Career paths nursing teachers book compress

Virginia Evans - Kori Salcido - RN.

4U~
Express Publishing


Virginia Evans
Kori Salcido - R.N.

~
Express Publishing


Published by Express Publishing
Liberty House, Greenham Business Park, Newbury,
Berkshire RG19 6HW
Tel.: (0044) 1635 817 363
Fax: (0044) 1635 817463
e-mail:


© Express Publishing, 2011
Design © Express Publishing, 2011
First published 2011
Made in EU
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or
transmitted in any form, or by any means, electronic, photocopying, or otherwise, without the prior
written permission of the publishers.
This book is not meant to be changed in any way.

ISBN 978-0-85777-839-0

Table of Contents

Answer Key . ................. . ... ..... ...... . ........... ...... ... .. . ...... . 4
Audioscripts . ....... . .. .......................................... . ...... .... 12

82
Answer Key ........ ......... .... . ...... . . ... . ..... .. ... ... ..... . .. .. . . ... .. 14
Audioscripts . . . . ........ . ..... .. .. . .. ............... . ... ... ..... . . .. .. . .... 23

Answer Key . . . ....... . ..... . ... ...... . . . .... ........ .. . .. . .. . . ....... . . . . . 26
Audioscripts .. ..... . ....... . . .... . . .............................. .. .. ...... 36


Book

Answer Key

Unit 1

Unit 2

1 Suggested Answers

1 Suggested Answers
1 There are many types of jobs that people working
in hospitals have. From doctors and nurses to the
cleaning and waiting staff that are needed to
clean the public restrooms and run the hospital

cafeteria.
2 I believe that nurses work with doctors most often.
They are most likely to take everyday orders from
them and have to undertake specific responsibilities
that doctors give them. There are specific types of
nurses for more specialized tasks.
C

2 D

3 B

3 1 D

3 F

5 B

2 E

4 A

6 G

2

4 1 obstetrician

1

Different hospital departments provide different
services to patients depending on the exact
nature of their illness. For example, a cardiology
department has staff that specialize in treating
heart conditions. Radiology departments provide
services such as X-rays, MRI and CAT scans to
identify and diagnose disease. Pathology
departments study and diagnose diseases by
inspecting organs, tissues and bodily fluids.
Obstetrics provide care services to expectant
mothers and their babies.
2 It seems to me that the emergency department
needs nurses the most. This might be because of
the technical training that nurses need to be able
to deal with emergency situations. Also, because
it is impossible to predict what type of service a
patient who finds themselves in the emergency
room will need, nurses need to be trained to deal
with many different situations.

7 C

3 general practitioner

2 pediatrician

5 You can pick up your medicine from Suzan Devlin,
the Pharmacist in room 129.

6

F

2 F

2

3 T

F

2 T

3 1 pediatrics
2 pharmacy

7 1 nurse
2 x-rays

3 radiologist
4 room number

6 hospital

nurse here.
B: Hello, Jane, What can I do for you?
A: I have these blood test results for Dr. Cho's
patient. He wants Dr. David to take a look at them.
B: The pediatrician? He is on the second floor
somewhere.

A: Do you happen to know the actual room number?
B: No but the nurse on the ward will.
A: Okay. This hospital is so confusing!
B: I know the feeling. You'll get used to it.

4

A

4

Answer Key

5 emergencies

2 B

3 A

4 B

5 B

5 Departments have moved temporarily because of
construction work to update the facilities.

6

C

2 A

7 1 department
2 construction
3 cardiology

4 basement
5 appointment
6 elevator

8 Suggested Answer

A: Excuse me, nurse? This is the
B:

Name: Dr. Terry David
Job Title: Pediatrician
Job Duties: Children's Health

3 pathology
4 surgery

5 receptionist

8 Suggested Answer
A: Excuse me, Dr. Johnson? Hi I'm Jane, I'm a new

9 Suggested Answers
Name: Dr. Jared Cho
Job Title: General Practitioner

Job Duties: General Medicine

3 F

A:
B:

A:
B:
A:
B:

obstetrics
department, isn't it?
Well, usually it is. But the hospital is under
construction right now, so some departments are
in different places.
Oh. So where can I find obstetrics?
It's on the second now. Next to pediatrics.
Oh good. I don't want to miss my appointment
with my obstetrician.
Do you need directions to get there?
I think so.
Take the stairs up to the second floor. Obstetrics
is to the right.


Book 1 Answer

Key

9 Suggested Answer

9 Suggested Answers

Location of clean gowns: first floor closet
Where to refill oxygen tank: replacement tank,
second floor
What to do with sharps container: dispose of it and
get a replacement from room 102

The obstetrics department has moved to the second
floor because of the construction project underway
in the hospital.
To get there: take the stairs up to the second floor. It
is next to the pediatrics department.
Sorry for the inconvenience!

Unit 4
Unit 3

1 Suggested Answers

1 Suggested Answers
1 Different types of equipment can be found in a
hospital room. For example, a call button, latex
gloves, syringes, and hospital gowns.
2 A call button is pressed by a patient so that they
can alert a nurse to the fact that they need some
help. Latex gloves are worn by doctors and

nurses in order to safely and hygienically handle
equipment, as well as to protect the patient and
care giver from infection. Syringes are used in
order to remove fluid from a patient so that the
liquid can be tested. Hospital gowns are worn by
patients on the ward or just after an operation.

1 The different parts of the body are: head, arms,
legs and torso.
2 A nurse treats injuries to the body by using firs
aid. For external injuries, such as swelling or
bleeding, the nurse uses bandages. A nurse "
also make an assessment of the cond ition of :ne
patient by asking the patient questions.

D

2 B

3 D

3 1 D

3 F
4 G

5 C
6 A

2

2 H

4
2

T

2 F

3 F

3

c

2 E

3 A

elevate

2 head

7 B
8 E
3 pulse

4 bone

5 Suggested Answer

4 1 sharps container
2 gown

4 B

3 call button
4 wheelchair

5 D

According to the guide, a nurse decides what
treatment is appropriate for new patients by firstly
checking how responsive and alert they are. Then the
nurse looks at the patient's body to look for evidence
of external injuries such as swelling, bruises and
bleeding. Once this is done, they nurse feels for
bumps on the arms, legs and extremities, if these are
found they suggest an internal injury like a broken
bone. The legs must be lifted above the heart, in
cases where the leg is swollen or the patient has
fainted . If there is a possibility that the patient has
spinal injuries, it is essential that the nurse ensures
the patient is not moved. Finally, if there are any
external injuries, such as cuts or bleeding, the nurse
should apply first aid.

5 gauze

5 Nurses must make sure drawers are stocked with
latex gloves and gauze.

6

T

2 F

3 T

7 1 find things
2 clean gowns
3 oxygen

4 second
5 sharps
6 get a new one

8 Suggested Answer

A: Alice, can you help me with something?
B: Sure! I know how hard it is to get used to things
on your first day!
A: Room 305 needs some clean gowns. Where are
those?
B: In the first floor closet.
A: Great. Also, where can I refill an oxygen tank?
B: Don't refill them. Just get a replacement tank on
the second floor. Anything else?

A: Yeah. The sharps container is full. Should I dispose
of it?
B: Definitely. And get a new one from room 102.

6

T

7 1 leg
2 bump

2 T

3 F
3 elevate
4 arm

5 wrist
6 bruise

8 Suggested Answer

A: Hi, Mr. Harris. What seems to be wrong?
B: I fell playing soccer. My leg really hurts.

A: I'm checking for a break. Tell me if it hurts when I
touch your leg.
B: Okay ... Owl Right there.
Answer Key

5


Book 1 Answer

Key

A: Yeah, there's a bump and some swelling. I'm going

A: Exactly, you can donate to any blood type A, B,

to elevate your legs.
B: My right shoulder hurts too. Just below my neck.
A: Yes, there is some swelling beginning to show. Is
it too painful to move?
B: No I can move it. But it hurts when I do.

AB - it doesn't matter. But unfortunately, you can
receive only your own blood type.
B: Well, hopefully I'll never need to!

9 Suggested Answer
Blood Donor Name: Mr Fisher
Blood Type: 0 Blood type
Universal Donor? Yes
Donated Before? Yes
Patient Questions/Concerns: Patient wanted to
know who he can donate his blood to.

9 Suggested Answer

Patient name: Mr. Harris
Cause of injury: Fell down playing soccer
Notes on Physical Assessment: Checked for a
break, I noticed a bump and some swelling and a
bruise so I have elevated his leg.

Unit 6
Unit 5

1 Suggested Answers

Suggested Answers

1

A person's circulatory system functions to circulate
blood around the body. It delivers oxygen which is
vital to life and to every organ in the body.
2 The types of problems that people experience
related to their circulatory system are linked to
the blocking up of the tubes through which the
heart pumps blood.

