RN TARGETED MEDICAL SURGICAL FINAL EXAM
ACTUAL QUESTIONS AND ANSWERS SURE A+
✔✔Calvin Umbyuma - ✔✔Educational - increased
Fall Risk - normal
Health Change - increased
Pain - increased
Psychological needs - normal
Neurological - normal
✔✔Calvin Umbyuma - ✔✔Acute pain
Deficient knowledge
✔✔Calvin Umbyuma - ✔✔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
✔✔Cameron Daniels - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - normal
Neurological - normal
✔✔Cameron Daniels - ✔✔Acute pain
Impaired mobility
Deficient knowledge
Fall, risk for
Infection, risk for
✔✔Cameron Daniels - ✔✔Scenario #1
Give tylenol
Start another IV
Initiate bolus
Request additional pain med
Reasses temp in 1 hour
Scenario #2
,Sit at an eye level
Teach Cameron
Evaluate understanding
Contact charge nurse
Document pt's statements
Scenario #3
Provide emotional support
Assure pt.
Explain to pt.
Stress importance
Inform pt.
Scenario #4
Make sure accurate wt.
Explain reason for medication
Tell the mother that you understand
Tell the mother that visitors are welcome
Be honest with Cameron
Scenario #5
Assess pt.
Perform rapid assessment
Ask pt.
Inform charge nurse
Call local law enforcement
✔✔Chanthavy Chhet - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Neurological - normal
✔✔Chanthavy Chhet - ✔✔Acute pain
Impaired mobility, risk for
Nausea
Cultural competence
Deficient knowledge
Impaired verbal communication
✔✔Chanthavy Chhet - ✔✔Scenario #1
Obtain translator
Initiate IV
Begin fluid and electrolyte
Administer IV ABX
, Consult with MD
Scenario #2
What is going on?
We need to stop the bleeding
Tell me where you are
Who were you talking to?
What were the voices telling you?
Scenario #3
Attempt to establish rapport
Notify HCP of findings
Attempt to restart IV
Contact dietary
Obtain a sitter
Remove potential harmful objects
Scenario #4
Delay insertion of IV
Contact HCP
Contact CC's uncle
Request the uncle come
Request the uncle participates
Scenario #5
Provide one-to-one
Initiate anti-psychotic meds
Ensure family member
Reassess environment
Initiate continuous observation
✔✔Clement Hall - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Neurological - normal
Pain - increased
Psychological needs - normal
✔✔Clement Hall - ✔✔Acute pain
Impaired mobility, risk for
Fluid & electrolyte imbalance, risk for
Infection
✔✔Clement Hal - ✔✔Scenario #1
Contact isolation
Administer pain meds
ACTUAL QUESTIONS AND ANSWERS SURE A+
✔✔Calvin Umbyuma - ✔✔Educational - increased
Fall Risk - normal
Health Change - increased
Pain - increased
Psychological needs - normal
Neurological - normal
✔✔Calvin Umbyuma - ✔✔Acute pain
Deficient knowledge
✔✔Calvin Umbyuma - ✔✔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
✔✔Cameron Daniels - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - normal
Neurological - normal
✔✔Cameron Daniels - ✔✔Acute pain
Impaired mobility
Deficient knowledge
Fall, risk for
Infection, risk for
✔✔Cameron Daniels - ✔✔Scenario #1
Give tylenol
Start another IV
Initiate bolus
Request additional pain med
Reasses temp in 1 hour
Scenario #2
,Sit at an eye level
Teach Cameron
Evaluate understanding
Contact charge nurse
Document pt's statements
Scenario #3
Provide emotional support
Assure pt.
Explain to pt.
Stress importance
Inform pt.
Scenario #4
Make sure accurate wt.
Explain reason for medication
Tell the mother that you understand
Tell the mother that visitors are welcome
Be honest with Cameron
Scenario #5
Assess pt.
Perform rapid assessment
Ask pt.
Inform charge nurse
Call local law enforcement
✔✔Chanthavy Chhet - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Neurological - normal
✔✔Chanthavy Chhet - ✔✔Acute pain
Impaired mobility, risk for
Nausea
Cultural competence
Deficient knowledge
Impaired verbal communication
✔✔Chanthavy Chhet - ✔✔Scenario #1
Obtain translator
Initiate IV
Begin fluid and electrolyte
Administer IV ABX
, Consult with MD
Scenario #2
What is going on?
We need to stop the bleeding
Tell me where you are
Who were you talking to?
What were the voices telling you?
Scenario #3
Attempt to establish rapport
Notify HCP of findings
Attempt to restart IV
Contact dietary
Obtain a sitter
Remove potential harmful objects
Scenario #4
Delay insertion of IV
Contact HCP
Contact CC's uncle
Request the uncle come
Request the uncle participates
Scenario #5
Provide one-to-one
Initiate anti-psychotic meds
Ensure family member
Reassess environment
Initiate continuous observation
✔✔Clement Hall - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Neurological - normal
Pain - increased
Psychological needs - normal
✔✔Clement Hall - ✔✔Acute pain
Impaired mobility, risk for
Fluid & electrolyte imbalance, risk for
Infection
✔✔Clement Hal - ✔✔Scenario #1
Contact isolation
Administer pain meds
