SWIFT RIVER SIMULATION - ADULT
MEDICAL SURGICAL - ANN RAILS:
EXAM, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
0845 Following administration of the pain medication at 0815, the
nurse enters the client's room to check their pain level and
perform an assessment. The client has a flat affect but is no
longer crying. The client's report of pain at 0800 was 8 on a pain
scale of 0 to 10, now they rate their pain at 3. The nurse obtains
the client's vital signs, which are Temp 98.9F, BP 128/82, P 77, RR
18, SpO2 96% on room air. The client is oriented x 4, answers
questions appropriately, and follows simple commands; moves
upper extremities without difficulty, reports pain on moving lower
extremities. S1S2 on auscultation, heart beat regular; pulses to all
extremities +3; no edema noted, capillary refill < 2 seconds.
Respirations even, unlabored. Chest clear throughout all lung
fields. Client reports shortness of breath occurs with movement
and ambulation due to back and leg pain. Abdomen
nondistended, nontender, with bowel sounds h - CORRECT
ANSWERS- Nutritional intake
Urine output
Source of injury
Last bowel movement
0930 The provider is in to see the client. The nurse gives an
update based on their assessment of the client.
, Which of the following prescriptions should the nurse anticipate
from the provider? (Select all that apply.)
Consult case manager
Suicide precautions
I & O daily
Vital signs every 1 hr
Basic metabolic profile (BMP)
Consult physical therapy (PT)
Decussate sodium
Urinalysis - CORRECT ANSWERS- Consult case manager
I & O daily
Basic metabolic profile (BMP)
Consult physical therapy (PT)
Decussate sodium
Urinalysis
1100 The nurse is reviewing the client's laboratory results which
include the following:
BMP:
Sodium: 146 mEq/L (Reference range: 136-145 mEq/L)
Potassium: 4 mEq/L (Reference range: 3.5 mEq/L-5 mEq/L)
BUN: 22 mg/dL (Reference range: 10 mg/dL - 20 mg/dL)
MEDICAL SURGICAL - ANN RAILS:
EXAM, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
0845 Following administration of the pain medication at 0815, the
nurse enters the client's room to check their pain level and
perform an assessment. The client has a flat affect but is no
longer crying. The client's report of pain at 0800 was 8 on a pain
scale of 0 to 10, now they rate their pain at 3. The nurse obtains
the client's vital signs, which are Temp 98.9F, BP 128/82, P 77, RR
18, SpO2 96% on room air. The client is oriented x 4, answers
questions appropriately, and follows simple commands; moves
upper extremities without difficulty, reports pain on moving lower
extremities. S1S2 on auscultation, heart beat regular; pulses to all
extremities +3; no edema noted, capillary refill < 2 seconds.
Respirations even, unlabored. Chest clear throughout all lung
fields. Client reports shortness of breath occurs with movement
and ambulation due to back and leg pain. Abdomen
nondistended, nontender, with bowel sounds h - CORRECT
ANSWERS- Nutritional intake
Urine output
Source of injury
Last bowel movement
0930 The provider is in to see the client. The nurse gives an
update based on their assessment of the client.
, Which of the following prescriptions should the nurse anticipate
from the provider? (Select all that apply.)
Consult case manager
Suicide precautions
I & O daily
Vital signs every 1 hr
Basic metabolic profile (BMP)
Consult physical therapy (PT)
Decussate sodium
Urinalysis - CORRECT ANSWERS- Consult case manager
I & O daily
Basic metabolic profile (BMP)
Consult physical therapy (PT)
Decussate sodium
Urinalysis
1100 The nurse is reviewing the client's laboratory results which
include the following:
BMP:
Sodium: 146 mEq/L (Reference range: 136-145 mEq/L)
Potassium: 4 mEq/L (Reference range: 3.5 mEq/L-5 mEq/L)
BUN: 22 mg/dL (Reference range: 10 mg/dL - 20 mg/dL)
