Swift River Medical-Surgical EXAM QUESTIONS AND
ANSWERS
Question 1
Preston Wright
Correct Answer
Acute pain
Altered body image
Impaired physical mobility
Impaired tissue integrity
Risk for imbalanced nutrition
Risk for infection
Risk for injury related to falls
Question 2
John Wiggins
Correct Answer
Educational - increased
Fall Risk - increased
Health Change - increased
Neurological - normal
Pain - increased
Psychological Needs - normal
Page 1 of 137
,Question 3
Linda Pittmon
Correct Answer
Scenario #1
Wash hands
Obtain blood (culture #1)
Obtain blood (culture #2)
Initiate IV
Administer levofloxacin
Scenario #2
Assess VS
Place the syringe
Ask the pt.
Notify the charge
Call HCP
Scenario #3
Assess VS
Therapeutic communication
Call HCP
Prescribed medication
Assess for therapeutic
Scenario #4
Ask Mrs. Pittman
Perform pre-op
Ensure signed consent
Ensure type and cross
Have IV ABX
Page 2 of 137
, Scenario #5
Pre-medicate
Don clean gloves
Monitor neurovascular
Don 2nd set
Elevate stump
Question 4
John Duncan
Correct Answer
Deficient fluid volume
Electrolyte imbalance, risk for
Fatigue
Fall, risk for
Noncompliance
Question 5
Arthur Thomason
Correct Answer
Impaired comfort
Impaired gas exchange
Ineffective airway clearance
Shock, risk for
Anxiety/fear
Failure to thrive, risk for
Page 3 of 137
, Question 6
Robert Sturgess
Correct Answer
Scenario #1
Wash and glove
Full assessment
Seek clarification
Check PRN
Verify call light
Scenario #2
Full assessment
Educate pt.
Place pt.
Observe closely
Perform pain
Scenario #3
Use therapeutic
Educate pt.
Notify doctor
Contact social services
Report
Scenario #4
Use therapeutic
Notify MD
Education
Insert
Document
Page 4 of 137
ANSWERS
Question 1
Preston Wright
Correct Answer
Acute pain
Altered body image
Impaired physical mobility
Impaired tissue integrity
Risk for imbalanced nutrition
Risk for infection
Risk for injury related to falls
Question 2
John Wiggins
Correct Answer
Educational - increased
Fall Risk - increased
Health Change - increased
Neurological - normal
Pain - increased
Psychological Needs - normal
Page 1 of 137
,Question 3
Linda Pittmon
Correct Answer
Scenario #1
Wash hands
Obtain blood (culture #1)
Obtain blood (culture #2)
Initiate IV
Administer levofloxacin
Scenario #2
Assess VS
Place the syringe
Ask the pt.
Notify the charge
Call HCP
Scenario #3
Assess VS
Therapeutic communication
Call HCP
Prescribed medication
Assess for therapeutic
Scenario #4
Ask Mrs. Pittman
Perform pre-op
Ensure signed consent
Ensure type and cross
Have IV ABX
Page 2 of 137
, Scenario #5
Pre-medicate
Don clean gloves
Monitor neurovascular
Don 2nd set
Elevate stump
Question 4
John Duncan
Correct Answer
Deficient fluid volume
Electrolyte imbalance, risk for
Fatigue
Fall, risk for
Noncompliance
Question 5
Arthur Thomason
Correct Answer
Impaired comfort
Impaired gas exchange
Ineffective airway clearance
Shock, risk for
Anxiety/fear
Failure to thrive, risk for
Page 3 of 137
, Question 6
Robert Sturgess
Correct Answer
Scenario #1
Wash and glove
Full assessment
Seek clarification
Check PRN
Verify call light
Scenario #2
Full assessment
Educate pt.
Place pt.
Observe closely
Perform pain
Scenario #3
Use therapeutic
Educate pt.
Notify doctor
Contact social services
Report
Scenario #4
Use therapeutic
Notify MD
Education
Insert
Document
Page 4 of 137
