MEDICAL SURGICAL NURSING PRACTICE
ASSESSMENT 2026 COMPREHENSIVE SCRIPT
QUESTIONS AND SOLUTIONS
◉ Hannah Knox. Answer: Scenario #1
Full assessment
Contact IV team
Contact HCP
Set up PCA
Contact social services
Scenario #2
Administer ABX & start morphine
Contact hospice/social work
Place pt. on continuous pulse ox
Reassess effectiveness
Document
Scenario #3
Reassess VS & elevate HOB
Continue to provide
,Seek clarification
Call respiratory therapy
Provide emotional support
Scenario #4
Full assessment
Place pt. on 100% non-rebreather
Review PCA pump history
DNR armband
Discuss with HCP
Scenario #5
Contact HCP
Contact chaplain
Take pt's family
Prepare Mrs. Knox's body
Notify social services
◉ Hildegard Lowe. Answer: Educational - increased
Fall Risk - increased
Health Change - increased
Pain - normal
,Psychological Needs - normal
Neurological - normal
◉ Hildegard Lowe. Answer: Impaired mobility, risk for
Deficient knowledge
Impaired gas exchange, risk for
Peripheral neurovascular dysfunction, risk for
Risk for infection
Ineffective breathing pattern
◉ Hildegard Lowe. Answer: Scenario #1
Reposition HOB to semi-fowler's
Increase supplemental O2
Orient pt.
Initiate IS treatment
Retake VS
Scenario #2
WBC
Magnesium
RBC
Hemoglobin
, BUN
Scenario #3
Stop infusion
Don gloves
Inspect site
Collect supplies
Remove IV & document
Scenario #4
Have secretary
Review current
Discuss the policy
Ask Hildegard
Document teaching
Talk to daughter
Scenario #5
Don gloves & assist pt.
Assess stool
Assist pt. to bed
Anticipate need
ASSESSMENT 2026 COMPREHENSIVE SCRIPT
QUESTIONS AND SOLUTIONS
◉ Hannah Knox. Answer: Scenario #1
Full assessment
Contact IV team
Contact HCP
Set up PCA
Contact social services
Scenario #2
Administer ABX & start morphine
Contact hospice/social work
Place pt. on continuous pulse ox
Reassess effectiveness
Document
Scenario #3
Reassess VS & elevate HOB
Continue to provide
,Seek clarification
Call respiratory therapy
Provide emotional support
Scenario #4
Full assessment
Place pt. on 100% non-rebreather
Review PCA pump history
DNR armband
Discuss with HCP
Scenario #5
Contact HCP
Contact chaplain
Take pt's family
Prepare Mrs. Knox's body
Notify social services
◉ Hildegard Lowe. Answer: Educational - increased
Fall Risk - increased
Health Change - increased
Pain - normal
,Psychological Needs - normal
Neurological - normal
◉ Hildegard Lowe. Answer: Impaired mobility, risk for
Deficient knowledge
Impaired gas exchange, risk for
Peripheral neurovascular dysfunction, risk for
Risk for infection
Ineffective breathing pattern
◉ Hildegard Lowe. Answer: Scenario #1
Reposition HOB to semi-fowler's
Increase supplemental O2
Orient pt.
Initiate IS treatment
Retake VS
Scenario #2
WBC
Magnesium
RBC
Hemoglobin
, BUN
Scenario #3
Stop infusion
Don gloves
Inspect site
Collect supplies
Remove IV & document
Scenario #4
Have secretary
Review current
Discuss the policy
Ask Hildegard
Document teaching
Talk to daughter
Scenario #5
Don gloves & assist pt.
Assess stool
Assist pt. to bed
Anticipate need
