Swift River Term 3 Exam Questions &
Answers (Grade A+)
Charlie Raymond, was admitted to a negative pressure room on
COVID-19 precautions. Charlie is a retired postal worker who lives
at home with their partner. Charlie has a history of COPD,
hypertension, type II diabetes, smoking, and a recent myocardial
infarction. Wheezing auscultated in bilateral lower lobes. Current
prescriptions include cefotaxime 2 g IV every 4 hours and insulin
glargine 24 units at bedtime. The client reports no pain but states
they have some shortness of breath on exertion. Vital Signs are
blood pressure 145/78 mmHg, heart rate 89/min, respirations
24/min and slightly labored, temperature 100.2°F, and oxygen
saturation 94% on 2L nasal cannula. The client reports feeling very
anxious about their diagnosis.
After receiving handoff report, the nurse should determine the
client's priority needs. Indicate if the client is a high priority or low
priority using each of the priority frameworks below. -
correct answer ✅Maslow's Hierarchy of Needs: High priority
Airway, Breathing, Circulation: High priority
Safety and Risk Reduction: High priority
Urgent vs Nonurgent: High priority
Chronic vs Acute/Stable vs Unstable: Low priority
, Swift River Term 3 Exam Questions &
Answers (Grade A+)
The nurse reviews the information received in the report and enters
the client's room to perform a physical assessment. Upon
assessment, the client is alert and oriented to person, place, time,
and event. Pupils are equal, round, reactive to light, and
accommodation. IV to left hand is heparin locked. Lung sounds
reveal crackles and wheezes in bilateral lower lobes. Shortness of
breath on exertion noted with dry non-productive cough. ABG
results are pending. Client reports fatigue, headache rated as a 6 on
a 0 to 10 pain scale, and loss of taste and smell. S1S2 heart tones
noted. All pulses palpable. Abdomen is soft and non-tender. Bowel
sounds active in all 4 quadrants. Client is lying in semi-Fowler's
position. Call light is within reach. -
correct answer ✅Physiological: Comfort
Physiological: Gas Exchange
Physiological: Perfusion
Physiological: Infection
Health Promotion: Client Education
The assistive personnel (AP) informs the nurse that the client's
current vital signs are blood pressure 125/78 mmHg, heart rate
102/min, respirations 30/min and labored, temperature 101.3°F
(38.5°C), and oxygen saturation 91% on 2L via nasal cannula. When
reviewing the client's recent ABG results, the nurse identifies these
findings to be consistent with respiratory distress and is preparing
Answers (Grade A+)
Charlie Raymond, was admitted to a negative pressure room on
COVID-19 precautions. Charlie is a retired postal worker who lives
at home with their partner. Charlie has a history of COPD,
hypertension, type II diabetes, smoking, and a recent myocardial
infarction. Wheezing auscultated in bilateral lower lobes. Current
prescriptions include cefotaxime 2 g IV every 4 hours and insulin
glargine 24 units at bedtime. The client reports no pain but states
they have some shortness of breath on exertion. Vital Signs are
blood pressure 145/78 mmHg, heart rate 89/min, respirations
24/min and slightly labored, temperature 100.2°F, and oxygen
saturation 94% on 2L nasal cannula. The client reports feeling very
anxious about their diagnosis.
After receiving handoff report, the nurse should determine the
client's priority needs. Indicate if the client is a high priority or low
priority using each of the priority frameworks below. -
correct answer ✅Maslow's Hierarchy of Needs: High priority
Airway, Breathing, Circulation: High priority
Safety and Risk Reduction: High priority
Urgent vs Nonurgent: High priority
Chronic vs Acute/Stable vs Unstable: Low priority
, Swift River Term 3 Exam Questions &
Answers (Grade A+)
The nurse reviews the information received in the report and enters
the client's room to perform a physical assessment. Upon
assessment, the client is alert and oriented to person, place, time,
and event. Pupils are equal, round, reactive to light, and
accommodation. IV to left hand is heparin locked. Lung sounds
reveal crackles and wheezes in bilateral lower lobes. Shortness of
breath on exertion noted with dry non-productive cough. ABG
results are pending. Client reports fatigue, headache rated as a 6 on
a 0 to 10 pain scale, and loss of taste and smell. S1S2 heart tones
noted. All pulses palpable. Abdomen is soft and non-tender. Bowel
sounds active in all 4 quadrants. Client is lying in semi-Fowler's
position. Call light is within reach. -
correct answer ✅Physiological: Comfort
Physiological: Gas Exchange
Physiological: Perfusion
Physiological: Infection
Health Promotion: Client Education
The assistive personnel (AP) informs the nurse that the client's
current vital signs are blood pressure 125/78 mmHg, heart rate
102/min, respirations 30/min and labored, temperature 101.3°F
(38.5°C), and oxygen saturation 91% on 2L via nasal cannula. When
reviewing the client's recent ABG results, the nurse identifies these
findings to be consistent with respiratory distress and is preparing