1 Donating blood is important because it saves
people's lives. It is used in operations and
transfusions.
2 Donating and receiving blood can be made safer
by using disposable syringes and bags to store
the blood.

2

T

2 F

3 T

2 1 circulatory
2 atrium

3 1 clots, platelets
2 bleeding, universal donor
3 plasm a, red blood cells
4

D

2 A

3 B

3 1 C
2 B

4 C

5 E

5 Suggested Answer

4

C

2 B

7 1 donating
2 nervous

5 E

4 D

6 A

2 A

3 A

7 G

4 B

Oxygen is distributed around the body through a
complex process. The process begins with blood
lacking oxygen entering the right atrium of the heart.
The heart muscle pumps the blood through the valve
into the right ventricle. From there, it travels to the
lungs and receives oxygen, blood now with oxygen

travels back to the heart through the pulmonary
veins. The heart then pumps the blood through the
capillaries delivering oxygen to the body.

3 A

3 Type 0
4 universal donor

3 F

5 Suggested Answer

The most important blood type is TYPE O. This is
because this blood type is compatible with all others
and therefore can be used by anyone.

6

A

5 oxygen

3 lungs
4 aorta

5 everyone
6 receive

8 Suggested Answer

A: Thanks for coming to the blood drive Mr Fisher. Is
B:

A:
B:

A:
B:

6

this your first time donating?
It's not actually. I've actually donated blood before.
That's great! And I see on your files that you have
TYPE 0 blood.
Yes, that's right. Does it matter?
Actually, its very good as it means that you're a
universal donor.
So my blood type is compatible with everyone?

Answer Key

6

A

2 D

7 1 test results

2 arrhythmia

3 valves
4 treatment

5 how it goes
6 comforting

8 Suggested Answer

A: Good afternoon, George. I have your test results
back.
B: What do they say?
A: Well, we're detecting an arrhythmia.
B: Oh really. Could you explain what that means?


Book 1 Answer

Key

A: It means that your heart isn't pumping blood

A: It also helps heal the damage to your lungs and

through the atria properly, which might make it
beat abnormally.
B: Is there any treatment for this?
A: Yes. There are various treatment options. We're
going to start you on medication for now. Luckily,

this form of arrhythmia isn't too serious.
B: Well, that's a huge relief.

bronchial tubes.
B: Well, I'll think about it.
9 Suggested Answer
Dangers of smoking: lung cancer emphysema, and
those around you developing asthma.
Benefits of quitting: heals damage to the lungs and
bronchial tubes.

9 Suggested Answer
Patient Name: George
Test Results: Detecting an arrhythmia
Seriousness: Not very serious
Treatment Plan: Start the patient on medication and
see how they respond

UnitS
1 Suggested Answers

The functions of the digestive system are to ad
the absorption of food.
2 The types of diseases which affect the diges: . e
system include ulcers, appendicitis anc gas:"' :::
cancer.

1

Unit 7

1 Suggested Answers

1

The respiratory system delivers oxygen to the
lungs through the bronchial tubes and removes
toxic carbon dioxide.
2 Common problems include asthma and lung
cancer often caused by smoking.
B

2 B

3 D

3 1 F
2 D

3 A
4 G

5 C
6 E

2

4 1 respiratory system
2 carbon dioxide

7 B

2 T

7 1 questions
2 smoking

2 T

3 F

3 1 stomach
2 esophagus
3 large intestine

4 diarrhea
5 small intestine

3 colonoscopy
4 appendicitis

5 colon

5 A colonoscopy should be performed to rule out
damage to the colon.

3 asthma

C

2 A

2 stomach

3 ulcer
4 appendicitis

5 co!onoscopy
6 intestine

8 Suggested Answer

A: Are you feeling any better Sally?
B: The same. I still have the stomach pain as before.

3 F
3 lung cancer
4 asthma

6

7 1 feeling

There are various conditions which can be attributed
to smoking including emphysema, which destroys the
alveoli and lung cancer.

F

F

4 1 cramping
2 ulcer

5 Suggested Answer

6

2

A: I'm sorry to hear that.

5 lungs
6 think about

8 Suggested Answer

A: Hi, Mrs. Smith. I have a few questions before the
doctor sees you. Are you still smoking?
B: Yes, but not very much.
A: Still, you need to quit. You understand the risks
don't you?
B: Of course. I know it causes lung cancer and
emphysema.
A: Yes. Plus, people around you are at risk of
developing asthma.
B: I know. And I don't want my kids getting it. But
quitting is really hard.

B: Does the doctor know what's wrong yet?
A: Well, he doesn't think its an ulcer. He believes you

might have appendicitis though.
B: Really? Isn't that really serious?
A: It can be but its unlikely in your case. He's also
recommending a colonoscopy to make sure
there's nothing wrong with your colon or
intestines. Is that okay with you?
B: Yes. I'm willing to do whatever it takes.
8 Suggested Answer
Pati ent name: Sally
Reason for visit: The patient is experiencing stomach
pains
Answer Key

7


Book 1 Answer

Key

Examination notes: After examining the patient I find
that it is a possible case of appendicitis
Recommendations for treatment: I am ordering a
colonoscopy

Unit 10

1 Suggested Answers
1 Common symptoms of cold and flu include:
sneezing, runny nose, cough, temperature and

feeling cold all the time.
2 It is important to recognize symptoms early
because doing so might help prevent patients
getting worse. It is also a good indicator if
something else is wrong, which is perhaps more
serious.

Unit 9

1 Suggested Answers
1 During physical assessments nurses look for
abnormalities on the skin and body, they check
for pain in the abdomen and check the patients
pulse.
2 It is hard to find any asymptomatic diseases and
so nurses often also order blood tests.
B

2 B

3 D

3 1 F
2 B

3 A
4 C

5 D
6 E

4

2 C

3 A

2

B

B

2 B

3 D

3 1 B
2 E

3 F
4 A

5 C

2

4 1 cough

2 moderate

4 B

6

F

2 F

7 1 alright

2 good thing
3 consent

3 T
4. demographic
5 stomach
6 below

8 Suggested Answer
A: Good morning, Mr. Richards. How are you feeling
today?
B: I'm alright. But there's a dull ache in my side.
A: Okay. Good thing you're getting a physical exam
then. Do I have your consent?
B: Sure.
A: First, let me finish the demographic data. What's
your age?
B: I'm 40 years old.
A: Great. Next up is palpation of the area. I'm going
to touch your stomach and side. Just tell me

when it hurts.
B: Okay. Yeah, it hurts right there. Right below my
ribs.
9 Suggested Answer
Physical Assessment form
Patient Name: Mr. Richards
Patient Age: 43
Patient Complaint: dull ache in his side

8

Answer Key

3 stuffy
4 fatigue

5 Suggested Answer
It is difficult to distinguish between a cold and the flu
because the symptoms of both are similar.

5 Suggested Answer
A physical examination would not be conducted
when the patient does not give their consent.

6 D

T

6
7 1

2 F

sore throat

2 coughing

3 F
3 stuffy nose
4 headache

5 aches
6 fever

8 Suggested Answer

A: Good morning Henry. Sorry you're not feeling well.
What are your symptoms?
B: Well, I've got a stuffy nose and I keep coughing.
A: Any sneezing? Or a soar throat?
B: No, not yet. I do have a headache.
A: Are you feeling tired? Any aches or pains?
B: Yeah, I'm really tired. And I feel hot.
A: That's likely a fever. Henry, it sounds like you may
have the flu.
B: Oh, really? I was hoping it was just a cold.
9 Suggested Answer
Patient Report
Patient Name: Henry
Symptoms: aches and pains, headache, stuffy throat,

coughing
Diagnosis: Patient most likely has the flu.
Unit 11

1 Suggested Answers
1 Some of the ways to deal with pain are taking
medication and applying an ice pack.
2 Nurses need to understand people's pain because
it indicates what is wrong.


Book
2

A

2 A

3 1 unbearable
2 shooting

4 1 constant
2 excruciating

2

3 B

2 T

Medication, Dose, Times

3 burning

5 intermittent

Frank Cline

sedative (25mg) at 9 pm

6 sharp

Ted Hurst

3 distress

antihistamines (250mg) at 10 am and
2 pm

5 impact
Jack Singer antidepressant (1l5mg) daily at 9 am

4 intensity

An occasionally stabbing pain might also be
described as an intermittent sharp pain.
F

Name

4 throbbing

5 Suggested Answer

6

Answer Key

3

A

2 D

3 B

4 E

5 C

4

B

2

3 B

4 B

5 A

A

5 Suggested Answer

3 F

Ed Parson has a problem with his bowel moveme ~ .
7 1 pain
2 bending

3 unbearable
4 start

5 to lift
6 constant

8 Suggested Answer
A: We need to fill out this pain assessment sheet,
okay, Karen? Now where are you feeling pain?
B: In my shoulder. It's worse when strech or lift
something.
A: I see. How much does it hurt?
B: Pretty bad. It can be excruciating.
A: And when did the pain start?
B: When I was doing some gardening yesterday.
A: And is the pain there all the time, or just
sometimes?
B: It comes and goes.

