SWIFT RIVER NEW PATIENTS
EXAM 2025 QUESTIONS AND
ANSWERS
Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new
diagnosis of type II diabetes. She has been documented as being obese, new onset
hypertension, polyuria, and a rash on her abdomen. She was asymptomatic upon arrival.
She was admitted yesterday for stabilization of her glucose levels, and assist her with
lifestyle modification. She states she leads a sedentary lifestyle as a bank officer. Her
HbA1C is 10%. - ....ANSWER ...-Educational Needs Increased
Fall Risk Normal
Health change Increased
Neurological Normal
Pain level Normal
Psychological Needs Normal
Sensorium Normal
Donald Lyles, 52-year old male, was admitted yesterday evening for stabilization of his
uncontrolled type II diabetes. He is married, and his wife is requesting to stay at his
side. His HbgA1c is 10.6%. He has a history of a Myocardial Infarction, MI, one year
ago, and has refused all cardiac rehab, and has not had another cardiac event. He refuses
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 1
,to comply with dietary recommendations. His BMI is 37. Vital signs are: BP: 146/94, P:
88, R: 22, T: 99.2, PaO2: 94% Blood glucose upon admission is 340 mg/dl -
....ANSWER ...-Educational Needs Increased
Fall Risk Normal
Health change Increased
Neurological Normal
Pain level Normal
Psychological Needs Normal
Mary Barkley, 74y/o female has been admitted to your floor with a respiratory infection
and she has tested positive for COVID19. She resides in an assisted living facility which
has seen four deaths related to COVID19. She is exhibiting the same initial signs and
symptoms as the other patients and her primary care provider would like to start
aggressively treating her. She is running a low-grade fever 99.8 and has a sore scratchy
throat which is causing an unproductive cough. She also is complaining of chills, muscle
pain and headache. She is an at-risk patient because of her age. She also suffers from
Lupus and is already taking Hydroxychloroquine, a first-line lupus therapy, but there is
no conclusive evidence of its benefits for coronavirus yet. She is very fearful and is
requesting to see her family. She states that she does not want to die alone. -
....ANSWER ...-Educational Needs Increased
Fall Risk Normal
Health change Increased
Neurological Normal
Pain level Increased
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 2
,Psychological Needs Increased
Karen Cole, 56 year old female, Karen Cole, a school principal at White House High
School. Admitted directly from the Dr.'s office to the IMCU after initial complaint for
tightness in her chest, denies pain, and slight shortness of breath. Vital signs are BP:
168/92, P: 90, R: 24, T: 98.6. Her husband insisted that she come. She is insisting that
she will only stay 12 hours, because she has to be back to school in the morning. -
....ANSWER ...-Educational Needs Increased
Fall Risk Normal
Health change Increased
Pain level Normal
Psychological Needs Normal
Sensorium Normal
Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. She is 2
days post-op. She is 85 years old and has a history of osteoarthritis and cataracts. PT has
been getting the patient up with a walker and she is able to take a few steps. She is aware
of self and situation, but not time or day. Her family lives out of state, but the daughter
was here for the surgery, she left yesterday. The plan is to discharge Ms. Yu back to her
assisted living facility. Her daily medications at home include: Prednisone 5 mg,
Furosemide 20 mg, and ASA 81 mg daily. The surgeon added oxycodone 5mg q 4-6
hours prn pain. NKDA. - ....ANSWER ...-Educational Needs Increased
Fall Risk Increased
Health change Increased
Neurological Increased
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 3
, Pain level Normal
Psychological Needs Increased
Lida Pittmon - ....ANSWER ...-Educational Needs Increased
Fall Risk Increased
Health Change Increased
Neurological Increased
Pain Normal
Psychological Normal
Kenny Barrett, 64 years old, was admitted for observation of initial administering of BP
his treatment with blood pressure of 220/124 after visiting his doctor for a routine
physical. ECG was unremarkable. No past history of HTN. Past medical history
includes hyperlipidemia and a history of 1 pack a day smoker for the past 20 years. Vital
signs are Temp 98.9F, BP 178/90, P 88, RR 18 SaO2 95% on Room air. IV with NS @ 125
mL/ hr. Patient has been complaining of a headache and dizziness. He is a patient of
Dr. Adams. - ....ANSWER ...-Educational Needs Increased
Fall Risk Increased
Health change Increased
Pain level Increased
Psychological Needs Normal
Sensorium Normal
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 4
EXAM 2025 QUESTIONS AND
ANSWERS
Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new
diagnosis of type II diabetes. She has been documented as being obese, new onset
hypertension, polyuria, and a rash on her abdomen. She was asymptomatic upon arrival.
