lOMoAR cPSD| 6861666
NUR 257 EXAM 4: Patient Care Scenarios &
Interventions | 52 Questions with Correct Answers |
New Update 2026 | Galen College of Nursing
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
, lOMoAR cPSD| 6861666
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
NUR 257 EXAM 4: Patient Care Scenarios &
Interventions | 52 Questions with Correct Answers |
New Update 2026 | Galen College of Nursing
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
, lOMoAR cPSD| 6861666
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