9 Suggested Answer
Patient Name: Karen
Describe the location of the pain: in the shoulder
What causes or increases the pain? stretching or
lifting something

Describe the intensity and frequency: excruciating
an intermittent

6

F

2 T

3 T

7 1 patient medication
2 you go

3 it's time 5 s irT' ... a:-:5
4 dose

6

no~

go

8 Suggested Answer
A: Hi, Marcus. Do you have the patient meC ICal c~
list?
B: Yeah. Here you go.
A: Thanks. Looks like it's time to give Ms Neil her
medication.
B: Erica Neil? But it's only l am.
A: Exactly. It says he needs her first dose of
antibiotics.
B: But Ms Neil is on anti-inflammatories. Kate Ford
receives antibiotics.
A: Uh oh. There must be a mix-up on the list.
B: That's not good. Let's change that immediately.

9 Suggested Answer
NP Name: Marcus
Erica Neil: anti-inflammatory (125mg) twice daily Bam
and 4 pm.

Unit 12
1 Suggested Answers
1

Some common medications that people take are
antihistamines, anti-inflammatories, painkillers, and
antibiotics
2 The benefits of medication are that they combat
the symptoms of the illness and decrease
discomfort. The disadvantages of medication are
that often it does not deal with the root cause of

the problem.

Kate Ford: antibiotics (200mg) daily lam.
Unit 13

1 Suggested Answers
1

The skills that a licensed practical nurse needs
are to know how to administer injections and
vaccines, and to organize electronic health
records.
2 A licensed practical nurse's most important
responsibility is to provide patients with the
correct care.

2 1 A

2 B

3 A

Answer Key

9


Book
3 1 F
2

B

3

D

4 C

4 1 certified
2 re-order

5 A
6 E

Answer Key
7 G

3 bedside
4 accredited

5 Suggested Answer
The responsibilities of a LPN are to ensure smooth
and efficient patient flow, to help doctors and provide
bedside care to patients, collect and deliver samples
for labs and complete administrative tasks, including
completing re-orders of supplies.

6

F

2

T

7 1 license
2 experience
3 working

3 F
4 responsibility
5 bedside care
6 problems

3 1 D
2 E

3 B
4 C

5 A
6 F

4 1 demand

3 shortage

2 licensure exam

5 factor

4 licensed

5 Suggested Answer
It is necessary that the nurse first obtain an associate
degree or bachelor's degree, others complete a
hospital based diploma program.

6

F

7 1

2 F

3 T

shortage

4 licensure exam

2 overworked

5 patients

3 licensed

6 diploma program

8 Suggested Answer

A: The newspaper article makes the nursing shortage
8 Suggested Answer

A: So, why do you want to be an LPC here at Mercy
Heart?
B: Well, Mercy Heart has a great staff and better
working hours.
A: I see. You do have a license correct?
B: I do. And several years of experience.
A: Oh, that's right. You're working at University
Hospital now?
B: Yes. But they are reducing everyone's hours.
A: I understand. So, what do you think the most
important LPN responsibility is?
B: Definitely bedside care. That's how you catch
small problems before they become big ones.

9 Suggested Answer
MERCY HEART HOSPITAL INTERVIEW NOTES
Applicant: John Smith
licensed: Yes
Employed: Yes at University Hospital
Most important responsibility: bedside care

sound really bad.
B: Well, we certainly need some help here.
A: That's true, our nurses are doing a lot of overtime.

B: I know. But there just aren't enough licensed
nurses for each shift.
A: I say we make the licensure exam easier to pass.
B: But the exam makes sure nurses are ready to
work with patients.
A: I suppose. What do you think the best solution is?
B: Why don't we start a diploma program right here
in our own hospital?

9 Suggested Answer
lONGMAN HOSPITAL
Dr. Jones,
We have a serious shortage of registered nurses at
our hospital. That means that our nurses are doing
too much overtime and are overworked, this could
lead to them making errors. I suggest that we begin
a diploma program here in the hospital.
Sincerely,
Nurse Leslie

Unit 14

1 Suggested Answers
1

The challenges of being a registered nurse
involve getting the required qualifications, the
trouble is the degree programs are rare and
licensure exams are difficult to pass.
2 The steps to becoming a registered nurse involve

studying to get an advanced degree and
becoming board certified.

2 1 B

10

Answer Key

2 C

3 D

Unit 15

1 Suggested Answers
1

Nurse practitioners perform a variety of tasks.
They conduct physical exams and diagnose
illnesses. They also prescribe treatment and
provide immunizations for children and often they
also provide counseling services.
2 Nurse practitioners must hold advanced degrees
and be board certified.


Book 1 Answer
2

F

2 T

3 F

3

D

2 A

3 C

4 1 diagnose
2 physical exam
3 prescribe

4 B

Key

5 E

4 counseling
5 nurse practitioner

5 Suggested Answer
A patient can avoid a long wait at the GP surgery by
making an appointment to see a Nurse Practitioner

instead of the Doctor.

6

C

2 A

7 1 an interview
2 services
3 physical exams

4 car accident
5 therapy
6 diagnose

8 Suggested Answer

A: Thanks for agreeing to an interview. I know you
nurse practitioners get busy.
B: It's my pleasure.
A: So what kind of services do you provide?
B: Well, I conduct physical exams and diagnose
illnesses. I also perform immunizations for children
and offer counseling.
A: What patients do you have today?
B: My next patient has a sporting injury. I'm giving him
physical therapy.
A: Are there any limits to the care you provide?
B: Well, I don't perform surgery and I don't prescribe

medication.
9 Suggested Answer
Article about NPs
Services Provided:
Conducts physical exams
Performs immunizations for children
Offers counseling
Limits to care:
Does not perform surgery.
Does not prescribe medication.

Answer Key

11


Audioscripts
Unit 1
Nurse (M): Excuse me, Dr. Beverly? Hi. I'm Mark. I'm a
new nurse here.
Obstetrician (F): Hey, Mark. What can I do for you?
Nurse: I have these x-rays for Dr. Cho's patient. He wants
Dr. Fabrizzio to take a look at them.
Obstetrician: The radiologist? He's on the first floor
somewhere.
Nurse: Do you happen to know the actual room number?
Obstetrician: No, but the receptionist in the lobby will.
Nurse: Okay. This hospital is so confusing!
Obstetrician: I know the feeling. You'll get used to it.

Unit 2
Patient (M): Excuse me, nurse? This is the cardiology
department, isn't it?
Nurse (F): Well, usually it is. But the hospital is under
construction right now, so some departments are in
different places.
Patient: Oh. So where can I find cardiology?
Nurse: It's in the basement now. Across from radiology
and pathology.
Patient: Oh, good. I don't want to miss my appointment
with my cardiologist.
Nurse: Do you need directions to get there?
Patient: I think so.
Nurse: Take the elevator down to the basement level.
Cardiology is to the right.
Unit 3
Nurse 1 (M): Becky, can you help me with something?
Nurse 2 (F): Sure! I know how hard it is to find things on
your first day.
Nurse 1: Room 415 needs some clean gowns. Where are
those?
Nurse 2: In the first floor closet.
Nurse 1: Great. Also, where can I refill an oxygen tank?
Nurse 2: Don't refill them. Just get a replacement tank on
the second floor. Anything else?
Nurse 1: Yeah. The sharps container is full. Should I dispose
of it?
Nurse 2: Definitely. And get a new one from room 102.

Unit4

Nurse (F): Hi, Mr. Reynolds. What seems to be wrong?
Patient (M): I fell down the stairs. My leg really hurts.
Nurse: I'm checking for a break. Tell me if it hurts when I
touch your leg.
Patient: Okay ... Owl Right there.
Nurse: Yeah, there's a bump and some swelling. I'm going
to elevate your legs.
Patient: My arm hurts, too. Just above the wrist.

12

Answer Key

Nurse: Yes, there's a bruise forming. Is it too sore to move?
Patient: No, I can move it. But it hurts when I do.

