CELBAN Listening 3 — Questions and Answers
Question 1: A physiotherapist says during an interdisciplinary meeting: 'Mrs. Lam is weight-bearing as tolerated on the right hip — she managed eight metres with the walker this morning but fatigues quickly and needs stand-by assist for safety.' What does this report tell the nursing team?
- Mrs. Lam is fully independent with mobility and needs no nursing support
- Mrs. Lam can walk short distances with a walker but tires easily and still requires a nurse nearby for safety (Correct answer)
- Mrs. Lam is non-weight-bearing and must remain in bed
- Mrs. Lam refused physiotherapy and did not attempt walking
Correct answer: Mrs. Lam can walk short distances with a walker but tires easily and still requires a nurse nearby for safety
The physiotherapist reports the patient walked 8 metres with a walker (weight-bearing as tolerated) but fatigues quickly and needs stand-by assistance, meaning nursing supervision is still required.
Question 2: A nurse listens to a patient education audio clip: 'Take your lisinopril every morning with or without food, but avoid potassium supplements and salt substitutes unless your doctor approves them.' What is a key dietary restriction mentioned?
- The patient must follow a strict low-sodium diet and avoid all fruits
- The patient should avoid potassium supplements and salt substitutes without physician approval (Correct answer)
- The patient must take lisinopril only with a high-fat meal
- The patient should stop lisinopril if they feel dizzy
Correct answer: The patient should avoid potassium supplements and salt substitutes without physician approval
Lisinopril (an ACE inhibitor) can raise potassium levels, so the instruction warns against potassium supplements and potassium-containing salt substitutes without approval.
Question 3: During a nursing handover the outgoing nurse says: 'He's a full code, but the family meeting this afternoon may change that — family has expressed concerns about quality of life.' What should the incoming nurse prioritize?
- Immediately changing the patient's code status in the chart without the family meeting
- Being aware that current status is full resuscitation but code status may be revised after the afternoon family meeting (Correct answer)
- Informing the patient his family wants to withdraw care
- Disregarding the family's concerns as they cannot legally change code status
Correct answer: Being aware that current status is full resuscitation but code status may be revised after the afternoon family meeting
The handover conveys that the patient is currently full code but that a family meeting may lead to a code status change, so the incoming nurse must remain updated.
Question 4: A CELBAN listening passage features a dietitian saying: 'Given his stage 3 CKD, I've recommended restricting phosphorus, potassium, and sodium in his diet — he should avoid processed foods, dairy, and bananas.' Which condition drives these restrictions?
- Type 2 diabetes requiring carbohydrate restriction
- Stage 3 chronic kidney disease, which limits the kidneys' ability to excrete electrolytes (Correct answer)
- Heart failure requiring strict fluid restriction only
- A newly diagnosed peanut allergy
Correct answer: Stage 3 chronic kidney disease, which limits the kidneys' ability to excrete electrolytes
Stage 3 CKD impairs electrolyte excretion, necessitating restrictions on phosphorus, potassium, and sodium to prevent dangerous accumulation.
Question 5: A patient's family member tells the nurse over the phone: 'She mentioned her chest feels tight and she's sweating a lot — she said it started about an hour ago. She didn't want me to call but I was worried.' What is the most clinically significant information in this message?
- The family member called without the patient's permission
- The patient has had chest tightness and diaphoresis for approximately one hour, which could indicate a cardiac event (Correct answer)
- The patient is non-compliant with her discharge instructions
- The family member is requesting a callback in the morning
Correct answer: The patient has had chest tightness and diaphoresis for approximately one hour, which could indicate a cardiac event
Chest tightness and diaphoresis lasting an hour are classic warning signs of acute myocardial infarction and require immediate clinical assessment.
Question 6: In a CELBAN listening simulation a nurse hears: 'The night shift noted that urine output over eight hours was only 150 mL — that's well below the threshold of 0.5 mL per kilogram per hour for a 70 kg patient.' What clinical problem is being described?
- The patient is urinating too frequently and losing too much fluid
- The patient's urine output is critically low, indicating possible oliguria or acute kidney injury (Correct answer)
- The patient's fluid balance is within normal limits
- The patient has been drinking too much water overnight
Correct answer: The patient's urine output is critically low, indicating possible oliguria or acute kidney injury
0.5 mL/kg/hr for a 70 kg patient equals 35 mL/hr or 280 mL over 8 hours; actual output of 150 mL is significantly below this threshold, indicating oliguria.
Question 7: An occupational therapist's discharge note is read aloud: 'Patient demonstrated safe transfer technique from bed to wheelchair independently, but requires adaptive equipment — a raised toilet seat and grab bars — for safe home discharge.' What does the nursing discharge planner need to arrange?
- A prescription for a new wheelchair
- Adaptive bathroom equipment (raised toilet seat and grab bars) before the patient can be safely discharged home (Correct answer)
- A full-time home care aide seven days per week
- Reassessment by the physiotherapy team before any discharge planning
Correct answer: Adaptive bathroom equipment (raised toilet seat and grab bars) before the patient can be safely discharged home
The OT's note specifies that home discharge is contingent on the patient having a raised toilet seat and grab bars, so the nurse must confirm this equipment is in place.
CELBAN Listening 3
A physiotherapist says during an interdisciplinary meeting: 'Mrs.
Lam is weight-bearing as tolerated on the right hip — she managed eight metres with the walker this morning but fatigues quickly and needs stand-by assist for safety.' What does this report tell the nursing team?