NURSING CARE SCENARIOS EXAM 2025 |177 QUESTIONS WITH
VERIFIED ACCURATE SOLUTIONS
A nurse is caring for a client who has acute pancreatitis. While providing
care, the nurse observes ecchymosis around the umbilicus. The nurse
should identify that this is a manifestation of which of the following?
Cirrhosis of the liver
Hypermotility of the bowel
Intra-abdominal bleeding
Acute cholecystitis
1. Why is it important for a postoperative hip arthroplasty patient to use a
raised toilet seat?
It helps prevent hip dislocation and facilitates easier sitting and
standing.
It reduces the need for pain medication.
It promotes faster healing of the surgical site.
It allows for better mobility without assistance.
2. Why is it important for a nurse to report diminished breath sounds after a
bronchoscopy?
Diminished breath sounds may indicate potential complications
such as pneumothorax or airway obstruction.
Diminished breath sounds are a normal finding after a
bronchoscopy.
Diminished breath sounds suggest the patient is recovering well.
Diminished breath sounds are unrelated to bronchoscopy
procedures.
,3. Why is repositioning the client an appropriate response to increased pain
in a patient with bucks traction?
Repositioning can relieve pressure and improve comfort at the
fracture site.
Repositioning is unnecessary if the traction is properly applied.
Repositioning may worsen the fracture and cause more pain.
Repositioning is only needed if the client requests it.
4. A nurse is caring for a client who has restricted movement of the chest
due to a burn injury. The nurse should anticipate preparing the client for
which of the following procedures?
Fasciotomy
Escharotomy
Skin grafting
Hyperbaric oxygen therapy
5. What is the primary purpose of a double lumen gastric Salem sump tube
in a patient with gastrointestinal bleeding?
To decompress the stomach and remove gastric contents.
To administer medications directly into the stomach.
To provide nutritional support through enteral feeding.
To monitor blood pressure in the gastrointestinal tract.
6. Describe the primary therapeutic effect of sumatriptan in the context of
migraine treatment.
Sumatriptan is primarily used to relieve migraine headaches by
constricting blood vessels in the brain.
Sumatriptan is used to prevent migraines by increasing blood flow
to the brain.
, Sumatriptan is used to treat tension headaches by relaxing the
muscles in the head.
Sumatriptan is used to alleviate anxiety associated with migraines.
7. A nurse is developing a discharge plan for a patient who has undergone
total hip arthroplasty. If the patient lives alone and has a history of falls,
which additional recommendation should the nurse include alongside the
raised toilet seat?
Install grab bars in the bathroom
Encourage the patient to walk without assistance
Suggest the patient avoid physical therapy
Advise the patient to limit fluid intake
8. Describe the significance of HbA1c testing for a patient with type 1
diabetes mellitus.
HbA1c testing provides an average of blood glucose levels over
the past 3 months, helping to assess long-term glucose control.
HbA1c testing measures immediate blood glucose levels after
meals.
HbA1c testing is only relevant for type 2 diabetes management.
HbA1c testing indicates the patient's insulin dosage for the day.
9. In a scenario where a patient has an internal sealed radiation implant,
what should the nurse do if the implant becomes dislodged during
care?
Place the implant in a lead container and notify the radiation
safety officer.
Return the implant to the patient immediately.
Wrap the implant in gauze and dispose of it in regular waste.
, Leave the implant where it is and continue with care.
10. A nurse is caring for a client who is receiving internal radiation therapy
and discovers a radioactive pellet on the client's bed. Which of the
following actions should the nurse take?
Place the pellet in a lead container.
Remove the pellet with a gloved hand.
Contact environmental services.
Notify the infection control officer.
11. A patient with PAD is experiencing severe pain in their legs while lying
down. What nursing intervention should be prioritized based on the
provided care plan?
Assist the patient to dangle their legs off the side of the bed.
Encourage the patient to elevate their legs on a pillow.
Administer pain medication immediately.
Instruct the patient to perform leg exercises.
12. If a client expresses fear about the cast removal process, how should the
nurse respond based on the teaching provided?
The nurse should explain that feeling vibrations is normal and
part of the process.
The nurse should reassure the client that no sensations will be
felt.
The nurse should suggest postponing the cast removal.
The nurse should advise the client to avoid looking at the
procedure.