Unit 5
Nurse (F): Thanks for coming to the blood drive Mr Fisher.
Is this your first time donating?
Blood Donor (M): It is. I'm actually a little nervous!
Nurse: Don't worry. It doesn't hurt at all. And I see on your
file that you have Type 0 blood?
Blood Donor: Yes, that's right. Does it matter?
Nurse: Actually, it's great news. You're a universal donor.
Blood Donor: So my blood is compatible with everyone?
Nurse: Exactly. Type A, B, AB - it doesn't matter. But
unfortunately, you can receive only your own blood
type.
Blood Donor: Well, hopefully I'll never need to!

Unit 6
Nurse (F): Good afternoon, Fred. I have your test results
back.
Patient (M): What do they say?
Nurse: Well, we're detecting an arrhythmia.
Patient: Oh. What exactly does that mean?
Nurse: It means that your heart valves aren't pumpihg
blood through the atria properly.
Patient: Is there any treatment for this?
Nurse: Yes. We're going to start you on medication and
see how it goes. Luckily, this form of arrhythmia isn't
too serious.
Patient: Well, that's comforting to hear.

Unit 7
Nurse (M): Hi Mrs. Blake. I have a few questions before
the doctor sees you. Are you still smoking?
Patient (F): Yes, but not very much.
Nurse: Still, you need to quit. You understand the risks,
don't you?
Patient: Of course. I know it causes lung cancer.
Nurse: Yes. Plus, people around you are at risk of
developing asthma.
Patient: I know. And I don't want my kids getting it. But
quitting is really hard.
Nurse: It also helps heal the damage to your lungs and
bronchial tubes.
Patient: Well, I'll think about it.

UnitS

Nurse (M): How are you feeling, Virginia?
Patient (F): The same. I still have the stomach pain as
before.
Nurse: I'm sorry to hear that.


Audioscripts
Patient: Does the doctor know what's wrong yet?
Nurse: Well, he doesn't think it's an ulcer. He believes you

Nurse 1: Thanks. Looks like it's time to get Mr. Hurst his

might have appendicitis, though.
Patient: Really? Isn't that deadly sometimes?
Nurse: Very rarely. He's also recommending a colonoscopy
to make sure there's nothing wrong with your colon or
intestine. Is that okay with you?
Patient: Yes. I'm willing to do whatever it takes.

Nurse 2: Ted Hurst? But it's only 10 am.
Nurse 1: Exactly. It says he needs his first dose of

medication.

antihistamines.

Nurse 2: But Mr. Hurst receives stimulants. Tim Hunt
needs the antihistamines.

Nurse 1: Uh oh. There must be a mix-up on the list.

Nurse 2: That's not good. Let's change that immediately.

Unit 9
Nurse (F): Good morning, Mr. Johnson. How are you
feeling today?

Patient (M): I'm alright. But there's a dull ache in my side.
Nurse: Okay. Good thing you're getting a physical exam
then. Do I have your consent?

Patient: Sure.
Nurse: First, let me finish the demographic data. What's
your age?

Patient: I'm 62 years old.
Nurse: Great. Next up is palpation of the abdomen. I'm
going to touch your stomach. Just tell me when it hurts.

Patient: Okay. Yeah, it hurts there. Right below my ribs.

Unit 10
Nurse (F): Good morning, Mr. Thompson. Sorry you're not
feeling well. What are your symptoms?
Patient (M): Well, I've got a sore throat and I keep coughing.
Nurse: Any sneezing? Or a stuffy nose?
Patient: No, not yet at least. I do have a headache.
Nurse: Are you feeling tired? Any aches or pains?
Patient: Yeah, I'm exhausted. And I feel really hot.
Nurse: That's likely a fever. Mr. Thompson, it sounds like
you may have the flu.

Patient: Oh, really? I was hoping it was just a cold.

Unit 13
Interviewer (F): So, why do you want to be an LPN here
at Mercy Heart?

Nurse (M): Well, Mercy Heart has a great staff and better
working hours.

Interviewer: I see. You do have a license, correct?
Nurse: I do. And several years of experience.
Interviewer: Oh, that's right. You're working at Univers "
Hospital now?

Nurse: Yes. But they're reducing everyone's hours.
Interviewer: I understand. So, what do you think e

'T)05:

important LPN responsibility is?
Nurse: Definitely bedside care. That's how you catc"!
small problems before they become big ones.

Unit 14
Nurse 1 (M): This newspaper article makes the nursing
shortage sound pretty bad.

Nurse 2 (F): Well, we certainly need some help here.
Nurse 1: That's true. Our nurses are really overworked.
Nurse 2: I know. But there just aren't enough licensed

nurses for each shift.

Nurse 1: I say we make the licensure exam easier to pass.
Nurse 2: But the exam makes sure nurses are ready to
work with patients.

Unit 11
Nurse (F): We need to fill out this pain assessment sheet,
okay, Brad? Now, where are you feeling pain?
Patient (M): In my back, just below my shoulders. It's
worse when I'm bending over or lifting something.
Nurse: I see. How much does it hurt?
Patient: Pretty bad. It's almost unbearable.
Nurse: And when did the pain start?
Patient: After I tried to lift a heavy box yesterday.
Nurse: And is the pain there all the time, or just sometimes?
Patient: It's pretty much constant.

Unit 12
Nurse 1 (M): Hi, Ellen. Do you have the patient medication
list?

Nurse 1: I suppose. What do you think the best solution is?
Nurse 2: Why don't we start a diploma program right here
in our own hospital?

Unit lS
Interviewer (M): Thanks for agreeing to an interview. I
know you nurse practitioners get busy.

NP (F): It's my pleasure.
Interviewer: So, what kind of services do you provide?
NP: Lots. I conduct physical exams and perform
immunizations for children. I also offer counseling.

Interviewer: What patients do you have today?
NP: My next patient has an injury from a car accident. I'm
giving him physical therapy.

Interviewer: Are there any limits to the care you provide?
NP: Well, I don't perform surgery. But I do diaglilose illnesses.

Nurse 2 (F): Yeah. Here you go.
Answer Key

13


Book 2 Answer Key
Unit 1
1

B: I know. But I get tired so easily.

.

A: Changing your diet will help with that. Add some

1 Suggested Answers
1 Our eating habits dramatically affect our lives.

Medical experts tell us that a healthy diet is key to
our long-term health and wellbeing. A balanced diet
which contains many fruits and vegetables, proteins
and carbohydrates gives us the energy our body
needs. On the other hand, a bad diet is based
mainly on foods with a high fat and sugar content.
These types of foods give us an instant energy
boost but do not provide us with any of the
nutrients that we need. Because of this, in the longterm, an unhealthy diet can destroy our health and
make us tired and over-weight.
2 Nurses can help their patients to get proper nutrition
by spending time advising them on how they can
improve on their current eating habits. Most people
don't know what to eat and how important it is to
eat at regular times of the day. Nurses can also
explain to their patients the risks of a bad diet in
the long-term, and how without changes, a poor
diet can lead to diabetes and even heart disease.

2

T

2 T

B:

A:

B:

A:
A:

proteins and B vitamins. Your muscles will recover
faster.
Oh, thanks. Are there certain foods that I should
eat more of?
Well, poultry has both. But you'll also need to cut
out the bad stuff. You also need to add a lot more
fruits and vegetables to every meal. A good tip is
to make sure that you have a good breakfast of
cereal with milk or fruits and nuts with yogurt.
Ok, I will try to change my habits but it will be hard.
Well, you have to make these changes if you want
to lose the weight.
Ok, well I will start from today!

9 Suggested Answers
Patient: Mr Roger Feltz
Nurse: Sally
Consume more: Fruits, vegetables, lean meats,
carbohydrates
Consume less/fewer: Sugars, corn syrup, fats
This will: Help the patient to lose weight

3 F

Unit 2

3 1 carbohydrates
2 fat s
3 high fructose corn syrup
4 1 D

2 C

3 E
4 F

5 B
6 A

4 nutrition

5 protein

1 Suggested Answers
1

Proper hygiene is important because without it
infections spread very easily.
2 Nurses can help patients to use proper hygiene
by ensuring that all public areas in the hospital
have been cleaned using disinfectant. Also they
can remind patients and visitors to wash their
hands when they get into the hospital and at
regular intervals, preferably with antimicrobial soap
or gel. Also, nurses need to make sure that all
equipment that they use has been sterilized, and

that they change patients' bandages regularly,
cleaning any cuts or wounds with antibiotic fluid.

6 obesity

7 G

5 Suggested Answer
The flyer tells us that carbohydrates and fats should
not be eaten in excess, as well as high fructose corn
syrup, which studies have found to link to obesity in
many cases.

