Swift River Simulation: Cardiovascular
Exam Questions and Answers
Donald Lyles is a 52 year old client admitted yesterday evening for stabilization of
uncontrolled type 2 diabetes. - Correct Answers -Maslow's Hierarchy of Needs: HIGH
PRIORITY
Airway, Breathing, Circulation: LOW PRIORITY
Safety and Risk Reduction: LOW PRIORITY
Urgent vs Nonurgent: LOW PRIORITY
Chronic vs Acute/Stable vs Unstable: LOW PRIORITY
Jose Martines is a 43 year old client who reports experiencing chest pain while watching
a football game earlier this evening. - Correct Answers -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: HIGH PRIORITY
Karen Cole: The nurse reports the client's cardiac troponin and CRP results to the
provider and is now performing a repeat 12 lead ECG on the client. Which of the
following rhythm strip characteristics should the nurse report to the client's provider? -
Correct Answers -The ST segment is elevated
The T wave is inverted
Karen Cole: The niurse reports to the client's provider the ECG interpretation and
presence of an ST elevation and inverted T wave. The provider notifies the CAth Lab
that the client will be scheduled for a cardiac catheterization. When preparing the client
for the procedure, which of the following actions should the nurse take? - Correct
Answers -Ensure a signed consent form is in the client's medical record.
Ask the client about previous complications to anesthesia
Ask the client about an allergy to shellfish
Inform the client that they may feel a warm sensation in their body during the procedure
Karen Cole: the client has just returned from t he cardiac cath lab and is in the recovery
area. Access was gained through the left femoral artery to perform the procedure. Stent
, placement was performed. - Correct Answers -Ensure the client's left leg remains
straight
Increase the client's oral fluid intake.
Julia Monroe is a 74 year old client who is being directly admitted from their primary
care provider's office. Julia presented to the office today reporting increased dyspnea
with excretion. - Correct Answers -Masclow'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
Karen Cole is a 56 year old high school principle who was admitted to the acute care
unit directly from the provider's office after an initial complaint of chest tightness. -
Correct Answers -Maslow's Hierarchy of Needs: HIGH PRIORITY
Airway, breathing, circulation: HIGH PRIORITY
Safety and risk reduction: HIGH PRIORITY
Urgent vs non urgent: HIGH PRIORITY
Chronic vs Acute/Stable vs Unstable: HIGH PRIORITY
This is Viola Cumble, a client of Dr. Starks. Viola uses the pronouns she/her. Viola is 80
years old and had a total right hip arthroplasty with general anesthesia and a regional
nerve block. Medsurg hx is significant for HTN, which has been controlled with an ace-
inhibitor for 10 years. - Correct Answers -Maslow's Hierarchy of Needs: HIGH
PRIORITY
Airway, Breathing, Circulation: LOW PRIORITY
Safety and risk reduction: HIGH PRIORITY
Urgent vs Non uregent: LOW PRIORITY
Chronic vs Acute/Stable vs Unstable: LOW PRIORITY
Medication Administration Rights - Correct Answers -Right Client
Right Medication
Right Dose
Right Time
Right Route
Right Documentation
Right Pt Education
Right to Refuse
Right to Assessment
Right Evaluation
Donald Lyles Initial Nursing Assessment - Correct Answers -Health Promotion: Client
Education
Health Promotion: Self Care
Physiological: Fluid and Electrolyte
Physiological:Metabolism
Exam Questions and Answers
Donald Lyles is a 52 year old client admitted yesterday evening for stabilization of
uncontrolled type 2 diabetes. - Correct Answers -Maslow's Hierarchy of Needs: HIGH
PRIORITY
Airway, Breathing, Circulation: LOW PRIORITY
Safety and Risk Reduction: LOW PRIORITY
Urgent vs Nonurgent: LOW PRIORITY
Chronic vs Acute/Stable vs Unstable: LOW PRIORITY
Jose Martines is a 43 year old client who reports experiencing chest pain while watching
a football game earlier this evening. - Correct Answers -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: HIGH PRIORITY
Karen Cole: The nurse reports the client's cardiac troponin and CRP results to the
provider and is now performing a repeat 12 lead ECG on the client. Which of the
following rhythm strip characteristics should the nurse report to the client's provider? -
Correct Answers -The ST segment is elevated
The T wave is inverted
Karen Cole: The niurse reports to the client's provider the ECG interpretation and
presence of an ST elevation and inverted T wave. The provider notifies the CAth Lab
that the client will be scheduled for a cardiac catheterization. When preparing the client
for the procedure, which of the following actions should the nurse take? - Correct
Answers -Ensure a signed consent form is in the client's medical record.
Ask the client about previous complications to anesthesia
Ask the client about an allergy to shellfish
Inform the client that they may feel a warm sensation in their body during the procedure
Karen Cole: the client has just returned from t he cardiac cath lab and is in the recovery
area. Access was gained through the left femoral artery to perform the procedure. Stent
, placement was performed. - Correct Answers -Ensure the client's left leg remains
straight
Increase the client's oral fluid intake.
Julia Monroe is a 74 year old client who is being directly admitted from their primary
care provider's office. Julia presented to the office today reporting increased dyspnea
with excretion. - Correct Answers -Masclow'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
Karen Cole is a 56 year old high school principle who was admitted to the acute care
unit directly from the provider's office after an initial complaint of chest tightness. -
Correct Answers -Maslow's Hierarchy of Needs: HIGH PRIORITY
Airway, breathing, circulation: HIGH PRIORITY
Safety and risk reduction: HIGH PRIORITY
Urgent vs non urgent: HIGH PRIORITY
Chronic vs Acute/Stable vs Unstable: HIGH PRIORITY
This is Viola Cumble, a client of Dr. Starks. Viola uses the pronouns she/her. Viola is 80
years old and had a total right hip arthroplasty with general anesthesia and a regional
nerve block. Medsurg hx is significant for HTN, which has been controlled with an ace-
inhibitor for 10 years. - Correct Answers -Maslow's Hierarchy of Needs: HIGH
PRIORITY
Airway, Breathing, Circulation: LOW PRIORITY
Safety and risk reduction: HIGH PRIORITY
Urgent vs Non uregent: LOW PRIORITY
Chronic vs Acute/Stable vs Unstable: LOW PRIORITY
Medication Administration Rights - Correct Answers -Right Client
Right Medication
Right Dose
Right Time
Right Route
Right Documentation
Right Pt Education
Right to Refuse
Right to Assessment
Right Evaluation
Donald Lyles Initial Nursing Assessment - Correct Answers -Health Promotion: Client
Education
Health Promotion: Self Care
Physiological: Fluid and Electrolyte
Physiological:Metabolism