She was admitted yesterday for stabilization of her glucose levels, and assist her with
lifestyle modification. She states she leads a sedentary lifestyle as a bank officer. Her
HbA1C is 10%. - ....ANSWER ...-Educational Needs Increased
Fall Risk Normal
Health change Increased
Neurological Normal
Pain level Normal
Psychological Needs Normal
Sensorium Normal
Donald Lyles, 52-year old male, was admitted yesterday evening for stabilization of his
uncontrolled type II diabetes. He is married, and his wife is requesting to stay at his
side. His HbgA1c is 10.6%. He has a history of a Myocardial Infarction, MI, one year
ago, and has refused all cardiac rehab, and has not had another cardiac event. He refuses
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 1
,to comply with dietary recommendations. His BMI is 37. Vital signs are: BP: 146/94, P:
88, R: 22, T: 99.2, PaO2: 94% Blood glucose upon admission is 340 mg/dl -
....ANSWER ...-Educational Needs Increased
Fall Risk Normal
Health change Increased
Neurological Normal
Pain level Normal
Psychological Needs Normal
Mary Barkley, 74y/o female has been admitted to your floor with a respiratory infection
and she has tested positive for COVID19. She resides in an assisted living facility which
has seen four deaths related to COVID19. She is exhibiting the same initial signs and
symptoms as the other patients and her primary care provider would like to start
aggressively treating her. She is running a low-grade fever 99.8 and has a sore scratchy
throat which is causing an unproductive cough. She also is complaining of chills, muscle
pain and headache. She is an at-risk patient because of her age. She also suffers from
Lupus and is already taking Hydroxychloroquine, a first-line lupus therapy, but there is
no conclusive evidence of its benefits for coronavirus yet. She is very fearful and is
requesting to see her family. She states that she does not want to die alone. -
....ANSWER ...-Educational Needs Increased
Fall Risk Normal
Health change Increased
Neurological Normal
Pain level Increased
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 2
,Psychological Needs Increased
Karen Cole, 56 year old female, Karen Cole, a school principal at White House High
School. Admitted directly from the Dr.'s office to the IMCU after initial complaint for
tightness in her chest, denies pain, and slight shortness of breath. Vital signs are BP:
168/92, P: 90, R: 24, T: 98.6. Her husband insisted that she come. She is insisting that
she will only stay 12 hours, because she has to be back to school in the morning. -
....ANSWER ...-Educational Needs Increased
Fall Risk Normal
Health change Increased
Pain level Normal
Psychological Needs Normal
Sensorium Normal
Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. She is 2
days post-op. She is 85 years old and has a history of osteoarthritis and cataracts. PT has
been getting the patient up with a walker and she is able to take a few steps. She is aware
of self and situation, but not time or day. Her family lives out of state, but the daughter
was here for the surgery, she left yesterday. The plan is to discharge Ms. Yu back to her
assisted living facility. Her daily medications at home include: Prednisone 5 mg,
Furosemide 20 mg, and ASA 81 mg daily. The surgeon added oxycodone 5mg q 4-6
hours prn pain. NKDA. - ....ANSWER ...-Educational Needs Increased
Fall Risk Increased
Health change Increased
Neurological Increased
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 3
, Pain level Normal
Psychological Needs Increased
Lida Pittmon - ....ANSWER ...-Educational Needs Increased
Fall Risk Increased
Health Change Increased
Neurological Increased
Pain Normal
Psychological Normal
Kenny Barrett, 64 years old, was admitted for observation of initial administering of BP
his treatment with blood pressure of 220/124 after visiting his doctor for a routine
physical. ECG was unremarkable. No past history of HTN. Past medical history
includes hyperlipidemia and a history of 1 pack a day smoker for the past 20 years. Vital
signs are Temp 98.9F, BP 178/90, P 88, RR 18 SaO2 95% on Room air. IV with NS @ 125
mL/ hr. Patient has been complaining of a headache and dizziness. He is a patient of
Dr. Adams. - ....ANSWER ...-Educational Needs Increased
Fall Risk Increased
Health change Increased
Pain level Increased
Psychological Needs Normal
Sensorium Normal
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 4