6

C

2 C

7 1 checkup
2 obesity
3 out of hand

4 protein
5 cut out
6 lose this weight

8 Suggested Answer
A: John, before we finish your checkup, there's
something we should discuss.

B: What's that?
A: Your weight gain. You understand that there are
risks of obesity, don't you?
B: I do, yeah. I know my weight is getting out of hand.
A: You need to change your diet drastically and
exercise more.

14

Answer Key

2

F

2 F

3 T

3 1 B

3 A

5 C

2 D

4 F

6 E

B

2 B

3 A

4

7 G

5 Suggested Answer
Antimicrobial soap makes hand washing more effective.

6

B

2 A

7 1 going around at work

2 headache
3 virus

4 wash your hands

5 antimicrobial
6 disinfectant

==

Book
8 Suggested Answer

A: How is it going today, Andrew?
B: Actually I think I'm sick. Some type of virus has
been going around.

A: Really, well how are you feeling?
B: I have been sweating a lot and have a fever. My
A:

B:
A:

B:
A:
B:

A:

B:

stomach has also been cramping.
It sounds like you do have a virus. Is anyone else
in your family sick?
No, not yet, and I don't want them to get sick
either.

Of course not. The best thing you can do is make
sure you wash your hands often.
Oh, of course.
Oh and if you are not using antimicrobial soap, it'll
be worth buying some.
I will pick some up from the pharmacy on my way
home. It is still ok for me to cook for my family,
right?
Well, be careful. Definitely use a good disinfectant
before and after you're in the kitchen.
I don't have any of that so I guess I will need to
pick some of that up too!

9 Suggested Answers
Patient: Andrew Jones
Nurse: Lucy
Patient Complaint: Sweating, fever, stomach cramps
Condition! Diagnosis: He has a virus
Recommendations: Antimicrobial soap for the hands
and disinfectant around the house to avoid virus
spreading to other members of the family.

4 1 prescription
2 tablets
3 route of administration

2

F

3 1
2
3
4

5 expiration date
oral administration
6 crosscheck
dosage
7 countersign
side effects
intramuscular administration

2 F

3 T

2 0

6

A

7 1
2
3
4

double check
crosscheck

identification bracelet
dosage

5 expire
6 side effects
7 surprised

8 Suggested Answer

A: Hey Jon. How's your first day going so far?

B: Pretty good actually. Did you still want to double
check my work?

A: I should. I see that the Head Nurse has already
put her signature to your completed tasks.

B: Yes, I made sure that I cross checked the

A:

B:
A:
B:
A:

B:

1 Firstly, the nurse needs to ensure that the patient's
records are up-to-date. That the medication which

has been prescribed by the doctor has been
recently checked. Next, they need to carefully
examine the dosage recommended; giving too
much or too little medication can be dangerous.
Also, the nurse needs to be extra careful to check
the name of the patient and that the medication
is being given to the right person.
2 It is important to double check the doctor's orders
to avoid any errors.

4 shots
5 identification
bracelet

5 A time check is important to avoid accidental overdose.

Unit 3
1 Suggested Answers

Answer Key

A:

B:

information I had with her because heparin is a
high risk medicine.
Excellent. Now did you chec k the Da~ i e :·s
identification bracelet?
Of course.

Good. How about the dosage, are you sure you
have the right one?
Yeah, the dosage is 20 units and I have checked
the date, it doesn't expire until next year.
Great, now let's talk about the tasks that cannot be
left incomplete. Do these before you have finished
with this patient's medication. It is important that you
follow these procedures exactly.
Ok, I will be sure to do that, now that I know how
important it is.
That's good to hear. Don't forget to give patients all
the information they need, you need to tell them
about the side effects medication can have too.
Ok, I will.

8 Suggested Answers
Nurse being evaluated: Jon
Did nurse:
Crosscheck with Head Nurse YIN: Y
Confirm medication expiration Y!N: Y
Notes: Jon understands the importance of following
procedures exactly.
Rating: Excellent.

Unit 4
1 Suggested Answers

1 When admitting patients hospitals need to know
their medical history, family history, psychosocial
history, allergies, next of kin and insurance details.

Answer Key

15


Book 2 Answer

Key

2 Nurses help doctors learn about their patients by
having patients fill out an admission form and by
asking them questions.

2 A change in vital signs could signify that a patient's
condition has improved or gotten worse.
B

2 C

3 0

3 1 G
2 C

3 0
4 B

5 F
6 E

2
2

C

2 0

3 C

3

B

2 A

3 B

4 1 Over-the-counter
2 insurance
3 family history

4 A

5 A

4 chief complaint
5 psychosocial history
6 admit

5 The patient should not be given penicillin.

6

F

2 F

3 T

7 1 in a while
2 stomach pain
3 fever

4 temperature
5 medical history
6 allergies

8 Suggested Answer
A: Good afternoon, Steve. How are you feeling?
B: Not very well.
A: I'm sorry to hear that. We need to fill out this patient
information form before we treat you, though, okay?
B: Okay. That's fine.
A: All right. First, tell me a little more about how
you're feeling.
B: Well, I have stomach pain and have had diarrhea
all day.
A: I see. Do you have a fever?
B: No, I don't.
A: That's good. Next I need some information about
your medical history. Any major procedures in

your past?
B: Yes. I had my appendix out when I was ten. I also
broke both my arms when I was 15.
A: Okay. Do you have any allergies to medication?
B: Yes. I'm allergic to penicillin.
9 Suggested Answers
Patient Name: Steve Smith
Date of Birth: 03/09
Marital Status: Single
Chief Complaint: Stomach pain and diarrhea
Medical History: Patient had appendix removed when

he was ten and broke both arms when he was 15.
Allergies: Penicillin.

Unit 5
1 Suggested Answers

1 By monitoring vital signs doctors and nurses can
see fhen there is a change in their patient's
condition and can act accordingly.

16

Answer Key

4 1 beats per minute
2 aneroid monitor
3 vital signs

7 A

4 thermometers
5 respiration

5 Hanna Monroe has normal blood pressure.
6

F

7 1
2
3
4

condition check
apnea
respirator
fever

2 F

3 T

5 blood pressure
6 treatment
7 going home soon

8 Suggested Answer

A: Simone, I need you to fill out a condition check
for Mr. Burns in Room 441B.
B: Don't worry about it, Fred. I already did that.
A: Oh! Great. How are things going for him?
B: Not so good actually. His temperature is rising and
he's still displaying bouts of apnea.
A: Hmm. If that keeps up, we're going to have to do
something.
B: Don't worry. I left a note for Dr. May suggesting a
respirator, but he won't see it until tomorrow. But
the other patient in the room is doing well.
A: Oh, Ms Monroe? I'm glad to hear that. She was in
pretty bad shape yesterday.
B: Yeah, she had a fever of 103 when she came in
but it's reduced to 100 or so.
'
A: That's great news. And her blood pressure?
B: It's stabilized in the last few hours. She's responding
really well to her treatment.
A: Fantastic. It sounds like she'll be going home soon.
B: I just wish I could say the same for Mr. Burns.
9 Suggested Answers
PATIENT CONDITION CHECK
Patient: Mr. George Burns
ID Number: 9835
Sex: Male
Room: 441B
Primary Physician: Dr. James May
Attending Nurse: Simone Perry
Exam Performed By: Simone Perry

Patient Condition: Serious
Patient Vital Signs: Body Temperature: 103 degrees

Fahreneit


Book 2 Answer Key
A: VVell, it's blistering, and that's a good sign. It means

Blood Pressure: 135 systolic / 96 diastolic
Heart Rate: 124 beats per minute (resting rate)
Respiration: Frequently exhibiting apnea
Notes: Patient may need assistance of respirator.

it's probably not a third degree burn.
B: Oh, that's good news. It still really hurts though.
A: Of course. I will get you an icepack and some
cream to put on it. It should cool your skin down.
B: Thanks, I also cut my arm as we were trying to put
the fire out.
A: Okay, we just need to sterilize it and get a bandage
over it.
B: All right. Thank you very much.

Unit 6
1 Suggested Answers

1 In the case of an emergency it is very important to
take the following steps. Firstly, you must check that
the injured person is responsive, ask them basic

questions like their name, age, and where they were
born. Their responses will indicate whether they are
alert or if they have suffered a serious accident. If
the person is not responsive, check their breathing
and their pulse. If you cannot tell whether they are
breathing and you cannot find a pulse, you must
perform CPR (cardiopulmonary resuscitation).
2 Nurses see all kinds of injuries in emergency
rooms and need to be prepared. Most often
patients are brought into the emergency room
because they have suffered a heart attack or
have been involved in a car accident.

9 Suggested Answers
Emergency room patient notes
Nurse: Martin
Patient: Mrs O'Sullivan
Injury: Burns
How injury occurred: At work
Treatment administered: Icepack and cream to
the skin down.

