Swift River: Fundamentals Questions
and Answers Latest Version Already
Passed
What is the nurse’s first action when a patient shows signs of confusion during vital signs
assessment?
✔✔Stop the assessment, ensure the patient is safe, and reassess orientation using a quick mental
status check.
Why is it important to perform hand hygiene before and after each patient interaction?
✔✔To prevent the spread of infection between patients and maintain patient safety.
What should a nurse do if a patient refuses medication?
✔✔Document the refusal, assess the reason, and notify the healthcare provider as needed.
Why should a nurse verify the patient’s identity using two identifiers before administering
medications?
✔✔To ensure medication safety and prevent administration errors.
1
,When a patient reports new chest pain, what is the priority nursing action?
✔✔Stop current activity, assess the pain, and notify the provider immediately.
What is the purpose of placing the call light within a patient’s reach?
✔✔To promote patient independence and ensure quick access to help, enhancing safety.
Why is a focused head-to-toe assessment important at the beginning of a shift?
✔✔To establish a baseline and identify any immediate concerns or changes in condition.
What is the best response when a patient asks, "Why do I need to get out of bed today?"
✔✔Explain the benefits of mobility, including prevention of complications like pneumonia or
blood clots.
What should the nurse do when entering a room and seeing the patient on the floor?
✔✔Assess the patient for injuries before moving or calling for assistance.
Why is it important to check IV sites regularly?
✔✔To detect early signs of infiltration, infection, or phlebitis and prevent complications.
2
,What should the nurse do when a patient reports pain at 8/10 after medication administration 30
minutes ago?
✔✔Reassess pain, evaluate effectiveness, and notify the provider if pain is uncontrolled.
Why must nurses prioritize airway over other complaints?
✔✔Because airway is essential for life and must be clear before addressing other issues.
What is the correct nursing action when a patient begins to vomit while lying flat?
✔✔Turn the patient to their side to prevent aspiration and maintain airway.
Why should a nurse elevate the head of the bed in a patient with difficulty breathing?
✔✔To promote lung expansion and improve oxygenation.
What is the nurse’s role during discharge teaching?
✔✔Ensure the patient understands medications, follow-up care, and when to seek help.
What should a nurse do before applying restraints to a patient?
3
, ✔✔Attempt all other safety measures, obtain an order, and explain the need to the patient.
Why is assessing for pain important even if the patient appears comfortable?
✔✔Pain can be subjective and unexpressed; early assessment prevents worsening or
complications.
What is the appropriate nursing action when a patient suddenly becomes unresponsive?
✔✔Initiate emergency response and begin CPR if there is no pulse.
Why is it important to ask patients about allergies before administering any medication?
✔✔To prevent allergic reactions and ensure patient safety.
When assisting a patient with ambulation for the first time post-surgery, what should the nurse
do?
✔✔Assess for dizziness, support the patient, and have assistance nearby if needed.
Why is documenting patient care accurately and promptly important?
✔✔It ensures continuity of care, legal protection, and communication with the healthcare team.
4
and Answers Latest Version Already
Passed
What is the nurse’s first action when a patient shows signs of confusion during vital signs
assessment?
✔✔Stop the assessment, ensure the patient is safe, and reassess orientation using a quick mental
status check.
Why is it important to perform hand hygiene before and after each patient interaction?
✔✔To prevent the spread of infection between patients and maintain patient safety.
What should a nurse do if a patient refuses medication?
✔✔Document the refusal, assess the reason, and notify the healthcare provider as needed.
Why should a nurse verify the patient’s identity using two identifiers before administering
medications?
✔✔To ensure medication safety and prevent administration errors.
1
,When a patient reports new chest pain, what is the priority nursing action?
✔✔Stop current activity, assess the pain, and notify the provider immediately.
What is the purpose of placing the call light within a patient’s reach?
✔✔To promote patient independence and ensure quick access to help, enhancing safety.
Why is a focused head-to-toe assessment important at the beginning of a shift?
✔✔To establish a baseline and identify any immediate concerns or changes in condition.
What is the best response when a patient asks, "Why do I need to get out of bed today?"
✔✔Explain the benefits of mobility, including prevention of complications like pneumonia or
blood clots.
What should the nurse do when entering a room and seeing the patient on the floor?
✔✔Assess the patient for injuries before moving or calling for assistance.
Why is it important to check IV sites regularly?
✔✔To detect early signs of infiltration, infection, or phlebitis and prevent complications.
2
,What should the nurse do when a patient reports pain at 8/10 after medication administration 30
minutes ago?
✔✔Reassess pain, evaluate effectiveness, and notify the provider if pain is uncontrolled.
Why must nurses prioritize airway over other complaints?
✔✔Because airway is essential for life and must be clear before addressing other issues.
What is the correct nursing action when a patient begins to vomit while lying flat?
✔✔Turn the patient to their side to prevent aspiration and maintain airway.
Why should a nurse elevate the head of the bed in a patient with difficulty breathing?
✔✔To promote lung expansion and improve oxygenation.
What is the nurse’s role during discharge teaching?
✔✔Ensure the patient understands medications, follow-up care, and when to seek help.
What should a nurse do before applying restraints to a patient?
3
, ✔✔Attempt all other safety measures, obtain an order, and explain the need to the patient.
Why is assessing for pain important even if the patient appears comfortable?
✔✔Pain can be subjective and unexpressed; early assessment prevents worsening or
complications.
What is the appropriate nursing action when a patient suddenly becomes unresponsive?
✔✔Initiate emergency response and begin CPR if there is no pulse.
Why is it important to ask patients about allergies before administering any medication?
✔✔To prevent allergic reactions and ensure patient safety.
When assisting a patient with ambulation for the first time post-surgery, what should the nurse
do?
✔✔Assess for dizziness, support the patient, and have assistance nearby if needed.
Why is documenting patient care accurately and promptly important?
✔✔It ensures continuity of care, legal protection, and communication with the healthcare team.
4
