Med-Surg Swift River Exam Questions
& Answers (Grade A+)
Tim Jones -
correct answer ✅Educational Needs: Increased acuity
Fall Risk: Increased acuity
Health Change: Increased acuity
Neurological: Increased acuity
Pain Level: Increased acuity
Psychological Needs: Increased acuity
Tim Jones -
correct answer ✅Physiological-
Decisional conflict: False
Defensive coping: True
Disturbed sleep pattern: False
Ineffective health maintenance: True
Risk for post-traumatic stress syndrome: True
Risk for spiritual distress: False
Safety-
,Med-Surg Swift River Exam Questions
& Answers (Grade A+)
Isolation precautions: False
Risk for Injury at home: True
Tim Jones
Scenario 1
You begin your shift assessment w/ Mr. Jones
Scenario 2
Mr. Jones is scheduled for a full body CT scan. Mr. Jones stated to
the nurse that he "was scared to leave the room." Further
questioning and clarification revealed Mr. Jones does not want to
be alone and is afraid of being hurt
Scenario 3
Later in the evening Mr. Jones falls on his way to the bathroom
Scenario 4
Mr. Jones is resting quietly in the bed, R 22, slightly labored, color
pink. Eyes closed. Upon assessment, Mr. Jones was noted to have
bilateral wheezing, R 24, some use of accessory muscles w/
,Med-Surg Swift River Exam Questions
& Answers (Grade A+)
respiration's, dullness to percussion in the left lower lobe, an an
unproductive cough. Based on assessment, nebulizer tx
administered per MD orders.
Scenario 5
Mr. Jones is now more alert and states he does not see the point in
living anymore and wishes he would just die quietly. He asks to
speak to a clergy member. He does not want to -
correct answer ✅Scenario 1
Wash hands
Reassure pt that he is in a safe environment
Interviewing pt regarding need for hospitalization
Complete physical assessment
Notify charge nurse and social services
Scenario 2
Use therapeutic communication
Seek clarification from Mr. Jones on why he does not want to leave
the room.
reassure Mr. Jones that he will be safe during his hospital stay
, Med-Surg Swift River Exam Questions
& Answers (Grade A+)
Administer prescribed anxiolytics medication prior to transfer to CT
area
Offer UAP to accompany Mr. Jones during the CT process.
Scenario 3
Assess Mr. Jones for injuries
Assist Mr. Jones back to bed
Provide personal hygiene
Remind Mr. Jones to seek assistance before getting out of bed
Obtain a sitter to stay w/ pt.
Scenario 4
Notify HCP for change in respiratory assessment
Administer nebulizer to per HCP order
Reassess respiratory status
Encourage Mr. Jones to cough and take deep breaths hourly
Document findings from repeat assessment
Scenario 5
Talk w/ Mr. Jones about his wishes for end of life.
& Answers (Grade A+)
Tim Jones -
correct answer ✅Educational Needs: Increased acuity
Fall Risk: Increased acuity
Health Change: Increased acuity
Neurological: Increased acuity
Pain Level: Increased acuity
Psychological Needs: Increased acuity
Tim Jones -
correct answer ✅Physiological-
Decisional conflict: False
Defensive coping: True
Disturbed sleep pattern: False
Ineffective health maintenance: True
Risk for post-traumatic stress syndrome: True
Risk for spiritual distress: False
Safety-
,Med-Surg Swift River Exam Questions
& Answers (Grade A+)
Isolation precautions: False
Risk for Injury at home: True
Tim Jones
Scenario 1
You begin your shift assessment w/ Mr. Jones
Scenario 2
Mr. Jones is scheduled for a full body CT scan. Mr. Jones stated to
the nurse that he "was scared to leave the room." Further
questioning and clarification revealed Mr. Jones does not want to
be alone and is afraid of being hurt
Scenario 3
Later in the evening Mr. Jones falls on his way to the bathroom
Scenario 4
Mr. Jones is resting quietly in the bed, R 22, slightly labored, color
pink. Eyes closed. Upon assessment, Mr. Jones was noted to have
bilateral wheezing, R 24, some use of accessory muscles w/
,Med-Surg Swift River Exam Questions
& Answers (Grade A+)
respiration's, dullness to percussion in the left lower lobe, an an
unproductive cough. Based on assessment, nebulizer tx
administered per MD orders.
Scenario 5
Mr. Jones is now more alert and states he does not see the point in
living anymore and wishes he would just die quietly. He asks to
speak to a clergy member. He does not want to -
correct answer ✅Scenario 1
Wash hands
Reassure pt that he is in a safe environment
Interviewing pt regarding need for hospitalization
Complete physical assessment
Notify charge nurse and social services
Scenario 2
Use therapeutic communication
Seek clarification from Mr. Jones on why he does not want to leave
the room.
reassure Mr. Jones that he will be safe during his hospital stay
, Med-Surg Swift River Exam Questions
& Answers (Grade A+)
Administer prescribed anxiolytics medication prior to transfer to CT
area
Offer UAP to accompany Mr. Jones during the CT process.
Scenario 3
Assess Mr. Jones for injuries
Assist Mr. Jones back to bed
Provide personal hygiene
Remind Mr. Jones to seek assistance before getting out of bed
Obtain a sitter to stay w/ pt.
Scenario 4
Notify HCP for change in respiratory assessment
Administer nebulizer to per HCP order
Reassess respiratory status
Encourage Mr. Jones to cough and take deep breaths hourly
Document findings from repeat assessment
Scenario 5
Talk w/ Mr. Jones about his wishes for end of life.