COO l

Unit 7
1 Suggested Answers

1 Nurses treat wounds by regularly disinfec
2

B

2 B

9 ne
effected area, firstly with a gentle soap and :vater
and often with saline solution, which is better on
tender skin. It is important that the wound does not
get infected. A bit of antiseptic ointment is then
gently brushed onto the wound. Then the nurse
needs to dress the wound using gauze or bandages.
2 The consequence of poor wound care is that the
area can get contaminated because it has not been
cleaned properly, this can lead to a serious infection,
which can lead to more serious conditions.

3 B

3 1 Rescue breathing, Chest compressions
2 shock, blisters
3 third-degree burns, responsiveness
4 1 B

3 A

5 F

2 C

4 E

6 D

5 Suggested Answer
Someone who is in shock should have their feet
elevated and be covered with a blanket. Once this
has been done it is important to alert a medical
professional to their situation.

6

F

2 F

7 1 accident

2 injured
3 burned

3 T

2

T

2 F

3 T

3

A

2 A

3 B

4 A

4 1 F
2 C

3 B
4 A

5 G
6 D

8 E

5 B

7 H

4 third-degree burn

5 put on it

5 Dehydrated skin can be described as desiccation.

6 sterilize

6

A

2 C

8 Suggested Answer

A: Hello, ma'am. Don't worry, everything's going to be
okay. VVhat happened?
B: There was an accident at work. A car caught fire
behind me.
A: Okay, where are you injured?
B: My leg hurts pretty badly. I think it's burned.
A: I can see, it doesn't look that serious though and
I don't think it will leave a big scar.
B: Really? How can you tell?

7 1 wound
2 a bit worse

3 soft

4 maceration

5 moist
6 head nurse

8 Suggested Answer

A: How are you feeling this morning, Tom?
B: Oh, not too bad. My leg still hurts a bit, but the
morphine is helping.
Answer Key

17


Book 2 Answer

Key

A: That's good. I need to check your wound again,
B:

A:
B:

A:
B:

A:

B:

A:

B:

okay?
All right. Go ahead.
Hmm. It seems like its getting a bit worse.
Really, what's it iook like?
Your skin is really pale and cracked under the
bandage.
What does that mean?
I think you've got a bit of desiccation from your
skin being too dry. We need to get some cream
or it will not heal.
Yeah, it has been feeling a little dry, but I thought
that was normal.
Unfortunately, it's not. I will go and get the Head
Nurse and see if he agrees with me. I will be right
back with him.
Okay, thanks.

9 Suggested Answers
Patient: Tom
Injury: Leg wound
Condition of injury: A bit of desiccation from skin
being too dry.
Treatment: Moisturize it
Unit 8
Suggested Answers
Doctors test people for all sorts of health problems.
For example, a doctor will order a general blood
test, which will highlight any particular deficiencies

or abnormalities in the function of the main organs
of the body.
2 Doctors perform sight tests, hearing tests, and
reflex tests on their patients to get a general
overview of their health.

1

2 1 decrease
2 renal
3 urinalysis

3 1 C
4

4 urine
5 blood
6 CKD

7 BUN test

2 A

3 D
4 E

5 B
6 F

7 H

8 G

B

2 B

3 A

4 A

5 Suggested Answer
The patient's lack of energy and lack of appetite
indicate a problem with renal function.

6 1 F

2 F

3 T

7 1 kidney test results
2 GFR
3 pretty good
8 Suggested Answer

A: Good morning, Mr. Grant I have your kidney test
results back.
B: Great. Well what do the results say?
A: Well, according to the GFR test, your GFR level is
69.

B: Is that bad?
A: It's a little below the normal range. But it is still a
pretty good rating.
B: I guess that that's good news, right?
A: It is. But according to the BUN test, your BUN
level is rather high. But we are still not completely
certain what's causing that.
B: Oh, so what happens next?
A: Well, the doctor has ordered a biopsy. That should
help us out to understand what is going on.

9 Suggested Answers
Kidney Test Results
Patient Name: Mr. Grant
GFR Results: GFR level 69
BUN Results: Quite high
Further Testing Needed: YES
Next Procedure: Biopsy ordered
DatelTime of Procedure: Thursday 12th/ 3 pm

Unit9
1 Suggested Answers
1

Nurses and doctors need to consider whether
there are any risks with discharging a patient.
They must also consider whether the patient is
able to look after themselves enough to get by.
For instance, to wash, get up and down the stairs,
prepare their food and take their medication, also

to clean and disinfect their own wounds if
necessary. A nurse or doctor may also consider
what help the patient will have available to them.
For example, whether a nurse should visit them at
home to see how they are getting on, or if
relatives or friends living with them can make sure
that everything is getting done properly.
2 Doctors and nurses must plan discharges
carefully, so that the patient has everything they
need. They should have all their medication as
well as information about their recovery and what
to be careful of
2 1

18

Answer Key

4 good to hear
5 rather high
6 figure out

F

2 T

3 T


Book 2 Answer Key

3 1 C
2 F

3 A
4 E

5 D
6 B

4 1 physical therapy
2 nebulizer

to the hospital. Also, a maternity nurse can show
their patients how to care for their baby properly
in the first few days.

3 coverage
4 follow-up

5 Suggested Answer
The patient will have a follow-up visit with his primary
care doctor in 2 weeks time.

6

B

2

A

7 1 looking forward
2 discharge

3 home

C

2 B

3 D

3 1 E
2 B

3 F
4 G

5 A
6 C

7 D

4

2 B

3 A

4 B

A

5 In the final stages of pregnancy women should count
4 coverage
5 hospital aids
6 look out for that

8 Suggested Answer

A: Hi Josh. How are you feeling today?
B: Much better and I am looking forward to going
home.
A: That's good to hear! I just need to discuss some
details of the discharge process with you.
B: Sure.
A: We're sending you home with a nebulizer. Do you
know how to use it?
B: No, is it difficult?
A: No not at all. I can show you how to work it, its
easy. Now, we need to discuss your coverage.
B: I am sure that my health insurance covers
everything.
A: Well almost. It only covers 60 per cent of hospital
aids. You will get a bill for the remaining amount.
I expect it will be sent by mail.
B: Okay, I will look out for that.

9 Suggested Answers
Patient Name: Josh

Aids patient will receive to take home: A nebulizer
Coverage for hospital visit: 100%
Coverage for hospital aids: 60 %
Transportation details: Patient's daughter will pick
patient up at 3:00 at the west wing entrance.
Unit 10

1 Suggested Answers
1

2

Some signs of pregnancy include: missed periods,
backache, fatigue, frequent urination and nausea
(morning sickness). Some signs of labor include:
lightening, water breaks, consistent contractions.
2 A maternity nurse can help a pregnant woman
prepare for labor by explaining the stages of labor,
so that the expectant mother can recognize when
she has gone into labor and when she should go

their contractions.

6

F

2 F

3 T

7 1 can I help
2 contractions
3 water broke

4 frequent
5 not actually in labor
6 OB Triage

8 Suggested Answer
A: OB Triage unit. How can I help you?
B: Hi, this is Trudy Richards. I'm experienc '19 s
e
contractions. I think I might be in labor.
A: Okay, stay calm. Have you noticed an increase in
discharge or any bloody show?
B: No, I haven't.
A: Do you know if your water has already broken?
B: No, definitely not.
A: Alright. Are the contractions becoming more
frequent?
B: Not really. They're all about thirty minutes apart.
A: Well, it sounds like you are not actually going into
labor. The contractions you feel are Braxton-Hicks
contractions.
B: Oh, so should I come to the hospital now?
A: Not just yet. Continue the fetal movement counts. If
the contractions increase in strength and frequency
make sure you come to the OB Triage unit.

9 Suggested Answers
OB Triage Records
Caller name: Trudy Richards
Problem: Experiencing contractions
Signs: Bloody show? N
Water broke? N
More frequent contractions? N
Advice given: Continue fetal counts, if they increase
in strength and frequency, she should come to the unit.
Unit 11

1 Suggested Answers
1 There are certain illnesses which tend to affect
children more often than adults. These include:
Answer Key

19


b

Book 2 Answer

Key

chickenpox, childhood eczema, measles, heat
rash and scarlet fever.
2 It is more difficult to treat a child than older
patients because they cannot explain to you what
is wrong.

