SIMUCASE DON INTERVENTION
TRANSCRIPT 2026 EXAM SCRIPT FULL
QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ The nurse plans to collect a 24-hour urine specimen for a creatinine
clearance test. Which instruction should the nurse provide to the adult
male client? Answer: Urinate at a specified time, discard this urine, and
collect all subsequent urine during the next 24 hours
Voiding, discarding the sample, and beginning the collection are the
correct steps for collecting a 24-hour urine specimen. Discarding even
one voided specimen during the collection invalidates the test.
⩥ An adolescent who was diagnosed with diabetes mellitus Type 1 at the
age of 9, is admitted to the hospital in diabetic ketoacidosis. Which
occurrence is the most likely cause of the ketoacidosis? Answer: Had a
cold and ear infection for the past two days.
Acute infections increase the body's need for insulin to control
hyperglycemia and put the client at risk for diabetic ketoacidosis (DKA).
⩥ At 40-weeks gestation, a client who is in active labor is lying in a
supine position and tells the nurse that she has finally found a
,comfortable position. What action should the nurse take? Answer: Place
a wedge under the client's right hip.
Hypotension from pressure on the vena cava due to the weight of the
fetus is a risk for the full-term client. Placing a wedge under the right hip
will displace the fetus and relieve pressure on the vena cava.
⩥ The nurse is assessing a client with a closed head injury sustained in a
motor vehicle collision. Which finding indicates the lowest level of
neurologic functioning? Answer: Decerebrate posturing during position
changes.
The lowest level of neurological functioning is characterized by
decerebrate posturing (abnormal extension). Posturing (decorticate or
decerebrate) is not considered a purposeful response to pain. As
neurological functioning deteriorates, the client will progress from
localization of a tactile stimulus to withdrawal from painful stimuli,
followed by decorticate posturing in response to the stimuli, before
finally exhibiting decerebrate posturing.
⩥ A client with delusions tells the nurse, "You aren't doing your job. Go
get those people over there and shoot them before they get me." Which
statement is the nurse's best response? Answer: "You seem quite
frightened right now."
,A client with delusions firmly holds false beliefs to be true, and it is best
to acknowledge feelings related to the delusion. Reassuring statements
such as, "You will be alright" are not effective for such clients.
⩥ The wife of a newly-diagnosed client with Parkinson's disease asks
the nurse if alternative or complimentary medical therapies might cure
the disease. Which response should the nurse provide? Answer: Explain
that there are no known conventional, alternative, or complimentary
therapies that cure Parkinson's disease.
The client's wife should be given truthful information that there is no
known cure for Parkinson's disease available today.
⩥ The nurse is preparing a teaching plan for an older female client
diagnosed with osteoporosis. Which expected outcome has the highest
priority for this client? Answer: Names 3 home safety hazards to be
resolved immediately.
A major goal for an older client with osteoporosis is maintenance of
safety to prevent falls. The outcome is stated with the client actions that
are specific and time oriented, such as the client names 3 home safety
hazards to be resolved immediately.
⩥ An adolescent client on a drug treatment unit becomes angry and pulls
the refrigerator from the wall and then throws the microwave. After the
client fails to respond to redirection, the healthcare provider prescribes
, restraints. Which assessment should the nurse include in the client's
record while the client is in restraints? Answer: Range-of-motion and
circulation.
While a client is in restraints, the nurse should assess and record findings
related to range-of-motion and circulation, and these assessments should
be performed at regular intervals.
⩥ The nurse is planning to assess a client's oxygen saturation to
determine if additional oxygen is needed via nasal cannula. The client
has bilateral below-the-knee amputations and radial pulses that are weak
and thready. What action should the nurse take? Answer: Place the
oximeter clip on the earlobe to obtain the oxygen saturation reading.
Pulse oximeter clips can be attached to the earlobe to obtain an accurate
measurement of oxygen saturation.
⩥ The camp nurse is teaching adolescents about the prevention of tinea
pedis. Which instruction should the nurse include in the teaching plan?
Answer: Wear water shoes in the public shower.
Wearing water shoes prevents the transmission of tinea pedis (Athlete's
Foot) in a public shower.
