Swift River: Fundamentals Exam
Questions & Answers (Grade A+)
Linda Yu Room 301
Linda Yu, was admitted to your unit after surgery on her left hip due
to a fall. She is 2 days post-op. She is 85 years old and has a history
of osteoarthritis and cataracts. PT has been getting the patient up
with a walker and she is able to take a few steps. She is aware of
herself and the situation, but no time or day. She is also anxious as
a result of recent surgery. Her family lives out of state, but the
daughter was here for the surgery, she left yesterday. The plan is to
discharge Ms. Yu back to her assisted living facility. Her daily
medications at home include: Prednisone 5 mg, Furosemide 20 mg,
and ASA 81 mg daily. The surgeon added oxycodone 5mg q 4-6
hours prn pain. NKDA. -
correct answer ✅Anxiety
Care coordination
Stress and coping
Linda Yu Scenario 1
When making patient rounds at 10pm, you enter Ms. Yu's room and
she is sleeping. Ms. Yu's vital signs have been stable throughout her
post-op period. -
correct answer ✅Enter room quietly
Observe breathing pattern
Ensure call light is in reach
,Swift River: Fundamentals Exam
Questions & Answers (Grade A+)
Linda Yu Scenario 2
Ms. Yu calls the nurse at 12am requesting assistance to the bedside
commode. This is your first night taking care of Ms. Yu and you are
not sure how well she does transferring to the commode. -
correct answer ✅Inform patient that you will turn on the light
Ensure bed is in the lowest position and the bedside commode is
next to the bed
Have patient sit on edge of the bed and place gait belt around waist
Call for 2nd assistance, if needed
Linda Yu Scenario 3
You have orders to take labs, vital signs, check IV pump and hang
antibiotics, and turn the patient. You requested lab come at 5am,
but they are now here at 4am and the patient is still sleeping. -
correct answer ✅Enter patient's room quietly
Obtain vital signs and turn patient during lab draw
Check IV pump and hang antibiotics while patient is sleeping
Linda Yu Scenario 4
,Swift River: Fundamentals Exam
Questions & Answers (Grade A+)
Ms. Yu has been sleeping a lot during the day after receiving her
pain medication. Your concerned about patient's current sleep
pattern and are performing a sleep assessment. -
correct answer ✅Ask Ms. Yu if what sleep aids she takes at home
Ask patient how well she sleeps at night when at home
Assess patient's anxiety/depression related to sleep deprivation
Review time/dose of patient's pain medication
Linda Yu Scenario 5
Request PureWick catheter so patient's sleep is not disrupted by
voiding during the night. Adjust comfort measures for Ms. Yu prior
to sleep, and ensure she receives pain medication on schedule
during the night. -
correct answer ✅Place PureWick catheter
Give patient a bed bath and offer a back rub
Administer pain medication throughout the night
Kenny Barrett Room 302
Kenny Barrett, 64 years old, was admitted for observation of initial
administering of BP his treatment with blood pressure of 220/124
after visiting his doctor for a routine physical. ECG was
unremarkable. No past history of HTN. Past medical history includes
, Swift River: Fundamentals Exam
Questions & Answers (Grade A+)
hyperlipidemia, current elevated triglycerides, and a history of 1
pack a day smoker for the past 20 years. Vital signs are Temp 98.9F,
BP 178/90, P 88, RR 18 SaO2 95% on Room air. IV with NS @ 125
mL/ hr. Patient has been complaining of a headache and dizziness.
He is a patient of Dr. Adams. -
correct answer ✅Addiction
Perfusion
Kenny Barrett Scenario 1
When reviewing your patients' vital signs, taken by the UAP, you
notice Kenny has a blood pressure of 190/110 and a pulse of 105.