2

B

2 B

3 D

3 1 D

3 A

5 C

7 B

2 G

4 F

6 E

8 H

4 1 jaundice
2 bili light

Unit 12
1 Suggested Answers

1

It is vital that operating rooms are very clean so
that the patient does not get infected during the
surgical procedure.
2 Nurses contribute to surgical procedures by
helping with the preparation of the operating
room. They make sure all the surgical equipment
such as scalpels and forceps have been sterilized.
They also ensure that there are all the necessary
items available, such as towels, sponges and
medications, and that they have been put in place
for the operation. They assist the surgeons in
scrubbing their hands and getting their gowns on.
Finally, they pass tools to the surgeons during
operations.

3 erythema toxicum
4 sore

5 Suggested Answer
If your 10 day old baby has bumpy rash, you should
schedule a doctor's visit.

6

F

2. F

2

3 T

7 1 something wrong
2 jaundice
3 abdomen

4 hard to tell
5 a bit yellow
6 why don't you

8 Suggested Answer

A: Thompson Pediatrics, Maureen speaking.
B: Hi this is Alan Rhodes. My son Philip is a new
patient at the practice.
A:. Is something wrong Mr. Rhodes?
B: Well, I think Philip might have jaundice. His skin
looks yellowish.
A: How old is he?
B: He was born a week ago.
A: Well, try not to worry. Many newborns get jaundice
and most cases are mild. Tell me is his abdomen
yellow?
B: It's difficult to say. His skin is yellow all over.
A: Okay, can you check his eyes? If they are yellow
it might be a serious case.
B: Actually yes, his eyes are a bit yellow.
A: Hmm. To be on the safe side, why don't you bring

him in?
B: We'll bring him in right away, thanks.

9 Suggested Answers
Patient: Phi lip
Nurse Answering Call: Maureen
Caller's Concern: Baby son is yellow all over
Condition! Symptoms: Eyes a bit yellow, abdomen
yellow
Recommended action: bring the baby in to see the
doctor

20

Answer Key

F

2 T

3 F

3 1 A
2 H

3 F

5 D
6 C

4 G

4 1 sanitize
2 sponge

7 E

8 B

3 surgical procedure
4 scissors

5 Suggested Answer
After each surgery, the patient should be transported
to the post-operative unit. The operating room and
all the equipment used should then be cleaned and
sanitized.

6

B

2 A

7 1 surgery
2 sterilized

3 operation
4 scalpels

5 Here's what
6 please sanitize

8 Suggested Answer

A: Excuse me, Dr Parker? Do you have a minute?
B: Of course. How can I help?
A: Well we have a surgery scheduled in operating
room 2C at noon. That's ten minutes from now.
B: Correct. Is there a problem?
A: Unfortunately, yes. I don't think anyone sterilized
the room after the operation this morning.
B: Are you sure? We can't perform a surgical
procedure in an unclean room, it's unsafe.
A: I am. The instruments from the last operation are
still in there.
B: So there are used forceps and scalpels in there?
A: Exactly. There must have been a miscommunication
between the nursing and cleaning staff.
B: Okay. Here's what we'll do. Operating room 7 hasn't
been used all day. We'll do the surgery there.


Book 2 Answer
A: Ok, I will go and get a sterile set of tools.
B: Thanks. After that, please sanitize room 2C.

Key

8 Suggested Answer

A: Hello, Ms. Smith. Welcome to South Home
Healthcare.

9 Suggested Answers

B: Thanks. I have decided that I need some help

Improper Procedure Report
Reporting Nurse: Jenny
Summary of Incident: The room scheduled to be
used for the operation at noon today had not been
cleaned and sanitized after this morning's operation.
How Incident was Resolved: Another, sanitized
operating room was found .
Can you believe similar incidents can be avoided?
If so, how?
Yes these type of incidents can be avoided, if the
nurses and cleaning staff communicate with each
other more often.

managing my health.

A: That's what we're here for. Let's start with you r
medical care. What services would you need?

B: I have a few different prescriptions for my blood
pressure. And I also take daily insulin shots.

A: Ok, well we can go and get those prescriptions

for you.

B: That'd be great. I can't always get to the
pharmacy.

A: And the shots, would you want those administered?

B: Definitely. I have had trouble measuring the exact
doses lately.

A: That's fine. Are there any mobility difficulties that
we should know about?

Unit 13

B: I feel embarrassed to say it, but I cannot always

1 Suggested Answers

reach things I need, or get to the phone on ime.
yo s:
take care of that?
B: Yes, just fine.

A: How about bathing and groomin g. ca

1

Patients who need assistance at home do so for a
variety of reasons. Mostly it is for patients who have

mobility issues. These patients need assistance with
tasks such as getting their shopping and cooking
done. They may also need someone to go and get
their medications for them and administer it. These
patients may also need someone to assist with their
personal hygiene, as they may not be able to get
in and out of the bath without help.
2 Nurses can help patients with most of the
services they may need to cope with their illness
or injury. However nurses may not be able to help
patients in their homes, if they require certain
equipment that is only available at the hospital.

9 Suggested Answers
New Patient Enrollment Form
Client Name: Ms. Smith
Summary of Medical Needs: Pick up prescriptions
- from pharmacy, administer daily insulin shots
Summary of Household Assistance: Help with some
tasks which mobility issues make difficult
Unit 14

1 Suggested Answers
F

2 T

3 F

3 1 B

3 F

2 E

4 C

5 D
6 G

2

4 1 infusion therapy

1

People prevent diseases from spreading in c ities
by isolating infected people.
2 It is important that nurses educate the public
about hygiene and the importance of washing
their hands as a preventative measure.

7 A

4 appointment

5 grooming

2 advocacy
3 recovery

2

According to the brochure, comfort and happiness
helps patients to become well again.

.I

2 X

7 1 Let's start with
2 get those
3 would you want

3 X

2 C

3 D

3 1 preventative, Infectious
2 outreach, Epidemics

5 Suggested Answer

6

C

4 X

5 .I

4 1
2
3
4

workshop
Communicable
keynote speaker
outbreak

3 CDC, MSN

5 moderate
6 public health nursing
7 Statistics

4 measuring

5 mobility

5 Lamont University holds a public health fair every year.

6 bathing and grooming
Answer Key

21

Book 2 Answer Key
6

F

2 F

2

3 T

7 1 if you have the time
2 isolation
3 communicable diseases

4 public areas
5 few outbreaks
6 educate

8 Suggested Answer

A: Hell, Dr. Halson. I was in your talk on epidemics this
morning.
B: Oh, great. What did you think?
A: It was very interesting. I have a couple of questions
to ask you if you have the time.
B: Of course. Fire away.
A: Well, you said that the most important part of
responding to an epidemic is isolation, correct?

B: Yes. Isolating infected people stops them from
spreading the disease.
A: But people can still spread communicable diseases
before they show symptoms.
B: That's true. It's a definite challenge in stopping
epidemics.
A: So, wouldn't it be better to shut down public areas
where people get sick? Like malls?
B: Actually, few outbreaks spread in those places.
A: Really? So what do you do instead?
B: We educate people about preventative measures,
like hand washing.

9 Suggested Answers
Response to epidemics - Notes
People can still spread communicable diseases before
they show symptoms.
The most important part of responding to an epidemic
is isolation.
It is important to educate people about the importance
of preventative measures, such as hand washing.

Unit 15
1 Suggested Answers
1 There are many benefits to working as a nurse in
a foreign country, these include the excitement of
living in a new country and learning the language
and culture. It is often also an opportunity to learn
from foreign colleagues about different working
methods and to make new friends.

2 There are also difficulties working as a nurse in a
foreign country. The language barrier makes it
difficult to understand things and you need to be a
lot more patient. There may be many administrative
and practical difficulties which make it more difficult
to work in a foreign country.

22

Answer Key

F

2 F

3 1 D
2 A

3 F

5 G

4 E

6 C

3 T

4 1 part-time
2 work visa

3 temporary housing

7 B

4 passport
5 full-time

5 WNN can help nurses find an international placement
because they work with over 500 employers.

6

B

2 D

7 1 sign up
2 see the world
3 qualification

4 passport
5 need a work visa
6 pay the fee

8 Suggested Answer

A: Hello Mrs. Peterson. Thank you for meeting me.
B: It's my pleasure. We are always very happy to sign
up new nurses.
A: Well, where should we start?