13. What does HbA1c testing measure in patients with diabetes mellitus?
VERIFIED ACCURATE SOLUTIONS
A nurse is caring for a client who has acute pancreatitis. While providing
care, the nurse observes ecchymosis around the umbilicus. The nurse
should identify that this is a manifestation of which of the following?
Cirrhosis of the liver
Hypermotility of the bowel
Intra-abdominal bleeding
Acute cholecystitis
1. Why is it important for a postoperative hip arthroplasty patient to use a
raised toilet seat?
It helps prevent hip dislocation and facilitates easier sitting and
standing.
It reduces the need for pain medication.
It promotes faster healing of the surgical site.
It allows for better mobility without assistance.
2. Why is it important for a nurse to report diminished breath sounds after a
bronchoscopy?
Diminished breath sounds may indicate potential complications
such as pneumothorax or airway obstruction.
Diminished breath sounds are a normal finding after a
bronchoscopy.
Diminished breath sounds suggest the patient is recovering well.
Diminished breath sounds are unrelated to bronchoscopy
procedures.
,3. Why is repositioning the client an appropriate response to increased pain
in a patient with bucks traction?
Repositioning can relieve pressure and improve comfort at the
fracture site.
Repositioning is unnecessary if the traction is properly applied.
Repositioning may worsen the fracture and cause more pain.
Repositioning is only needed if the client requests it.
4. A nurse is caring for a client who has restricted movement of the chest
due to a burn injury. The nurse should anticipate preparing the client for
which of the following procedures?
Fasciotomy
Escharotomy
Skin grafting
Hyperbaric oxygen therapy
5. What is the primary purpose of a double lumen gastric Salem sump tube
in a patient with gastrointestinal bleeding?
To decompress the stomach and remove gastric contents.
To administer medications directly into the stomach.
To provide nutritional support through enteral feeding.
To monitor blood pressure in the gastrointestinal tract.
6. Describe the primary therapeutic effect of sumatriptan in the context of
migraine treatment.
Sumatriptan is primarily used to relieve migraine headaches by
constricting blood vessels in the brain.
Sumatriptan is used to prevent migraines by increasing blood flow
to the brain.
, Sumatriptan is used to treat tension headaches by relaxing the
muscles in the head.
Sumatriptan is used to alleviate anxiety associated with migraines.
7. A nurse is developing a discharge plan for a patient who has undergone
total hip arthroplasty. If the patient lives alone and has a history of falls,
which additional recommendation should the nurse include alongside the
raised toilet seat?
Install grab bars in the bathroom
Encourage the patient to walk without assistance
Suggest the patient avoid physical therapy
Advise the patient to limit fluid intake
8. Describe the significance of HbA1c testing for a patient with type 1
diabetes mellitus.
HbA1c testing provides an average of blood glucose levels over
the past 3 months, helping to assess long-term glucose control.
HbA1c testing measures immediate blood glucose levels after
meals.
HbA1c testing is only relevant for type 2 diabetes management.
HbA1c testing indicates the patient's insulin dosage for the day.
9. In a scenario where a patient has an internal sealed radiation implant,
what should the nurse do if the implant becomes dislodged during
care?
Place the implant in a lead container and notify the radiation
safety officer.
Return the implant to the patient immediately.
Wrap the implant in gauze and dispose of it in regular waste.
, Leave the implant where it is and continue with care.
10. A nurse is caring for a client who is receiving internal radiation therapy
and discovers a radioactive pellet on the client's bed. Which of the
following actions should the nurse take?
Place the pellet in a lead container.
Remove the pellet with a gloved hand.
Contact environmental services.
Notify the infection control officer.
11. A patient with PAD is experiencing severe pain in their legs while lying
down. What nursing intervention should be prioritized based on the
provided care plan?
Assist the patient to dangle their legs off the side of the bed.
Encourage the patient to elevate their legs on a pillow.
Administer pain medication immediately.
Instruct the patient to perform leg exercises.
12. If a client expresses fear about the cast removal process, how should the
nurse respond based on the teaching provided?
The nurse should explain that feeling vibrations is normal and
part of the process.
The nurse should reassure the client that no sensations will be
felt.
The nurse should suggest postponing the cast removal.
The nurse should advise the client to avoid looking at the
procedure.
13. What does HbA1c testing measure in patients with diabetes mellitus?
