SWIFT RIVER EXAM WITH
CORRECT ANSWERS
2025
Lithia Monson ( Correct answers ) Discuss effectiveness of
sitterEducational Needs:
Increase
Fall Risk:
d
Health Change: Increased
Increased
Pain Level:
acuity
Psychological Needs: increased Sensorium:
normal
Increased
Bleeding, Risk:
True
Decreased Cardiac/perfusion:
Imbalanced Nutrition:
False
Nausea:
True
Self-Care Deficit:
False
Shock, Risk:
True
Acute Confusion:
False
Fall, risk:
True
True
Peripheral Neurovascular Dysfunction:
False
Sleep deprivation:
False
Compromised Family Coping:
False
Failure to Thrive:
True
perform
neuro
Reorient Patient to person, place,
& time for fall
Assess
Offer
risk
Discuss effectiveness of
nutrition/toilet
sitter
Complete neuro checks as
Discuss and determine sitter
ordered
Check on patient/sitter
availability
Advise sitter to notify nurse when leaving
hourly
the room when a hospital provided sitter will be
Determine
necessary
Reassess
Ensure patients is positioned in bed
patient
Discuss with sitter that patient needs continual
properly
Discuss with family sitter if there are any other family members who
observation
can help with
monitoring
Document and contact nursing supervisor/Charge
Lithia
nurse
, Complete full assessment, to include
Use therapeutic communication/active
neuro
Attempt to orient to person, place,
listening
and time
Offer nutrition and/ or
Ensure bed is in lowest position, and rails are in place
toileting
Notify HCP of neuro findings
Notify charge nurse of patient's deteriorating
condition Begin q15 minute neuro checks
Have patient remain in bed, head elevated 30
degrees Ensure IV is patent
Ramona Stukes ( Correct answers )
Educational
Fall Risk: Needs: Increased
Health Change:
Increased
Increased
Pain Level:
increased
Psychological Needs:
Sensorium: Normal
Normal
Bleeding, Risk for:
True
Constipation:
false
Deficient Fluid Volume, Risk:
True
Dysfunctional Gastrointestinal Motility:
False
Imbalanced Fluid Volume: false Impaired
Mobility:
Anxiety: True
False
Fall, Risk:
True
Ineffective Self-Health Management:
Infection, Risk: true
False
Wash and glove
Hands
Full
Allow expression of
assessment
Educate
feelings
patient
Evaluate
understanding
Full and glove
Wash
hands Ng tube
Check
assessment
placement
Administer IV antiemetic
medication
Full
assessment
Educate
patient
Evaluate
understanding
CORRECT ANSWERS
2025
Lithia Monson ( Correct answers ) Discuss effectiveness of
sitterEducational Needs:
Increase
Fall Risk:
d
Health Change: Increased
Increased
Pain Level:
acuity
Psychological Needs: increased Sensorium:
normal
Increased
Bleeding, Risk:
True
Decreased Cardiac/perfusion:
Imbalanced Nutrition:
False
Nausea:
True
Self-Care Deficit:
False
Shock, Risk:
True
Acute Confusion:
False
Fall, risk:
True
True
Peripheral Neurovascular Dysfunction:
False
Sleep deprivation:
False
Compromised Family Coping:
False
Failure to Thrive:
True
perform
neuro
Reorient Patient to person, place,
& time for fall
Assess
Offer
risk
Discuss effectiveness of
nutrition/toilet
sitter
Complete neuro checks as
Discuss and determine sitter
ordered
Check on patient/sitter
availability
Advise sitter to notify nurse when leaving
hourly
the room when a hospital provided sitter will be
Determine
necessary
Reassess
Ensure patients is positioned in bed
patient
Discuss with sitter that patient needs continual
properly
Discuss with family sitter if there are any other family members who
observation
can help with
monitoring
Document and contact nursing supervisor/Charge
Lithia
nurse
, Complete full assessment, to include
Use therapeutic communication/active
neuro
Attempt to orient to person, place,
listening
and time
Offer nutrition and/ or
Ensure bed is in lowest position, and rails are in place
toileting
Notify HCP of neuro findings
Notify charge nurse of patient's deteriorating
condition Begin q15 minute neuro checks
Have patient remain in bed, head elevated 30
degrees Ensure IV is patent
Ramona Stukes ( Correct answers )
Educational
Fall Risk: Needs: Increased
Health Change:
Increased
Increased
Pain Level:
increased
Psychological Needs:
Sensorium: Normal
Normal
Bleeding, Risk for:
True
Constipation:
false
Deficient Fluid Volume, Risk:
True
Dysfunctional Gastrointestinal Motility:
False
Imbalanced Fluid Volume: false Impaired
Mobility:
Anxiety: True
False
Fall, Risk:
True
Ineffective Self-Health Management:
Infection, Risk: true
False
Wash and glove
Hands
Full
Allow expression of
assessment
Educate
feelings
patient
Evaluate
understanding
Full and glove
Wash
hands Ng tube
Check
assessment
placement
Administer IV antiemetic
medication
Full
assessment
Educate
patient
Evaluate
understanding