B: I've always wanted to travel around the world but
I have never had enough money.
A: That's actually what attracts a lot of people to the
job. Now, if I remember correctly, you meet the
qualification requirements, yes?
B: I do. I have three years of clinical experience.
A: Great. The position requires a lot of international
travel, so we will have to get you a passport.
B: If I get a passport will I still need to get a work visa?
A: Yes you will, but don't worry, we will take care of
all the paperwork for you.
B: That's really helpful. When do I need to pay you
my fee?
A: Not until your placement has been confirmed.
9 Suggested Answers
Worldwide Nursing
Enrollment form
Nurse: Mrs. Peterson
WNN Associate: Yes
Reason for coming to WNN: Always wanted to travel
Meets clinical qualifications: Y
Years experience: 3
Has passport? N
Has work visa? N
Tasks to accomplish before collecting fee: Confirm
the placement


Audioscripts
Unit 1

Nurse (F): John, before we finish your checkup, there's
something we should discuss.
Patient (M): What's that?
Nurse: Your weight gain. You understand the risks of
obesity, don't you?
Patient: I do, yeah. I know my weight is getting out of hand.
Nurse: You need to change your diet drastically and
exercise more.
Patient: I know. But I get tired so easily.
Nurse: Changing your diet will help. Add some protein
and B-vitamins. Your muscles will recover faster.
Patient: Oh, thanks. Are there certain foods I should look
for?
Nurse: Well, poultry has both. But you'll also need to cut
out the bad stuff. Fewer fats, and no high fructose
corn syrup. So soda is out.
Patient: I do drink it often, probably one or two cans a day.
Nurse: You can't do that if you want to lose this weight.
Patient: Okay. Starting today, no more.

Unit 2
Nurse (M): How's it going today, Samantha?
Patient (F): Actually, I think I'm sick. Something's been
going around at work.

Nurse: I see. How are you feeling?
Patient: I have a headache and a fever and my stomach
has been cramping.

Nurse: It sounds like you have a virus. Is anyone else in

your family sick?

Patient: No, not yet. And I don't want them to get sick,
either.

Nurse 2: Of course.
Nurse 1: Good. How about the dosage? Are you sure you
have that right?

Nurse 2: Yeah, the dosage is 20 units and it doesn't expire
until next year.

Nurse 1: Great. And did you tell the patient about the
possible side effects?

Nurse 2: Oh! No, I forgot about that!
Nurse 1: Make sure you do that every time. You don't
want your patient to be surprised if she gets the
bruising that heparin can cause.

Unit 4
Nurse (M): Good morning, Valerie. How are you feel ing?
Patient (F): Not very well. I haven't been this sick in a while.
Nurse: I'm sorry to hear that. We need to fill out this patient
information form before we treat you, though, okay?

Patient: Okay. That's fin e.
Nurse: All right. First, tell me a little more about how you're
feeling.
Patient: Well, I woke up with severe stomach pain. and

I've been throwing up all morning.
Nurse: I see. Do you have a fe ver?
Patient: No, I don't have a fever. I've taken my temperature
a few times today, too.
Nurse: That's good. Next, I need some information about
your medical history. Any major procedures in your past?
Patient: Um, I had my tonsils out when I was five. I also
broke my leg when I was fourteen.
Nurse: That's pretty simple. Do you have any allergies to
medication?
Patient: Not that I know of, no.

Nurse: Of course not. Make sure that you wash your hands
often.
Patient: Oh, of course.
Nurse: And if you're not using antimicrobial soap, it'd be
worth switching.
Patient: I'll pick some up on the way home. It's still okay
for me to cook for my family, right?
Nurse: Well, be careful. Definitely use a good disinfectant
before and after you're in the kitchen.
Patient: I don't have any of that. I guess I need to pick
some of that up, too!

Unit 3
Nurse 1 (F): Hey, Mark. How's your first day going so far?
Nurse 2 (M): Pretty good, actually. Did you still want to
double check my work?

Nurse 1: I probably should, just for today. I see you already

have a signature from the head nurse.

Nurse 2: Yes, I made sure to crosscheck with her because
heparin is a high risk medication.

Nurse 1: Excellent. Now, did you check the patient's
identification bracelet?

Unit 5
Nurse 1 (M): Danielle, I need you to fill out a cond ition
check for Mr. Frank in Room 441B.

Nurse 2 (F): Don't worry about it, Wait. I already did that.
Nurse 1: Oh! Great. How are things going for him?
Nurse 2: Not so good, actually. His temperature is rising
and he's still displaying bouts of apnea.

Nurse 1: Hmm. If that keeps up, we're going to have to
do something.

Nurse 2: Don't worry. I left a note for Dr. May suggesting
a respirator, but he won't see it until tomorrow. But
the other patient in the room is doing well.
Nurse 1: Oh, Ms. Monroe? I'm glad to hear that. She was
in pretty bad shape yesterday.
Nurse 2: Yeah, she had a fever of 107 when she came in
but it's reduced to 100 or so.
'
Nurse 1: That's great news. And her blood pressure?
Nurse 2: It's stabilized in the last few hours. She's

responding really well to her treatment.
Nurse 1: Fantastic. It sounds like she'll be going home soon.
Nurse 2: I just wish I could say the same for Mr. Frank.
Answer Key

23


Audioscripts
Unit6

Nurse: It is. However, according to the BUN test, your

Nurse (F): Hello, sir. Don't worry, everything's going to be

BUN level is rather high. But we're still not completely
certain what's causing that.
Patient: Oh. So what happens next?
Nurse: VVe 11 , the doctor has ordered a biopsy. That should
help us figure out what's going on.
Patient: Okay. VVhen should I come in for that?
Nurse: Let's see. How does next Thursday, the 12th at 3
pm sound?
Patient: That should work just fine.

okay. VVhat happened?
Patient (M): There was an accident at work. A machine
caught fire behind me.
Nurse: Okay. VVhere are you injured?
Patient: My back hurts pretty badly. I think it's burned.

Nurse: I can see that. But I don't think it's too serious,
though.
Patient: Really? How can you tell?
Nurse: VVell, it's blistering, and that's a good sign. It means
it's probably not a third-degree burn.
Patient: That's good. It still hurts, though.
Nurse: Of course. I'll get an icepack to put on it. That
should make it feel a bit better.
Patient: Thanks. I also cut my hand as we were trying to
put the fire out.
Nurse: Okay, we just need to sterilize it and get a bandage
over it.
Patient: All right. Thank you so much.

Unit 9
Nurse (F): Hi, Matt. How are you feeling today?
Patient (M): Much better. I'm looking forward to going
home.

Nurse: That's good to hear! I just need to discuss some
details of the discharge process with you.

Patient: Sure.
Nurse: VVe're sending you home with a nebulizer. Do you
know how to use it?

Unit 7

Patient: No. Is it tricky?
Nurse: Not at all. I'll show you before you leave. Now, let's

Nurse (F): How are you feeling this afternoon, Eric?
Patient (M): Oh, not too bad. My leg still hurts a bit, but

Patient: My health insurance will cover the whole visit,

the morphine is helping.
Nurse: That's good. I need to check your wound again,
okay?
Patient: All right. Go ahead.
Nurse: Hmm. It seems like it's getting a bit worse.
Patient: How's that? VVhat's it look like?
Nurse: Your skin is really soft and very pale under the
bandage.
Patient: VVhat does that mean?
Nurse: I think you've got a bit of maceration from your
skin being too wet. VVe need to get this dried out or
it won't heal.
Patient: Yeah, it's been feeling a little moist, but I thought
that was normal.
Nurse: Unfortunately, it's not. I'm going to go get the head
nurse and see if he agrees with me. I'll be right back
with him.
Pat ient: Okay, thanks.

Unit 8

Nurse (F): Good morning, Mr. Brown. I have your kidney
test results back.

Patient (M): Great. VVhat do the results say?
Nurse: VVell, according to the GFR test, your GFR level is
70.
Patient: Is that bad?
Nurse: It's a little below the normal range. But it's still a
pretty good rating.
Patient: I guess that's good to hear.

24

Answer Key

discuss your coverage.
right?

Nurse: Yes. However, the coverage for the hospital aids
is 80%. You should receive a bill for the remainder in
a week or so.
Patient: Okay. I'll look out for that in the mail.
Nurse: Great. And your transportation plans are all set,
right?
Patient: Yes. My daughter is picking me up in the afternoon.

Unit 10

Nurse (M): OB Triage unit. How can I help you?
Pregnant Woman (F): Hi. I'm experiencing some
contractions. I think I might be in labor.

Nurse: Okay. Stay calm. Have you noticed an increase

in discharge or any bloody show?

Pregnant Woman: No, I haven't.
Nurse: Do you know if your water broke already?
Pregnant Woman: No, definitely not.
Nurse: Alright. Are the contractions becoming more
frequent?

Pregnant Woman: Not really. They're all about twenty
minutes apart.

Nurse: VVell, it sounds like you're not actually in labor. The
contractions you feel are Braxton-Hicks contractions.

Pregnant Woman: Oh. So I shouldn't do anything right now?
Nurse: For now just continue the fetal movement counts.
And if the contractions increase in strength and
frequency, come to the OB Triage unit.
Pregnant Woman: Okay, I'll do that. Thanks for your help.