SWIFT RIVER SIMULATION:
CARDIOVASCULAR EXAM
QUESTIONS AND ANSWERS
Julia Monroe is a 74 year old client who is being directly admitted from their primary
care provider's office. Julia presented to the office today reporting increased dyspnea
with excretion. - ANSWER -Masclow's Hierarchy of Needs: HIGH PRIORITY
Airway, Breathing, Circulation: HIGH PRIORITY
Safety and Risk Reduction: HIGH PRIORITY
Urgent vs Nonurgent: HIGH PRIORITY
Chronic vs Acute/Stable vs Unstable: LOW PRIORITY
Donald Lyles is a 52 year old client admitted yesterday evening for stabilization of
uncontrolled type 2 diabetes. - ANSWER -Maslow's Hierarchy of Needs: HIGH
PRIORITY
Airway, Breathing, Circulation: LOW PRIORITY
Safety and Risk Reduction: LOW PRIORITY
Urgent vs Nonurgent: LOW PRIORITY
Chronic vs Acute/Stable vs Unstable: LOW PRIORITY
Jose Martines is a 43 year old client who reports experiencing chest pain while watching
a football game earlier this evening. - ANSWER -Maslow's Hierarchy of Needs: HIGH
PRIORITY
Airway, Breathing, Circulation: HIGH PRIORITY
Safety and Risk Reduction: HIGH PRIORITY
Urgent vs Nonurgent: HIGH PRIORITY
Chronic vs Acute/Stable vs Unstable: HIGH PRIORITY
Karen Cole is a 56 year old high school principle who was admitted to the acute care
unit directly from the provider's office after an initial complaint of chest tightness. -
ANSWER -Maslow's Hierarchy of Needs: HIGH PRIORITY
Airway, breathing, circulation: HIGH PRIORITY
Safety and risk reduction: HIGH PRIORITY
Urgent vs non urgent: HIGH PRIORITY
Chronic vs Acute/Stable vs Unstable: HIGH PRIORITY
This is Viola Cumble, a client of Dr. Starks. Viola uses the pronouns she/her. Viola is 80
years old and had a total right hip arthroplasty with general anesthesia and a regional
nerve block. Medsurg hx is significant for HTN, which has been controlled with an ace-
inhibitor for 10 years. - ANSWER -Maslow's Hierarchy of Needs: HIGH PRIORITY
Airway, Breathing, Circulation: LOW PRIORITY
Safety and risk reduction: HIGH PRIORITY
, Urgent vs Non uregent: LOW PRIORITY
Chronic vs Acute/Stable vs Unstable: LOW PRIORITY
Medication Administration Rights - ANSWER -Right Client
Right Medication
Right Dose
Right Time
Right Route
Right Documentation
Right Pt Education
Right to Refuse
Right to Assessment
Right Evaluation
Donald Lyles Initial Nursing Assessment - ANSWER -Health Promotion: Client
Education
Health Promotion: Self Care
Physiological: Fluid and Electrolyte
Physiological:Metabolism
Physiological: Perfusion
Physiological: Nutrition
Jose Martinez Initial Nursing Assessment - ANSWER -Physiological: Pain
Physiological: Perfusion
Physiological: Gas Exchange
Physiological: Stress and Coping
Safety: Injury prevention
Julia Monroe Initial Nursing Assessment - ANSWER -Physiological: Gas Exchange
Physiological: Fluid Electrolyte
Physiological: Perfusion
Psychosocial: Stress and Coping
Karen Cole Initial Nursing Assessment - ANSWER -Physiological: Gas Exchange
Physiological: Comfort
Physiological: Perfusion
Health Promotion: Client Education
Viola Cumble Initial Nursing Assessment - ANSWER -Safety: Injury prevention
Physiological: Clotting
Physiological: Infection
Physiological: Pain
Physiological: Mobility
Physiological: Tissue Integrity
CARDIOVASCULAR EXAM
QUESTIONS AND ANSWERS
Julia Monroe is a 74 year old client who is being directly admitted from their primary
care provider's office. Julia presented to the office today reporting increased dyspnea
with excretion. - ANSWER -Masclow's Hierarchy of Needs: HIGH PRIORITY
Airway, Breathing, Circulation: HIGH PRIORITY
Safety and Risk Reduction: HIGH PRIORITY
Urgent vs Nonurgent: HIGH PRIORITY
Chronic vs Acute/Stable vs Unstable: LOW PRIORITY
Donald Lyles is a 52 year old client admitted yesterday evening for stabilization of
uncontrolled type 2 diabetes. - ANSWER -Maslow's Hierarchy of Needs: HIGH
PRIORITY
Airway, Breathing, Circulation: LOW PRIORITY
Safety and Risk Reduction: LOW PRIORITY
Urgent vs Nonurgent: LOW PRIORITY
Chronic vs Acute/Stable vs Unstable: LOW PRIORITY
Jose Martines is a 43 year old client who reports experiencing chest pain while watching
a football game earlier this evening. - ANSWER -Maslow's Hierarchy of Needs: HIGH
PRIORITY
Airway, Breathing, Circulation: HIGH PRIORITY
Safety and Risk Reduction: HIGH PRIORITY
Urgent vs Nonurgent: HIGH PRIORITY
Chronic vs Acute/Stable vs Unstable: HIGH PRIORITY
Karen Cole is a 56 year old high school principle who was admitted to the acute care
unit directly from the provider's office after an initial complaint of chest tightness. -
ANSWER -Maslow's Hierarchy of Needs: HIGH PRIORITY
Airway, breathing, circulation: HIGH PRIORITY
Safety and risk reduction: HIGH PRIORITY
Urgent vs non urgent: HIGH PRIORITY
Chronic vs Acute/Stable vs Unstable: HIGH PRIORITY
This is Viola Cumble, a client of Dr. Starks. Viola uses the pronouns she/her. Viola is 80
years old and had a total right hip arthroplasty with general anesthesia and a regional
nerve block. Medsurg hx is significant for HTN, which has been controlled with an ace-
inhibitor for 10 years. - ANSWER -Maslow's Hierarchy of Needs: HIGH PRIORITY
Airway, Breathing, Circulation: LOW PRIORITY
Safety and risk reduction: HIGH PRIORITY
, Urgent vs Non uregent: LOW PRIORITY
Chronic vs Acute/Stable vs Unstable: LOW PRIORITY
Medication Administration Rights - ANSWER -Right Client
Right Medication
Right Dose
Right Time
Right Route
Right Documentation
Right Pt Education
Right to Refuse
Right to Assessment
Right Evaluation
Donald Lyles Initial Nursing Assessment - ANSWER -Health Promotion: Client
Education
Health Promotion: Self Care
Physiological: Fluid and Electrolyte
Physiological:Metabolism
Physiological: Perfusion
Physiological: Nutrition
Jose Martinez Initial Nursing Assessment - ANSWER -Physiological: Pain
Physiological: Perfusion
Physiological: Gas Exchange
Physiological: Stress and Coping
Safety: Injury prevention
Julia Monroe Initial Nursing Assessment - ANSWER -Physiological: Gas Exchange
Physiological: Fluid Electrolyte
Physiological: Perfusion
Psychosocial: Stress and Coping
Karen Cole Initial Nursing Assessment - ANSWER -Physiological: Gas Exchange
Physiological: Comfort
Physiological: Perfusion
Health Promotion: Client Education
Viola Cumble Initial Nursing Assessment - ANSWER -Safety: Injury prevention
Physiological: Clotting
Physiological: Infection
Physiological: Pain
Physiological: Mobility
Physiological: Tissue Integrity
