term care taking care of multiple clients, highest priority client is
ANS: Perform a focused assessment on pt abd who hasn’t had a bowel movement in 3 days
19. Implementing measures of preventing pressure ulcers, what action requires intervention if
the nurse does
ANS: Client head of the bed in semi-fowlers for comfort during the day.
20. Client might have RA, what should you assess for
ANS: Low grade fever, fatigue, and anorexia with weight loss
21. Client has suspected retinal attachment
ANS: I have the sensation of a curtain being pulled over my vision.
22. Client in palliative care that requires opioids requests to be more alert during a visit with his
longtime friend, what should the nurse do?
ANS: Decreasing opioids if the client
23. Alzheimer’s patient in a long-term care facility is having disruptive sleep patterns, what should the
Interventions | Actual Questions and Answers Latest
Updated (Graded A+)- Galen
1. Patient had their first gout attack what medicine would you expect to provide teaching on?
ANS: Colchicine (alopurinol)
2. Patient with osteoarthritis, instruct them how to slow the progression, what should you educate
them to do?
ANS: Moving, swimming, walking (Start swimming twice per week)
3. Who would be at most risk with osteopenia for osteoporosis
ANS: Small framed man who smokes and take steroids for 5 years.
4. A Patient that has gout with exacerbation, what would you expect them to say is the reason for
their exacerbation?
ANS: They got a promotion and they went out to celebrate (beer, off of diet) consume food with
tyramine.
5. Patient who was newly diagnosis with osteoporosis, what would you teach this pt. about safe
home care
ANS: Remove rugs from the floor.
6. Patient discharged for cataracts, if they experience what should they immediately contact
doctor
ANS: Moderate or Severe eye pain
7. patient with painful arthritic joints, what non pharm intervention can be done
tens unit
8. Client has been taking 20mg prednisone daily for their RA, what precautions should the nurse
advise the client about taking this medication?
ANS: They will need to get a bone density test every 2 yrs.
9. Patient with long history of arthritis pain, 115 pulse, 170/80, what intervention first
ANS: assess for pain.
10. Which of the following should the nurse include for exercises for people with osteoporosis?
ANS: Brisk walking
11. giving pain meds to a client with left hip replacement surgery,
ANS: administer pain meds, but at the lowest dose to prevent side effects. Administer opioid and titrate
, slowly.
12. Attending to an older client with impaired vision, which statement by the client requires further
teaching?
ANS: Use a razor to shave my face in the morning.
13. Talking to client suspect hearing loss, what action by client would reinforce suspicion. discharge
ANS: speak loud to the nurse, report dizziness or ringing of the ears, turning an ear and complaining that
people are mumbling when speaking.
14. patient with primary open angle glaucoma, what findings would you observe?
ANS: mild eye itching/aching and headache, increase sensitivity to glare, progressive deterioration of
peripheral fields, fixed dilated pupils, complain of tired eyes
15. Client has neuropathic pain to lower extremity; what medication would be prescribed for this
patient?
ANS: Gabapentin
16. discharge instructions for laser surgery to remove cataracts, what statement indicates correct
teaching?
ANS: I will avoid tying my own tennis shoes for several weeks following surgery.
17. Client has hearing loss in one ear, what should the nurse do.
ANS: keep your hands away from your mouth when you are speaking and keep eye contact. Get the
clients attention before talking to them
18. Working in a long-term care taking care of multiple clients, highest priority client is
ANS: Perform a focused assessment on pt abd who hasn’t had a bowel movement in 3 days
19. Implementing measures of preventing pressure ulcers, what action requires intervention if
the nurse does
ANS: Client head of the bed in semi-fowlers for comfort during the day.
20. Client might have RA, what should you assess for
ANS: Low grade fever, fatigue, and anorexia with weight loss
21. Client has suspected retinal attachment
ANS: I have the sensation of a curtain being pulled over my vision.
22. Client in palliative care that requires opioids requests to be more alert during a visit with his
longtime friend, what should the nurse do?
ANS: Decreasing opioids if the client
23. Alzheimer’s patient in a long-term care facility is having disruptive sleep patterns, what should the