TRANSCRIPT 2026 EXAM SCRIPT FULL
QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ The nurse plans to collect a 24-hour urine specimen for a creatinine
clearance test. Which instruction should the nurse provide to the adult
male client? Answer: Urinate at a specified time, discard this urine, and
collect all subsequent urine during the next 24 hours
Voiding, discarding the sample, and beginning the collection are the
correct steps for collecting a 24-hour urine specimen. Discarding even
one voided specimen during the collection invalidates the test.
⩥ An adolescent who was diagnosed with diabetes mellitus Type 1 at the
age of 9, is admitted to the hospital in diabetic ketoacidosis. Which
occurrence is the most likely cause of the ketoacidosis? Answer: Had a
cold and ear infection for the past two days.
Acute infections increase the body's need for insulin to control
hyperglycemia and put the client at risk for diabetic ketoacidosis (DKA).
⩥ At 40-weeks gestation, a client who is in active labor is lying in a
supine position and tells the nurse that she has finally found a
,comfortable position. What action should the nurse take? Answer: Place
a wedge under the client's right hip.
Hypotension from pressure on the vena cava due to the weight of the
fetus is a risk for the full-term client. Placing a wedge under the right hip
will displace the fetus and relieve pressure on the vena cava.
⩥ The nurse is assessing a client with a closed head injury sustained in a
motor vehicle collision. Which finding indicates the lowest level of
neurologic functioning? Answer: Decerebrate posturing during position
changes.
The lowest level of neurological functioning is characterized by
decerebrate posturing (abnormal extension). Posturing (decorticate or
decerebrate) is not considered a purposeful response to pain. As
neurological functioning deteriorates, the client will progress from
localization of a tactile stimulus to withdrawal from painful stimuli,
followed by decorticate posturing in response to the stimuli, before
finally exhibiting decerebrate posturing.
⩥ A client with delusions tells the nurse, "You aren't doing your job. Go
get those people over there and shoot them before they get me." Which
statement is the nurse's best response? Answer: "You seem quite
frightened right now."
,A client with delusions firmly holds false beliefs to be true, and it is best
to acknowledge feelings related to the delusion. Reassuring statements
such as, "You will be alright" are not effective for such clients.
⩥ The wife of a newly-diagnosed client with Parkinson's disease asks
the nurse if alternative or complimentary medical therapies might cure
the disease. Which response should the nurse provide? Answer: Explain
that there are no known conventional, alternative, or complimentary
therapies that cure Parkinson's disease.
The client's wife should be given truthful information that there is no
known cure for Parkinson's disease available today.
⩥ The nurse is preparing a teaching plan for an older female client
diagnosed with osteoporosis. Which expected outcome has the highest
priority for this client? Answer: Names 3 home safety hazards to be
resolved immediately.
A major goal for an older client with osteoporosis is maintenance of
safety to prevent falls. The outcome is stated with the client actions that
are specific and time oriented, such as the client names 3 home safety
hazards to be resolved immediately.
⩥ An adolescent client on a drug treatment unit becomes angry and pulls
the refrigerator from the wall and then throws the microwave. After the
client fails to respond to redirection, the healthcare provider prescribes
, restraints. Which assessment should the nurse include in the client's
record while the client is in restraints? Answer: Range-of-motion and
circulation.
While a client is in restraints, the nurse should assess and record findings
related to range-of-motion and circulation, and these assessments should
be performed at regular intervals.
⩥ The nurse is planning to assess a client's oxygen saturation to
determine if additional oxygen is needed via nasal cannula. The client
has bilateral below-the-knee amputations and radial pulses that are weak
and thready. What action should the nurse take? Answer: Place the
oximeter clip on the earlobe to obtain the oxygen saturation reading.
Pulse oximeter clips can be attached to the earlobe to obtain an accurate
measurement of oxygen saturation.
⩥ The camp nurse is teaching adolescents about the prevention of tinea
pedis. Which instruction should the nurse include in the teaching plan?
Answer: Wear water shoes in the public shower.
Wearing water shoes prevents the transmission of tinea pedis (Athlete's
Foot) in a public shower.