What actions by the nurse are appropriate? -
correct answer ✅Educate UAP regarding notification of abnormal
range of vital signs
Reassess blood pressure and pulse
Kenny Barrett Scenario 2
When re-taking the patient's BP, you get a reading of 184/108 and a
pulse of 102. Report finding to Dr. Adams using SBAR. What should
be included in the "S"? -
correct answer ✅Current elevated BP
State patients name and date of birth
Questions & Answers (Grade A+)
Linda Yu Room 301
Linda Yu, was admitted to your unit after surgery on her left hip due
to a fall. She is 2 days post-op. She is 85 years old and has a history
of osteoarthritis and cataracts. PT has been getting the patient up
with a walker and she is able to take a few steps. She is aware of
herself and the situation, but no time or day. She is also anxious as
a result of recent surgery. Her family lives out of state, but the
daughter was here for the surgery, she left yesterday. The plan is to
discharge Ms. Yu back to her assisted living facility. Her daily
medications at home include: Prednisone 5 mg, Furosemide 20 mg,
and ASA 81 mg daily. The surgeon added oxycodone 5mg q 4-6
hours prn pain. NKDA. -
correct answer ✅Anxiety
Care coordination
Stress and coping
Linda Yu Scenario 1
When making patient rounds at 10pm, you enter Ms. Yu's room and
she is sleeping. Ms. Yu's vital signs have been stable throughout her
post-op period. -
correct answer ✅Enter room quietly
Observe breathing pattern
Ensure call light is in reach
,Swift River: Fundamentals Exam
Questions & Answers (Grade A+)
Linda Yu Scenario 2
Ms. Yu calls the nurse at 12am requesting assistance to the bedside
commode. This is your first night taking care of Ms. Yu and you are
not sure how well she does transferring to the commode. -
correct answer ✅Inform patient that you will turn on the light
Ensure bed is in the lowest position and the bedside commode is
next to the bed
Have patient sit on edge of the bed and place gait belt around waist
Call for 2nd assistance, if needed
Linda Yu Scenario 3
You have orders to take labs, vital signs, check IV pump and hang
antibiotics, and turn the patient. You requested lab come at 5am,
but they are now here at 4am and the patient is still sleeping. -
correct answer ✅Enter patient's room quietly
Obtain vital signs and turn patient during lab draw
Check IV pump and hang antibiotics while patient is sleeping
Linda Yu Scenario 4
,Swift River: Fundamentals Exam
Questions & Answers (Grade A+)
Ms. Yu has been sleeping a lot during the day after receiving her
pain medication. Your concerned about patient's current sleep
pattern and are performing a sleep assessment. -
correct answer ✅Ask Ms. Yu if what sleep aids she takes at home
Ask patient how well she sleeps at night when at home
Assess patient's anxiety/depression related to sleep deprivation
Review time/dose of patient's pain medication
Linda Yu Scenario 5
Request PureWick catheter so patient's sleep is not disrupted by
voiding during the night. Adjust comfort measures for Ms. Yu prior
to sleep, and ensure she receives pain medication on schedule
during the night. -
correct answer ✅Place PureWick catheter
Give patient a bed bath and offer a back rub
Administer pain medication throughout the night
Kenny Barrett Room 302
Kenny Barrett, 64 years old, was admitted for observation of initial
administering of BP his treatment with blood pressure of 220/124
after visiting his doctor for a routine physical. ECG was
unremarkable. No past history of HTN. Past medical history includes
, Swift River: Fundamentals Exam
Questions & Answers (Grade A+)
hyperlipidemia, current elevated triglycerides, and a history of 1
pack a day smoker for the past 20 years. Vital signs are Temp 98.9F,
BP 178/90, P 88, RR 18 SaO2 95% on Room air. IV with NS @ 125
mL/ hr. Patient has been complaining of a headache and dizziness.
He is a patient of Dr. Adams. -
correct answer ✅Addiction
Perfusion
Kenny Barrett Scenario 1
When reviewing your patients' vital signs, taken by the UAP, you
notice Kenny has a blood pressure of 190/110 and a pulse of 105.
What actions by the nurse are appropriate? -
correct answer ✅Educate UAP regarding notification of abnormal
range of vital signs
Reassess blood pressure and pulse
Kenny Barrett Scenario 2
When re-taking the patient's BP, you get a reading of 184/108 and a
pulse of 102. Report finding to Dr. Adams using SBAR. What should
be included in the "S"? -
correct answer ✅Current elevated BP
State patients name and date of birth
