SWIFT RIVER MEDICAL-
SURGICAL ACTUAL EXAM 2026
GRADED A PASS
Calvin Umbyuma - answer- Acute pain
Deficient knowledge
Calvin Umbyuma - answer- Scenario #1
Place on respiratory isolation
Ask Mr. U
Obtain blood cultures
Start IV
Collect sputum culture
Scenario#2
Wash hand, don PPE
Explain to the visitor
Respiratory assessment
Explain to Mr. U
Place signage on door
Scenario #3
,Ask pt. what he knows
Ask pt. what his mother's
Educate pt.
Evaluate effectiveness
Report findings
Scenario #4
Pt. teaching
Contact respiratory therapy
Chest x-ray
Western blot
Bronchoscopy
Scenario #5
Elevate HOB
Initiate O2 at 4L
Reassess VS
Reevaluate amount of blood lost
Contact HCP
Ann Rails - 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 - answer- Educational - increased
Health change - increased
LOC - increased
Pain - increased
Psychological needs - increased
Safety - increased
Ann Rails - answer- Educational - Increased
Fall Risk - Increased
Health Change - Increased
Pain - Increased
Psychological Needs - Normal
Sensorium - Normal
Ann Rails - answer- Acute pain
Impaired comfort
Impaired mobility
Disturbed sensory perception
Fall, risk for
Peripheral neurovascular dysfunction
Arthur Thomason - answer- Impaired confort
SURGICAL ACTUAL EXAM 2026
GRADED A PASS
Calvin Umbyuma - answer- Acute pain
Deficient knowledge
Calvin Umbyuma - answer- Scenario #1
Place on respiratory isolation
Ask Mr. U
Obtain blood cultures
Start IV
Collect sputum culture
Scenario#2
Wash hand, don PPE
Explain to the visitor
Respiratory assessment
Explain to Mr. U
Place signage on door
Scenario #3
,Ask pt. what he knows
Ask pt. what his mother's
Educate pt.
Evaluate effectiveness
Report findings
Scenario #4
Pt. teaching
Contact respiratory therapy
Chest x-ray
Western blot
Bronchoscopy
Scenario #5
Elevate HOB
Initiate O2 at 4L
Reassess VS
Reevaluate amount of blood lost
Contact HCP
Ann Rails - 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 - answer- Educational - increased
Health change - increased
LOC - increased
Pain - increased
Psychological needs - increased
Safety - increased
Ann Rails - answer- Educational - Increased
Fall Risk - Increased
Health Change - Increased
Pain - Increased
Psychological Needs - Normal
Sensorium - Normal
Ann Rails - answer- Acute pain
Impaired comfort
Impaired mobility
Disturbed sensory perception
Fall, risk for
Peripheral neurovascular dysfunction
Arthur Thomason - answer- Impaired confort
