Swift River 2.0: Fundamentals Exam
Questions & Answers (Grade A+)
Linda Yu (Patient 1)
Step 1: Linda Yu is an 85-year-old who was admitted to the unit
after left hip surgery from a fall and is 2 days postoperative. The
client is alert and oriented to person and place with reorientation
to time provided. The client appears anxious since having surgery
and reports that they are concerned about who will care for them
once they are discharged.
Step 2: Scenario Actions
When making rounds at 10pm, you enter Ms. Yu's room and she is
sleeping. Her VS have been stable since surgery.
Step 3: The client calls the nurse's station at midnight to request
assistance to the bedside commode. The nurse has not been
assigned to this client before and is not sure how well the client can
transfer to the bedside commode. -
correct answer ✅Step 1:
-Psychosocial: Stress and Coping
-Safety: Injury prevention
-Physiological: Mobility
-Health Promotion: Self Care
,Swift River 2.0: Fundamentals Exam
Questions & Answers (Grade A+)
-Physiological: Sensory
-Physiological: Pain
Step 2:
-Enter the client's room quietly.
-Clear a pathway to the client's bed before bedtime.
-Ensure the call light is in reach.
Step 3:
-Assess to determine if nurse requires additional assistance for the
transfer
-Place bed in the lowest position w/ bedside commode next to bed
-Assist client to sit on side of bed for a few minutes
-Provide privacy for the client
-Position self in front of client
Linda Yu (continued)
Step 4: The nurse receives provider's prescriptions to obtain lab
specimens, another set of VS, administer an antimicrobial, and turn
, Swift River 2.0: Fundamentals Exam
Questions & Answers (Grade A+)
client Q2h. The nurse orders labs to be drawn at 0500, but the
phlebotomist comes at 0400, and the client is still sleeping.
Step 5: The client has been sleeping several hours during the day
after receiving pain meds. The client reports being tired in the
mornings and that pain meds help them sleep at night. The nurse is
concerned about the client's sleep pattern and is performing a
sleep assessment
Step 6: The client informed the nurse they get up several times
during the night to void while at home. The client also reports that
while in the hospital, they are awakened by pain. The nurse notes
that the client must get up several times during the night to void
while in the hospital. The nurse also notes that the client requests a
cup of coffee right before -
correct answer ✅Step 4:
-Complete activities in a timely manner.
Step 5:
-Ask the client about their sleep habits during the night when they
are home
-Ask the client if they take sleep aids at home
Questions & Answers (Grade A+)
Linda Yu (Patient 1)
Step 1: Linda Yu is an 85-year-old who was admitted to the unit
after left hip surgery from a fall and is 2 days postoperative. The
client is alert and oriented to person and place with reorientation
to time provided. The client appears anxious since having surgery
and reports that they are concerned about who will care for them
once they are discharged.
Step 2: Scenario Actions
When making rounds at 10pm, you enter Ms. Yu's room and she is
sleeping. Her VS have been stable since surgery.
Step 3: The client calls the nurse's station at midnight to request
assistance to the bedside commode. The nurse has not been
assigned to this client before and is not sure how well the client can
transfer to the bedside commode. -
correct answer ✅Step 1:
-Psychosocial: Stress and Coping
-Safety: Injury prevention
-Physiological: Mobility
-Health Promotion: Self Care
,Swift River 2.0: Fundamentals Exam
Questions & Answers (Grade A+)
-Physiological: Sensory
-Physiological: Pain
Step 2:
-Enter the client's room quietly.
-Clear a pathway to the client's bed before bedtime.
-Ensure the call light is in reach.
Step 3:
-Assess to determine if nurse requires additional assistance for the
transfer
-Place bed in the lowest position w/ bedside commode next to bed
-Assist client to sit on side of bed for a few minutes
-Provide privacy for the client
-Position self in front of client
Linda Yu (continued)
Step 4: The nurse receives provider's prescriptions to obtain lab
specimens, another set of VS, administer an antimicrobial, and turn
, Swift River 2.0: Fundamentals Exam
Questions & Answers (Grade A+)
client Q2h. The nurse orders labs to be drawn at 0500, but the
phlebotomist comes at 0400, and the client is still sleeping.
Step 5: The client has been sleeping several hours during the day
after receiving pain meds. The client reports being tired in the
mornings and that pain meds help them sleep at night. The nurse is
concerned about the client's sleep pattern and is performing a
sleep assessment
Step 6: The client informed the nurse they get up several times
during the night to void while at home. The client also reports that
while in the hospital, they are awakened by pain. The nurse notes
that the client must get up several times during the night to void
while in the hospital. The nurse also notes that the client requests a
cup of coffee right before -
correct answer ✅Step 4:
-Complete activities in a timely manner.
Step 5:
-Ask the client about their sleep habits during the night when they
are home
-Ask the client if they take sleep aids at home
