SWIFT RIVER MEDICAL SURGICAL LATEST FINAL
EXAMS ACTUAL QUESTIONS AND ANSWERS SURE
A+
✔✔Keaton Henderson - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Neurological - normal
Pain - normal
Psychological Needs - normal
✔✔Keaton Henderson - ✔✔Acute pain
Bleeding, risk for
Impaired comfort
Fall risk
✔✔Keaton Henderson - ✔✔Scenario #1
Introduce
Take vitals
Auscultate lungs
Inspect pleurovac
Mark drainage level
,Scenario #2
Assess VS
Assess insertion site
Check pleurovac
Administer pain meds
Encourage use of IS
Scenario #3
Asses for mediastinal shift
Administer 100% O2
Auscultate lungs
Assess pleurovac
Cal rapid response
Scenario #4
Explain to pt.
Obtain 16 gauge angiocath
Set up sterile
Obtain & fill
Assist with insertion
Scenario #5
Assess VS
Auscultate lungs
Complete chest x-ray
Inspect insertion site
Ensure chest tube
✔✔Linda Yu - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Neurological - increased
Pain - increased
Psychological Needs - increased
✔✔Linda Yu - ✔✔Acute pain
Impaired mobility
Fall risk
Risk for infection
✔✔Linda Yu - ✔✔Scenario #1
Assess current pain
Obtain VS
Complete initial assessment
Educate pt.
Place personal aspirin
,Scenario #2
Assess for injury
Obtain assistance
Take VS
Complete skin assessment
Notify healthcare provider
Scenario #3
Administer medication
Address pt's skin tear
Obtain bedside
Prepare pt.
Assign a UAP
Scenario #4
Assess leg
Treat pt.
Educate pt.
Contact power of attorney
Collect pre-op labs
Scenario #5
Assess VS & UO
Start secondary IV
Have a 2nd licensed nurse
Take VS
Assess pt. & VS
✔✔Mark Robinson - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Neurological - normal
Pain - increased
Psychological Needs - normal
✔✔Mark Robinson - ✔✔Bleeding, risk for
Impaired comfort
Deficient knowledge
ETOH withdrawal, risk for
✔✔Mark Robinson - ✔✔Scenario #1
Educate pt.
Draw labs
Initiate large bore IV
Advise pt.
, Initiate I&O
Scenario #2
Stop the pt.
Explain to the wife
Reassess pt.
Call GI provider
Explain to pt. & wife
Scenario #3
Identify the client
Check the client
Document necessary
Check VS
Recheck VS q 5 min
Scenario #4
Repeat H&H
Administer ordered meds
Explain to the pt.
Verify with blood bank
Verify soft, low sodium
Scenario #5
Stop the platelets
Reassess VS & obtain UA
Notify HCP
Call charge nurse
Initiate incident report
✔✔Nathaniel Gonzalez - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Neurological - normal
✔✔Nathaniel Gonzalez - ✔✔Acute pain
Deficient knowledge
Fall, risk for
✔✔Nathaniel Gonzalez - ✔✔Scenario #1
Tell the pt. that
Perform admission
Tell the pt. to
Explain to the pt.
EXAMS ACTUAL QUESTIONS AND ANSWERS SURE
A+
✔✔Keaton Henderson - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Neurological - normal
Pain - normal
Psychological Needs - normal
✔✔Keaton Henderson - ✔✔Acute pain
Bleeding, risk for
Impaired comfort
Fall risk
✔✔Keaton Henderson - ✔✔Scenario #1
Introduce
Take vitals
Auscultate lungs
Inspect pleurovac
Mark drainage level
,Scenario #2
Assess VS
Assess insertion site
Check pleurovac
Administer pain meds
Encourage use of IS
Scenario #3
Asses for mediastinal shift
Administer 100% O2
Auscultate lungs
Assess pleurovac
Cal rapid response
Scenario #4
Explain to pt.
Obtain 16 gauge angiocath
Set up sterile
Obtain & fill
Assist with insertion
Scenario #5
Assess VS
Auscultate lungs
Complete chest x-ray
Inspect insertion site
Ensure chest tube
✔✔Linda Yu - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Neurological - increased
Pain - increased
Psychological Needs - increased
✔✔Linda Yu - ✔✔Acute pain
Impaired mobility
Fall risk
Risk for infection
✔✔Linda Yu - ✔✔Scenario #1
Assess current pain
Obtain VS
Complete initial assessment
Educate pt.
Place personal aspirin
,Scenario #2
Assess for injury
Obtain assistance
Take VS
Complete skin assessment
Notify healthcare provider
Scenario #3
Administer medication
Address pt's skin tear
Obtain bedside
Prepare pt.
Assign a UAP
Scenario #4
Assess leg
Treat pt.
Educate pt.
Contact power of attorney
Collect pre-op labs
Scenario #5
Assess VS & UO
Start secondary IV
Have a 2nd licensed nurse
Take VS
Assess pt. & VS
✔✔Mark Robinson - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Neurological - normal
Pain - increased
Psychological Needs - normal
✔✔Mark Robinson - ✔✔Bleeding, risk for
Impaired comfort
Deficient knowledge
ETOH withdrawal, risk for
✔✔Mark Robinson - ✔✔Scenario #1
Educate pt.
Draw labs
Initiate large bore IV
Advise pt.
, Initiate I&O
Scenario #2
Stop the pt.
Explain to the wife
Reassess pt.
Call GI provider
Explain to pt. & wife
Scenario #3
Identify the client
Check the client
Document necessary
Check VS
Recheck VS q 5 min
Scenario #4
Repeat H&H
Administer ordered meds
Explain to the pt.
Verify with blood bank
Verify soft, low sodium
Scenario #5
Stop the platelets
Reassess VS & obtain UA
Notify HCP
Call charge nurse
Initiate incident report
✔✔Nathaniel Gonzalez - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Neurological - normal
✔✔Nathaniel Gonzalez - ✔✔Acute pain
Deficient knowledge
Fall, risk for
✔✔Nathaniel Gonzalez - ✔✔Scenario #1
Tell the pt. that
Perform admission
Tell the pt. to
Explain to the pt.
