SWIFT RIVER MED SURG PT SCENARIOS EXAM QUESTIONS
AND ANSWERS
Ramona Stukes
Correct Answer
Physiological
Bleeding, Risk for True
Constipation False
Deficient Fluid Volume, Risk for True
Dysfunctional Gastrointestinal Motility False
Imbalanced Fluid Volume False
Impaired Mobility True
Safety
Anxiety False
Fall, Risk for True
Ineffective Self-Health Management False
Infection, Risk for True
Page 1 of 62
,Question 2
Estelle Hatcher
Correct Answer
Physiological
Activity Intolerance False
Acute Pain True
Diarrhea False
Electrolyte Imbalance, Risk for True
Impaired Comfort True
Impaired Mobility False
Safety
Deficient Knowledge True
Fall, Risk for True
Fear False
Ineffective Self-Health Management False
Infection, Risk for True
Sleep Deprivation False
Page 2 of 62
,Question 3
John Duncan
Correct Answer
Physiological
Deficient Fluid Volume True
Electrolyte Imbalance, Risk for True
Excess Fluid Volume, Risk for False
Fatigue True
Nausea False
Self-Care Deficit False
Safety
Fall, Risk for True
Infection, Risk for False
Esteem
Ineffective Coping False
Noncompliance True
Page 3 of 62
, Question 4
Tom Richardson, 46yr-old. Dx- urinary stones with 3 episodes/5yrs. Allergic to sulfa drugs. Vital signs -Temp 98.4,BP
178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Skin warm and pale. Generalized weakness, blood tinged urine and
severe pain upon urination, GI- n/v. Clear liquid diet. Strict I&O and strain all urine, filters in bathroom. Patient
demonstrates urine strain procedure. Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little
relief. IV D5 1/2 NS @150ml/hr. Dr. Small at bedside with patient and family. Stat lithotripsy treatment ordered. Awaiting
transport.
Correct Answer
Educational Needs Increased acuity
Fall Risk Increased acuity
Health Change Increased acuity
Pain Level Increased acuity
Psychological Needs Normal acuity
Sensorium Normal acuity
Page 4 of 62
AND ANSWERS
Ramona Stukes
Correct Answer
Physiological
Bleeding, Risk for True
Constipation False
Deficient Fluid Volume, Risk for True
Dysfunctional Gastrointestinal Motility False
Imbalanced Fluid Volume False
Impaired Mobility True
Safety
Anxiety False
Fall, Risk for True
Ineffective Self-Health Management False
Infection, Risk for True
Page 1 of 62
,Question 2
Estelle Hatcher
Correct Answer
Physiological
Activity Intolerance False
Acute Pain True
Diarrhea False
Electrolyte Imbalance, Risk for True
Impaired Comfort True
Impaired Mobility False
Safety
Deficient Knowledge True
Fall, Risk for True
Fear False
Ineffective Self-Health Management False
Infection, Risk for True
Sleep Deprivation False
Page 2 of 62
,Question 3
John Duncan
Correct Answer
Physiological
Deficient Fluid Volume True
Electrolyte Imbalance, Risk for True
Excess Fluid Volume, Risk for False
Fatigue True
Nausea False
Self-Care Deficit False
Safety
Fall, Risk for True
Infection, Risk for False
Esteem
Ineffective Coping False
Noncompliance True
Page 3 of 62
, Question 4
Tom Richardson, 46yr-old. Dx- urinary stones with 3 episodes/5yrs. Allergic to sulfa drugs. Vital signs -Temp 98.4,BP
178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Skin warm and pale. Generalized weakness, blood tinged urine and
severe pain upon urination, GI- n/v. Clear liquid diet. Strict I&O and strain all urine, filters in bathroom. Patient
demonstrates urine strain procedure. Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little
relief. IV D5 1/2 NS @150ml/hr. Dr. Small at bedside with patient and family. Stat lithotripsy treatment ordered. Awaiting
transport.
Correct Answer
Educational Needs Increased acuity
Fall Risk Increased acuity
Health Change Increased acuity
Pain Level Increased acuity
Psychological Needs Normal acuity
Sensorium Normal acuity
Page 4 of 62
