Swift River Med-Surg Exam Actual
Questions and Answers 2026
Carlos Mancia
Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no
known past medical Hx. r/o Tuberculosis. Vital signs -Temp 99.1, BP
124/62, P 77, RR 20, SaO2 91%. Airborne Isolation. Neuro WNL.
Skin moist, respiratory bilateral wheezes and rhonchi. Blood-tinged
mucous, productive cough. Diet as tolerated. IV maintenance fluids
with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr.
Expresses fatigue, fear, concern, and desire for recovery. Need
frequent reminder to stay in room and maintain mask precautions.
If family/visitors come, will need education to airborne precautions.
Spanish interpreter available at extension 61178. Dr. Rondeau -
correct answer ✅Educational Needs: Increased
Fall Risk: Increased
Health Change: Increased
Pain Level: Normal
Psychological Needs: Increased
Sensorium: Normal
Physiological-
Dysfunctional Gastrointestinal Motility: False
Electrolyte Imbalance: False
,Swift River Med-Surg Exam Actual
Questions and Answers 2026
Fatigue: True
Impaired Gas Exchange: True
Impaired Mobility: False
Ineffective Airway Clearance: True
Esteem-
Decisional Conflict: False
Noncompliance: True
Safety-
Anxiety: True
Deficient Knowledge: True
Fall, Risk for: True
Fear: True
Hypothermia: False
Impaired Home Maintenance Management: False
Self-Actualization-
Readiness for Self-Care Enhancement: True
,Swift River Med-Surg Exam Actual
Questions and Answers 2026
Spiritual Distress: False
Love and Belonging-
Chronic Sorrow: False
Social Isolation, Risk for: True
Jody Rush
Jody Rush, 20 y/o female, admitted for right femur fracture status
post skiing accident. She is in a traction splint, and will be going for
surgical repair today. Vital signs are BP 120/62 P 88 R 20 T 98.9 F,
37.2 C, PaO2 99. She has been in a lot of pain, and has been
receiving 25 mcg IVP, q2 hours Fentanyl for pain. She was
nauseated after her last Fentanyl dose, and the Dr. Ordered an
additional 4mg IVP, Zofran. She has a history of exercise induced
asthma, and uses a rescue inhaler, Albuterol. Her parents are on
their way; they are flying in today. She was on a ski trip with some
of her friends from college; her best friend has been camped out
with her. We were able to get her on a bed pan earlier, but it took a
lot of work. We just received an order for a foley catheter. There
was some concern that she may have sustained a head injury as she
has an abrasion to her forehead, but she denies ever losing -
correct answer ✅Educational Needs: Increased
, Swift River Med-Surg Exam Actual
Questions and Answers 2026
Fall Risk: Increased
Health Change: Increased
Neurological: Increased
Pain Level: Normal
Psychological Needs: Normal
Physiological-
Acute Pain: True
Bleeding, Risk for: True
Impaired Mobility, Risk for: True
Nausea: True
Safety-
Deficient Knowledge: True
Grieving: False
Peripheral Neurovascular Dysfunction: False
Mary Barkley
Questions and Answers 2026
Carlos Mancia
Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no
known past medical Hx. r/o Tuberculosis. Vital signs -Temp 99.1, BP
124/62, P 77, RR 20, SaO2 91%. Airborne Isolation. Neuro WNL.
Skin moist, respiratory bilateral wheezes and rhonchi. Blood-tinged
mucous, productive cough. Diet as tolerated. IV maintenance fluids
with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr.
Expresses fatigue, fear, concern, and desire for recovery. Need
frequent reminder to stay in room and maintain mask precautions.
If family/visitors come, will need education to airborne precautions.
Spanish interpreter available at extension 61178. Dr. Rondeau -
correct answer ✅Educational Needs: Increased
Fall Risk: Increased
Health Change: Increased
Pain Level: Normal
Psychological Needs: Increased
Sensorium: Normal
Physiological-
Dysfunctional Gastrointestinal Motility: False
Electrolyte Imbalance: False
,Swift River Med-Surg Exam Actual
Questions and Answers 2026
Fatigue: True
Impaired Gas Exchange: True
Impaired Mobility: False
Ineffective Airway Clearance: True
Esteem-
Decisional Conflict: False
Noncompliance: True
Safety-
Anxiety: True
Deficient Knowledge: True
Fall, Risk for: True
Fear: True
Hypothermia: False
Impaired Home Maintenance Management: False
Self-Actualization-
Readiness for Self-Care Enhancement: True
,Swift River Med-Surg Exam Actual
Questions and Answers 2026
Spiritual Distress: False
Love and Belonging-
Chronic Sorrow: False
Social Isolation, Risk for: True
Jody Rush
Jody Rush, 20 y/o female, admitted for right femur fracture status
post skiing accident. She is in a traction splint, and will be going for
surgical repair today. Vital signs are BP 120/62 P 88 R 20 T 98.9 F,
37.2 C, PaO2 99. She has been in a lot of pain, and has been
receiving 25 mcg IVP, q2 hours Fentanyl for pain. She was
nauseated after her last Fentanyl dose, and the Dr. Ordered an
additional 4mg IVP, Zofran. She has a history of exercise induced
asthma, and uses a rescue inhaler, Albuterol. Her parents are on
their way; they are flying in today. She was on a ski trip with some
of her friends from college; her best friend has been camped out
with her. We were able to get her on a bed pan earlier, but it took a
lot of work. We just received an order for a foley catheter. There
was some concern that she may have sustained a head injury as she
has an abrasion to her forehead, but she denies ever losing -
correct answer ✅Educational Needs: Increased
, Swift River Med-Surg Exam Actual
Questions and Answers 2026
Fall Risk: Increased
Health Change: Increased
Neurological: Increased
Pain Level: Normal
Psychological Needs: Normal
Physiological-
Acute Pain: True
Bleeding, Risk for: True
Impaired Mobility, Risk for: True
Nausea: True
Safety-
Deficient Knowledge: True
Grieving: False
Peripheral Neurovascular Dysfunction: False
Mary Barkley
