swift river med surg pt scenarios
exam questions and answers
Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Non-
significant past medical history. No known allergies (NKA). Vital
signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Neuro WNL,
alert, and cooperative. Skin warm and dry, daily dressing changes,
T-tube without drainage. NG tube to low suction possibly D/C'd
today after Dr. Levine rounds. Today's incentive spirometry Tidal
Volume is 1250ml, improvement over yesterday's 900ml. NPO with
small amount of ice chips only. Today's weight 226. IV D5 1/2 NS
with 20 KCL @ 125 ml/hr in left forearm. Last pain medicine 2hrs
ago at 1300(Demerol 50mg/ Zofran 4mg IV). Ambulates with
assistance. Dr. Levine -
correct answer ✅Educational Needs Increased acuity
Fall Risk Increased acuity
Health Change Increased acuity
Pain Level Increased acuity
Psychological Needs Normal acuity
Sensorium Normal acuity
Ramona Stukes -
correct answer ✅Physiological
Bleeding, Risk for True
,swift river med surg pt scenarios
exam questions and answers
Constipation False
Deficient Fluid Volume, Risk for True
Dysfunctional Gastrointestinal Motility False
Imbalanced Fluid Volume False
Impaired Mobility True
Safety
Anxiety False
Fall, Risk for True
Ineffective Self-Health Management False
Infection, Risk for True
Ramona Stukes
Scenario 1
Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in
a bowel resection with a temporary ileostomy in place. Now, third
day post-op, Mrs. Stukes appears sad and depressed upon entering
the room.
,swift river med surg pt scenarios
exam questions and answers
Scenario 2
Mrs. Stukes is feeling nauseated.
Scenario 3
Mrs. Stukes's appliance is leaking for the fourth time today and has
been changed and reapplied each time. She is frustrated and
overwhelmed with the new appliance not working properly.
Scenario 4
Mrs. Stukes's husband is not willing to help assist patient upon
discharge with her stoma care for failed laparoscopic
cholecystectomy.
Scenario 5
Three days after discharge, you receive a phone call from Mrs.
Stukes's neighbor, who is helping take care of her. She is requesting
the names and home phone number for the wound care nurse who
saw Mrs. Stukes while she was an inpatient. -
correct answer ✅Scenario 1
Wash and glove Hands
, swift river med surg pt scenarios
exam questions and answers
Full assessment
Allow expression of feelings
Educate patient
Evaluate understanding
Scenario 2
Wash and glove up
Full assessment
Check Ng tube placement
Administer IV antiemetic medication
Scenario 3
Full assessment
Educate patient
Evaluate understanding
Notify lead nurse and doctor
Consult Wound Care
Scenario 4
exam questions and answers
Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Non-
significant past medical history. No known allergies (NKA). Vital
signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Neuro WNL,
alert, and cooperative. Skin warm and dry, daily dressing changes,
T-tube without drainage. NG tube to low suction possibly D/C'd
today after Dr. Levine rounds. Today's incentive spirometry Tidal
Volume is 1250ml, improvement over yesterday's 900ml. NPO with
small amount of ice chips only. Today's weight 226. IV D5 1/2 NS
with 20 KCL @ 125 ml/hr in left forearm. Last pain medicine 2hrs
ago at 1300(Demerol 50mg/ Zofran 4mg IV). Ambulates with
assistance. Dr. Levine -
correct answer ✅Educational Needs Increased acuity
Fall Risk Increased acuity
Health Change Increased acuity
Pain Level Increased acuity
Psychological Needs Normal acuity
Sensorium Normal acuity
Ramona Stukes -
correct answer ✅Physiological
Bleeding, Risk for True
,swift river med surg pt scenarios
exam questions and answers
Constipation False
Deficient Fluid Volume, Risk for True
Dysfunctional Gastrointestinal Motility False
Imbalanced Fluid Volume False
Impaired Mobility True
Safety
Anxiety False
Fall, Risk for True
Ineffective Self-Health Management False
Infection, Risk for True
Ramona Stukes
Scenario 1
Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in
a bowel resection with a temporary ileostomy in place. Now, third
day post-op, Mrs. Stukes appears sad and depressed upon entering
the room.
,swift river med surg pt scenarios
exam questions and answers
Scenario 2
Mrs. Stukes is feeling nauseated.
Scenario 3
Mrs. Stukes's appliance is leaking for the fourth time today and has
been changed and reapplied each time. She is frustrated and
overwhelmed with the new appliance not working properly.
Scenario 4
Mrs. Stukes's husband is not willing to help assist patient upon
discharge with her stoma care for failed laparoscopic
cholecystectomy.
Scenario 5
Three days after discharge, you receive a phone call from Mrs.
Stukes's neighbor, who is helping take care of her. She is requesting
the names and home phone number for the wound care nurse who
saw Mrs. Stukes while she was an inpatient. -
correct answer ✅Scenario 1
Wash and glove Hands
, swift river med surg pt scenarios
exam questions and answers
Full assessment
Allow expression of feelings
Educate patient
Evaluate understanding
Scenario 2
Wash and glove up
Full assessment
Check Ng tube placement
Administer IV antiemetic medication
Scenario 3
Full assessment
Educate patient
Evaluate understanding
Notify lead nurse and doctor
Consult Wound Care
Scenario 4
