SWIFT RIVER MEDICAL SURGICAL EXAMS ACTUAL
2026/2027 QUESTIONS AND SOLUTIONS RATED A+
✔✔Roger Clinton - ✔✔Bleeding, risk for
Impaired comfort, risk for
Impaired mobility, risk for
Nausea, risk for
Deficient knowledge
Infection, risk for
✔✔Roger Clinton - ✔✔Scenario#1
Wash hands
Explain to Roger
Obtain & verify
Initiate IV
Orient pt.
Scenario #2
Orient Roger
Take VS
Observe & mark
Assess pain
Fluid status
Scenario #3
Head-to-toe
Reinforce dressing
Notify surgeon
Notify charge nurse
Instruct pt.
Scenario #4
Take VS
Keep Mr. Clinton
Reinforce dressing
Initiate secondary
Witness signing
Scenario #5
Initiate head-to-toe
Check operative
Assess for pain
Review new orders
Encourage Mr. Clinton
✔✔Ronald Burgandy - ✔✔Educational - increased
,Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Sensorium - normal
✔✔Ronald Burgandy - ✔✔Acute pain
Bleeding
Impaired comfort
Deficient knowledge
Fall, risk for
✔✔Ronald Burgandy - ✔✔Scenario #1
Explain to the pt.
Ensure there is a full
Start and IV
Medicate
Advise pt.
Scenario #2
Explain to Mr. Burgandy
Inform Mr. Burgandy
Ask Mr. Burgandy
Reassure pt.
Reassess pt's physical
Scenario #3
Assess pt's ABCs
Take initial VS
Pale pt. on O2
Start IV
Set-up
Scenario #4
Explain procedure
Place pt. on 100% O2
Ensure there is suction
Obtain chest tube tray
Reassess pt's VS
Scenario #5
Instruct Mr. Burgandy
Notify charge nurse
Call security
Transport Mr. Burgandy
Complete incident report
, ✔✔Ruth Cummings - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Neurological - normal
✔✔Ruth Cummings - ✔✔Acute pain
Deficient knowledge
Impaired mobility, risk for
Nausea
✔✔Ruth Cummings - ✔✔Scenario #1
Orient pt.
Educate pt.
Administer rectal
Assess IV
Insert NG
Scenario #2
Describe to pt.
Explain how surgery
Practice using IS
Reinforce need
Evaluate pt. understanding
Scenario #3
Ensure signed surgical
Take VS
Ask pt. to verify
Check IV
Disconnect NG tube
Scenario #4
Receive handoff
Assess/inspect
Take VS
Elevate HOB
Give pt. call light
Scenario #5
Assis pt.
Ensure side rails
Notify charge nurse
Notify HCP
2026/2027 QUESTIONS AND SOLUTIONS RATED A+
✔✔Roger Clinton - ✔✔Bleeding, risk for
Impaired comfort, risk for
Impaired mobility, risk for
Nausea, risk for
Deficient knowledge
Infection, risk for
✔✔Roger Clinton - ✔✔Scenario#1
Wash hands
Explain to Roger
Obtain & verify
Initiate IV
Orient pt.
Scenario #2
Orient Roger
Take VS
Observe & mark
Assess pain
Fluid status
Scenario #3
Head-to-toe
Reinforce dressing
Notify surgeon
Notify charge nurse
Instruct pt.
Scenario #4
Take VS
Keep Mr. Clinton
Reinforce dressing
Initiate secondary
Witness signing
Scenario #5
Initiate head-to-toe
Check operative
Assess for pain
Review new orders
Encourage Mr. Clinton
✔✔Ronald Burgandy - ✔✔Educational - increased
,Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Sensorium - normal
✔✔Ronald Burgandy - ✔✔Acute pain
Bleeding
Impaired comfort
Deficient knowledge
Fall, risk for
✔✔Ronald Burgandy - ✔✔Scenario #1
Explain to the pt.
Ensure there is a full
Start and IV
Medicate
Advise pt.
Scenario #2
Explain to Mr. Burgandy
Inform Mr. Burgandy
Ask Mr. Burgandy
Reassure pt.
Reassess pt's physical
Scenario #3
Assess pt's ABCs
Take initial VS
Pale pt. on O2
Start IV
Set-up
Scenario #4
Explain procedure
Place pt. on 100% O2
Ensure there is suction
Obtain chest tube tray
Reassess pt's VS
Scenario #5
Instruct Mr. Burgandy
Notify charge nurse
Call security
Transport Mr. Burgandy
Complete incident report
, ✔✔Ruth Cummings - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Neurological - normal
✔✔Ruth Cummings - ✔✔Acute pain
Deficient knowledge
Impaired mobility, risk for
Nausea
✔✔Ruth Cummings - ✔✔Scenario #1
Orient pt.
Educate pt.
Administer rectal
Assess IV
Insert NG
Scenario #2
Describe to pt.
Explain how surgery
Practice using IS
Reinforce need
Evaluate pt. understanding
Scenario #3
Ensure signed surgical
Take VS
Ask pt. to verify
Check IV
Disconnect NG tube
Scenario #4
Receive handoff
Assess/inspect
Take VS
Elevate HOB
Give pt. call light
Scenario #5
Assis pt.
Ensure side rails
Notify charge nurse
Notify HCP
