SWIFT RIVER MEDICAL-SURGICAL
EXAM 2025 QUESTIONS AND
ANSWERS
Ann Rails - ....ANSWER ...-Educational - Increased
Fall Risk - Increased
Health Change - Increased
Pain - Increased
Psychological Needs - Normal
Sensorium - Normal
Ann Rails - ....ANSWER ...-Acute pain
Impaired comfort
Impaired mobility
Disturbed sensory perception
Fall, risk for
Peripheral neurovascular dysfunction
Ann Rails - ....ANSWER ...-Scenario #1
Use therapeutic
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 1
,Educate pt.
Evaluate pt. learning
Place call light
Document
Scenario #2
Wash and glove hands
Assess
Provide comfort measures
Notify doctor
Document
Scenario #3
Listen to pt. concerns
Reassure pt. of options
Notify lead nurse/doctor
Contact Social Services
Document
Scenario #4
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 2
,Wash and glove hands
Visual assessment
Do not disturb
Verify Call Light
Document
Scenario #5
Assess for bowel sounds
Encourage fluids/fiber/ambulation
Evaluate pt. understanding
Attain fluids/fiber diet
Document
Arthur Thomason - ....ANSWER ...-Educational - increased
Health change - increased
LOC - increased
Pain - increased
Psychological needs - increased
Safety - increased
Arthur Thomason - ....ANSWER ...-Impaired confort
Impaired gas exchange
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 3
, Ineffective airway clearance
Shock, risk for
Anxiety/fear
Failure to thrive, risk for
Arthur Thomason - ....ANSWER ...-Scenario #1
Assess
Replace O2
Use therapeutic
Notify Dr. and charge nurse
Scenario #2
Remind physician
Explain to physician
Assist physician
Obtain recent
Reassure pt.
Scenario #3
Tap pt.
Elevate HOB
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 4
EXAM 2025 QUESTIONS AND
ANSWERS
Ann Rails - ....ANSWER ...-Educational - Increased
Fall Risk - Increased
Health Change - Increased
Pain - Increased
Psychological Needs - Normal
Sensorium - Normal
Ann Rails - ....ANSWER ...-Acute pain
Impaired comfort
Impaired mobility
Disturbed sensory perception
Fall, risk for
Peripheral neurovascular dysfunction
Ann Rails - ....ANSWER ...-Scenario #1
Use therapeutic
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 1
,Educate pt.
Evaluate pt. learning
Place call light
Document
Scenario #2
Wash and glove hands
Assess
Provide comfort measures
Notify doctor
Document
Scenario #3
Listen to pt. concerns
Reassure pt. of options
Notify lead nurse/doctor
Contact Social Services
Document
Scenario #4
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 2
,Wash and glove hands
Visual assessment
Do not disturb
Verify Call Light
Document
Scenario #5
Assess for bowel sounds
Encourage fluids/fiber/ambulation
Evaluate pt. understanding
Attain fluids/fiber diet
Document
Arthur Thomason - ....ANSWER ...-Educational - increased
Health change - increased
LOC - increased
Pain - increased
Psychological needs - increased
Safety - increased
Arthur Thomason - ....ANSWER ...-Impaired confort
Impaired gas exchange
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 3
, Ineffective airway clearance
Shock, risk for
Anxiety/fear
Failure to thrive, risk for
Arthur Thomason - ....ANSWER ...-Scenario #1
Assess
Replace O2
Use therapeutic
Notify Dr. and charge nurse
Scenario #2
Remind physician
Explain to physician
Assist physician
Obtain recent
Reassure pt.
Scenario #3
Tap pt.
Elevate HOB
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 4
