SWIFT RIVER MEDICAL SURGICAL 2026/2027 QUESTIONS
AND SOLUTIONS RATED A+
✔✔Janene Whitmore - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Neurological - normal
✔✔Janene Whitmore - ✔✔Acute pain
Bleeding
Impaired comfort
Deficient knowledge
Infection, risk for
✔✔Janene Whitmore - ✔✔Scenario #1
Explain to pt.
Medicate pt.
Initiate IV
Put an arm band
Ask pt.
Scenario #2
Explain to Mrs. Whitmore
Inform pt.
Explain to pt.
Reassure pt.
Ask Mrs. Whitmore
Scenario #3
Contact charge nurse
Contact hospital liaison
Inform pt.
Inform admitting physician
Document
Scenario #4
Ask pt.
Administer Epoetin
Pt. teaching
Administer diluted iron
Reassess pt.
Scenario #5
Remind surgeon & staff
,Notify HIPAA
Notify charge nurse
Suggest
Introduce hospital liaison
✔✔Jody Rush - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - normal
Neurological - normal
✔✔Jody Rush - ✔✔Acute pain
Bleeding, risk for
Impaired mobility, risk for
Nausea
Deficient knowledge
✔✔Jody Rush - ✔✔Scenario #1
Wash hands
Complete full assessment
Medicate
Encourage positioning
Orient friend
Scenario #2
Complete neuro
Educate Jody's parents
Offer full AM bath
Log roll pt.
Ensure foley is draining
Scenario #3
Inform pt. & family
Draw stat D-Dimer
Obtain additional support
Ask parents
Accompany pt.
Scenario #4
Start O2 100%
Provide SBAR
Page surgeon STAT
Prepare for heparin
Assist RRT
,Scenario #5
Assist & support
Alert ICU
Following pt. arrival
Provide emotional support
Ask charge nurse
✔✔John Davis - ✔✔Educational - increased
Fall Risk - normal
Health Change - increased
Pain - normal
Psychological Needs - normal
Neurological - normal
✔✔John Davis - ✔✔Deficient knowledge
✔✔John Davis - ✔✔Scenario #1
Offer pt. a urinal
Perform post-op
Assist pt.
Tell pt.
Ensure side rails
Scenario #2
Assess large dressing site
Administer pain meds
Assess dressing supply
Assess pt's need
Document
Scenario #3
Restart new IV
Administer nausea med
Assess for contraindications
Weight the pt.
Take VS & provide pt. teaching
Scenario #4
Complete full assessment
Apply clean dressing
Encourage pt.
Continue to encourage
Document & inform
Scenario #5
Assess pt's concerns
, Teach pt.
Make referral
Consult social services
Have pt. verbalize
✔✔Joyce Workman - ✔✔Educational - increased
Fall Risk - normal
Health Change - increased
Neurological - normal
Pain - normal
Psychological Needs - normal
Sensorium - normal
✔✔Joyce Workman - ✔✔Enhanced readiness for learning
Ineffective health maintenance
Imbalanced nutrition
Risk for injury
✔✔Joyce Workman - ✔✔Scenario #1
Ask Mrs. Workman
Explain in laymen terms
Discuss lifestyle choices
Discuss lifestyle changes
Document teaching
Scenario #2
Asses Mrs. Workman's knowledge
Ask Mrs. Workman for 24-hour diet
Educate Mrs. Workman
Provide Mrs. Workman
Ask Mrs. Workman to demonstrate
Scenario #3
Assess pt's preferred
Ensure the pt.
Provide an exercise routine
Review with Mrs. Workman
Use teach back
Scenario #4
Assess pt's blood glucose
Provide 20 gram carb
Provide another
Reassess blood glucose
Proved additional teaching
AND SOLUTIONS RATED A+
✔✔Janene Whitmore - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Neurological - normal
✔✔Janene Whitmore - ✔✔Acute pain
Bleeding
Impaired comfort
Deficient knowledge
Infection, risk for
✔✔Janene Whitmore - ✔✔Scenario #1
Explain to pt.
Medicate pt.
Initiate IV
Put an arm band
Ask pt.
Scenario #2
Explain to Mrs. Whitmore
Inform pt.
Explain to pt.
Reassure pt.
Ask Mrs. Whitmore
Scenario #3
Contact charge nurse
Contact hospital liaison
Inform pt.
Inform admitting physician
Document
Scenario #4
Ask pt.
Administer Epoetin
Pt. teaching
Administer diluted iron
Reassess pt.
Scenario #5
Remind surgeon & staff
,Notify HIPAA
Notify charge nurse
Suggest
Introduce hospital liaison
✔✔Jody Rush - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - normal
Neurological - normal
✔✔Jody Rush - ✔✔Acute pain
Bleeding, risk for
Impaired mobility, risk for
Nausea
Deficient knowledge
✔✔Jody Rush - ✔✔Scenario #1
Wash hands
Complete full assessment
Medicate
Encourage positioning
Orient friend
Scenario #2
Complete neuro
Educate Jody's parents
Offer full AM bath
Log roll pt.
Ensure foley is draining
Scenario #3
Inform pt. & family
Draw stat D-Dimer
Obtain additional support
Ask parents
Accompany pt.
Scenario #4
Start O2 100%
Provide SBAR
Page surgeon STAT
Prepare for heparin
Assist RRT
,Scenario #5
Assist & support
Alert ICU
Following pt. arrival
Provide emotional support
Ask charge nurse
✔✔John Davis - ✔✔Educational - increased
Fall Risk - normal
Health Change - increased
Pain - normal
Psychological Needs - normal
Neurological - normal
✔✔John Davis - ✔✔Deficient knowledge
✔✔John Davis - ✔✔Scenario #1
Offer pt. a urinal
Perform post-op
Assist pt.
Tell pt.
Ensure side rails
Scenario #2
Assess large dressing site
Administer pain meds
Assess dressing supply
Assess pt's need
Document
Scenario #3
Restart new IV
Administer nausea med
Assess for contraindications
Weight the pt.
Take VS & provide pt. teaching
Scenario #4
Complete full assessment
Apply clean dressing
Encourage pt.
Continue to encourage
Document & inform
Scenario #5
Assess pt's concerns
, Teach pt.
Make referral
Consult social services
Have pt. verbalize
✔✔Joyce Workman - ✔✔Educational - increased
Fall Risk - normal
Health Change - increased
Neurological - normal
Pain - normal
Psychological Needs - normal
Sensorium - normal
✔✔Joyce Workman - ✔✔Enhanced readiness for learning
Ineffective health maintenance
Imbalanced nutrition
Risk for injury
✔✔Joyce Workman - ✔✔Scenario #1
Ask Mrs. Workman
Explain in laymen terms
Discuss lifestyle choices
Discuss lifestyle changes
Document teaching
Scenario #2
Asses Mrs. Workman's knowledge
Ask Mrs. Workman for 24-hour diet
Educate Mrs. Workman
Provide Mrs. Workman
Ask Mrs. Workman to demonstrate
Scenario #3
Assess pt's preferred
Ensure the pt.
Provide an exercise routine
Review with Mrs. Workman
Use teach back
Scenario #4
Assess pt's blood glucose
Provide 20 gram carb
Provide another
Reassess blood glucose
Proved additional teaching
