Swift River Medical-Surgical exam 2025 180
QUESTIONS AND VERIFIED SOLUTIONS
ELABORATED &DETAILED ANSWERS
Ann Rails - CORRECT ANSWER: Acute pain
Impaired comfort
Impaired mobility
Disturbed sensory perception
Fall, risk for
Peripheral neurovascular dysfunction
Ann Rails - CORRECT ANSWER: Educational - Increased
Fall Risk - Increased
Health Change - Increased
Pain - Increased
Psychological Needs - Normal
Sensorium - Normal
Ann Rails - CORRECT ANSWER: Scenario #1
Use therapeutic
Educate pt.
Evaluate pt. learning
Place call light
Document
Scenario #2
Wash and glove hands
,Assess
Provide comfort measures
Notify doctor
Document
Scenario #3
Listen to pt. concerns
Reassure pt. of options
Notify lead nurse/doctor
Contact Social Services
Document
Scenario #4
Wash and glove hands
Visual assessment
Do not disturb
Verify Call Light
Document
Scenario #5
Assess for bowel sounds
Encourage fluids/fiber/ambulation
Evaluate pt. understanding
Attain fluids/fiber diet
Document
Arthur Thomason - CORRECT ANSWER: Educational - increased
,Health change - increased
LOC - increased
Pain - increased
Psychological needs - increased
Safety - increased
Arthur Thomason - CORRECT ANSWER: Impaired comfort
Impaired gas exchange
Ineffective airway clearance
Shock, risk for
Anxiety/fear
Failure to thrive, risk for
Arthur Thomason - CORRECT ANSWER: Scenario #1
Assess
Replace O2
Use therapeutic
Notify Dr. and charge nurse
Scenario #2
Remind physician
Explain to physician
Assist physician
Obtain recent
Reassure pt.
Scenario #3
, Tap pt.
Elevate HOB
Call rapid response
Start secondary
Remain with pt.
Scenario #4
Provide verbal report
Emergency intubation
Assume role
Obtain pt. record
Provide information
Scenario #5
You explain that his condition
You explain that he is receiving
You have them remain with you
You escort them with you
You call his doctor
Calvin Umbyuma - CORRECT ANSWER: Acute pain
Deficient knowledge
Calvin Umbyuma - CORRECT ANSWER: Educational - increased
Fall Risk - normal
Health Change - increased
Pain - increased
QUESTIONS AND VERIFIED SOLUTIONS
ELABORATED &DETAILED ANSWERS
Ann Rails - CORRECT ANSWER: Acute pain
Impaired comfort
Impaired mobility
Disturbed sensory perception
Fall, risk for
Peripheral neurovascular dysfunction
Ann Rails - CORRECT ANSWER: Educational - Increased
Fall Risk - Increased
Health Change - Increased
Pain - Increased
Psychological Needs - Normal
Sensorium - Normal
Ann Rails - CORRECT ANSWER: Scenario #1
Use therapeutic
Educate pt.
Evaluate pt. learning
Place call light
Document
Scenario #2
Wash and glove hands
,Assess
Provide comfort measures
Notify doctor
Document
Scenario #3
Listen to pt. concerns
Reassure pt. of options
Notify lead nurse/doctor
Contact Social Services
Document
Scenario #4
Wash and glove hands
Visual assessment
Do not disturb
Verify Call Light
Document
Scenario #5
Assess for bowel sounds
Encourage fluids/fiber/ambulation
Evaluate pt. understanding
Attain fluids/fiber diet
Document
Arthur Thomason - CORRECT ANSWER: Educational - increased
,Health change - increased
LOC - increased
Pain - increased
Psychological needs - increased
Safety - increased
Arthur Thomason - CORRECT ANSWER: Impaired comfort
Impaired gas exchange
Ineffective airway clearance
Shock, risk for
Anxiety/fear
Failure to thrive, risk for
Arthur Thomason - CORRECT ANSWER: Scenario #1
Assess
Replace O2
Use therapeutic
Notify Dr. and charge nurse
Scenario #2
Remind physician
Explain to physician
Assist physician
Obtain recent
Reassure pt.
Scenario #3
, Tap pt.
Elevate HOB
Call rapid response
Start secondary
Remain with pt.
Scenario #4
Provide verbal report
Emergency intubation
Assume role
Obtain pt. record
Provide information
Scenario #5
You explain that his condition
You explain that he is receiving
You have them remain with you
You escort them with you
You call his doctor
Calvin Umbyuma - CORRECT ANSWER: Acute pain
Deficient knowledge
Calvin Umbyuma - CORRECT ANSWER: Educational - increased
Fall Risk - normal
Health Change - increased
Pain - increased
