Swift River Simulation - Adult Medical Surgical - Ann
Rails Exam Test Questions With 100% Verified
Answers Graded A+
Ann Rails 24 years old, admitted for back pain. The injury, according to her report, occurred
as a result of a domestic dispute in which she was pushed into a kitchen counter. She has
no other significant medical history. No known allergies (NKA). Her last vital signs are blood
pressure 124/82, temperature 98.2, pulse 84, respiration rate 22, SpO2 96% on room air.
She states she has had pain and numbness in her legs for one week. There is abnormal left
leg weakness, gait unsteady, 5/10 on numeric pain scale. She is receiving Lortab 2 tabs
every 6 hours, which she states relieves her pain. Her neuro assessment is within expected
parameters, except for the leg pain upon movement. Activity as tolerated with assistance;
we have asked her to call for assistance when getting out of bed. She is on a regular diet,
but she has had very little intake since she has been here. Her children have visited, but we
have not seen her - - Maslow's Hierarchy of Needs - High Priority
Airway, Breathing, Circulation - Low Priority
Safety and Risk Reduction - High Priority
Urgent vs Non-urgent - Low Priority
Chronic vs Acute/Stable vs Unstable - Low Priority
Initial Nursing Assessment
0745: The nurse reviews the information received in report.
Which of the following concerns should the nurse address while providing client care?
(Select all that apply.)
Safety: Injury Prevention
@MercyTrishia docs
, Swift River Simulation - Adult Medical Surgical - Ann
Rails Exam Test Questions With 100% Verified
Answers Graded A+
Physiological: Mobility
Physiological: Pain
Physiological: Sensory
Physiological: Nutrition
Physiological: Elimination
Safety: Self-harm
Physiological: Thermoregulation - - Safety: Injury Prevention
Physiological: Mobility
Physiological: Pain
Physiological: Sensory
0800 The nurse enters the client's room and introduces themself. The nurse notices the
client is crying. The nurse questions the client about why they are crying. The client states,
"Everything in my life is just so messed up, and my back is hurting again."
Which of the following actions should the nurse prioritize? (Select all that apply.)
Ask the client to rate their pain on a 0 to 10 pain scale
Check the client's MAR to determine if pain medication can be administered
Offer the client comfort through therapeutic communication
Continue with a complete head-to-toe assessment of the client
@MercyTrishia docs
Rails Exam Test Questions With 100% Verified
Answers Graded A+
Ann Rails 24 years old, admitted for back pain. The injury, according to her report, occurred
as a result of a domestic dispute in which she was pushed into a kitchen counter. She has
no other significant medical history. No known allergies (NKA). Her last vital signs are blood
pressure 124/82, temperature 98.2, pulse 84, respiration rate 22, SpO2 96% on room air.
She states she has had pain and numbness in her legs for one week. There is abnormal left
leg weakness, gait unsteady, 5/10 on numeric pain scale. She is receiving Lortab 2 tabs
every 6 hours, which she states relieves her pain. Her neuro assessment is within expected
parameters, except for the leg pain upon movement. Activity as tolerated with assistance;
we have asked her to call for assistance when getting out of bed. She is on a regular diet,
but she has had very little intake since she has been here. Her children have visited, but we
have not seen her - - Maslow's Hierarchy of Needs - High Priority
Airway, Breathing, Circulation - Low Priority
Safety and Risk Reduction - High Priority
Urgent vs Non-urgent - Low Priority
Chronic vs Acute/Stable vs Unstable - Low Priority
Initial Nursing Assessment
0745: The nurse reviews the information received in report.
Which of the following concerns should the nurse address while providing client care?
(Select all that apply.)
Safety: Injury Prevention
@MercyTrishia docs
, Swift River Simulation - Adult Medical Surgical - Ann
Rails Exam Test Questions With 100% Verified
Answers Graded A+
Physiological: Mobility
Physiological: Pain
Physiological: Sensory
Physiological: Nutrition
Physiological: Elimination
Safety: Self-harm
Physiological: Thermoregulation - - Safety: Injury Prevention
Physiological: Mobility
Physiological: Pain
Physiological: Sensory
0800 The nurse enters the client's room and introduces themself. The nurse notices the
client is crying. The nurse questions the client about why they are crying. The client states,
"Everything in my life is just so messed up, and my back is hurting again."
Which of the following actions should the nurse prioritize? (Select all that apply.)
Ask the client to rate their pain on a 0 to 10 pain scale
Check the client's MAR to determine if pain medication can be administered
Offer the client comfort through therapeutic communication
Continue with a complete head-to-toe assessment of the client
@MercyTrishia docs
