SWIFT RIVER MEDICAL SURGICAL FINAL EXAM ACTUAL
2026/2027 QUESTIONS AND SOLUTIONS RATED A+
✔✔Dana Fitzgerald - ✔✔Scenario #1
Sit with the pt.
Reinforce provider teaching
Assess family support system
Reassure the pt.
Ask the pt.
Scenario #2
Head-to-toe assessment
Inspect catheter
Teach pt.
Instruct pt.
Ask the charge nurse
Scenario #3
Teach the pt.
Explain to the pt.
Administer pain meds
Tell the pt.
Have the pt. ambulate
Scenario #4
Inspect pt's abdomen
Auscultate
Percuss & palpate
Contact provider
Tell husband & pt.
Scenario #5
Inform the pt.
Provide pt. privacy
Lubricate tip of enema
Squeeze the contents
Have the pt. lay on their side
✔✔Don Johnson - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Neurological - normal
✔✔Don Johnson - ✔✔Acute pain
,Altered body image, risk for
Audiology changes, risk for
Fluid & electrolyte imbalance, risk for
PTSD, risk for
Infection, risk for
✔✔Don Johnson - ✔✔Scenario #1
Complete full assessment
Insert foley
Initiate IV
Apply Silvadene
Contact HCP
Scenario #2
Reassess lung sounds
Empty foley bag
Administer pain meds
Notify HCP
Document
Scenario #3
Elevate HOB
Assess pt's sputum
Reassure the pt.
Assure the pt.
Contact respiratory therapy
Scenario #4
Obtain doppler pulse
Adjust rate of IV
Ask for available tech
Change dressing
Determine if the pt.
Scenario #5
Obtain bear hugger
Explain to the pt.
Notify nursing supervisor
Contact nutritionist
Allow visitors to enter
✔✔Dotty Hamilton - ✔✔Educational - increased
Fall Risk - normal
Health Change - normal
Pain - normal
Psychological Needs - increased
,Neurological - normal
✔✔Dotty Hamilton - ✔✔Bleeding, risk for
Impaired comfort, risk for
Deficient knowledge
Infection, risk for
✔✔Dotty Hamilton - ✔✔Scenario #1
Contact surgeon
Complete pre-op
Ensure surgical consents
Check to see
Pt. teaching
Scenario #2
Wash hands
Complete full assessment
Check wound sites
Use therapeutic
Encourage first IS
Scenario #3
Reassure & communicate
Check blood glucose
Administer ABX
Encourage aggressive IS
Start PCA pump
Scenario #4
Reassure pt.
Complete full pt. assessment
Assess whether or not
Obtain labs
Notify HCP
Scenario #5
Complete full assessment
Place pt. on telemetry
Check foley
Assist anesthesia
Explain to pt.
Scenario #6
Have family step out
Bring the family in
Offer to the family
, Contact funeral home
Ask nursing manager
✔✔Glenn Massey - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - normal
Neurological - normal
✔✔Glenn Massey - ✔✔Acute pain
Impaired mobility, risk for
Nausea, risk for
Deficient knowledge
✔✔Glenn Massey - ✔✔Scenario #1
Ensure room was cleaned
Disinfect call light
Clean and obtain IV pole
Obtain burn sheets
Notify infection control nurse
Scenario #2
Obtain VS
Initial assessment
Administer pain meds
Educate pt.
Check pt's chart
Scenario #3
Hand hygiene
Set up supplies
Apply clean gloves
Gently peel off
Clean wound site
Apply new dressing
Scenario #4
Notify HCP
Inform pt.
Initiate cardiac telemetry
Give 1L NS
Empty foley
Scenario #5
Explore why pt.
2026/2027 QUESTIONS AND SOLUTIONS RATED A+
✔✔Dana Fitzgerald - ✔✔Scenario #1
Sit with the pt.
Reinforce provider teaching
Assess family support system
Reassure the pt.
Ask the pt.
Scenario #2
Head-to-toe assessment
Inspect catheter
Teach pt.
Instruct pt.
Ask the charge nurse
Scenario #3
Teach the pt.
Explain to the pt.
Administer pain meds
Tell the pt.
Have the pt. ambulate
Scenario #4
Inspect pt's abdomen
Auscultate
Percuss & palpate
Contact provider
Tell husband & pt.
Scenario #5
Inform the pt.
Provide pt. privacy
Lubricate tip of enema
Squeeze the contents
Have the pt. lay on their side
✔✔Don Johnson - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Neurological - normal
✔✔Don Johnson - ✔✔Acute pain
,Altered body image, risk for
Audiology changes, risk for
Fluid & electrolyte imbalance, risk for
PTSD, risk for
Infection, risk for
✔✔Don Johnson - ✔✔Scenario #1
Complete full assessment
Insert foley
Initiate IV
Apply Silvadene
Contact HCP
Scenario #2
Reassess lung sounds
Empty foley bag
Administer pain meds
Notify HCP
Document
Scenario #3
Elevate HOB
Assess pt's sputum
Reassure the pt.
Assure the pt.
Contact respiratory therapy
Scenario #4
Obtain doppler pulse
Adjust rate of IV
Ask for available tech
Change dressing
Determine if the pt.
Scenario #5
Obtain bear hugger
Explain to the pt.
Notify nursing supervisor
Contact nutritionist
Allow visitors to enter
✔✔Dotty Hamilton - ✔✔Educational - increased
Fall Risk - normal
Health Change - normal
Pain - normal
Psychological Needs - increased
,Neurological - normal
✔✔Dotty Hamilton - ✔✔Bleeding, risk for
Impaired comfort, risk for
Deficient knowledge
Infection, risk for
✔✔Dotty Hamilton - ✔✔Scenario #1
Contact surgeon
Complete pre-op
Ensure surgical consents
Check to see
Pt. teaching
Scenario #2
Wash hands
Complete full assessment
Check wound sites
Use therapeutic
Encourage first IS
Scenario #3
Reassure & communicate
Check blood glucose
Administer ABX
Encourage aggressive IS
Start PCA pump
Scenario #4
Reassure pt.
Complete full pt. assessment
Assess whether or not
Obtain labs
Notify HCP
Scenario #5
Complete full assessment
Place pt. on telemetry
Check foley
Assist anesthesia
Explain to pt.
Scenario #6
Have family step out
Bring the family in
Offer to the family
, Contact funeral home
Ask nursing manager
✔✔Glenn Massey - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - normal
Neurological - normal
✔✔Glenn Massey - ✔✔Acute pain
Impaired mobility, risk for
Nausea, risk for
Deficient knowledge
✔✔Glenn Massey - ✔✔Scenario #1
Ensure room was cleaned
Disinfect call light
Clean and obtain IV pole
Obtain burn sheets
Notify infection control nurse
Scenario #2
Obtain VS
Initial assessment
Administer pain meds
Educate pt.
Check pt's chart
Scenario #3
Hand hygiene
Set up supplies
Apply clean gloves
Gently peel off
Clean wound site
Apply new dressing
Scenario #4
Notify HCP
Inform pt.
Initiate cardiac telemetry
Give 1L NS
Empty foley
Scenario #5
Explore why pt.
