SWIFT RIVER MED SURG PT SCENARIOS EXAM
(Actual 2025) QUESTIONS & VERIFIED ANSWERS
John Duncan, 56yr-old male, Dx- Gastroenteritis, returned
yesterday from Cancun, c/o intractable diarrhea, weak, pale,
and refusing to eat. No known allergies (NKA). Non-
significant past medical Hx. Vital signs Temp 99.4, BP
106/72, P 96, RR 20, SaO2 91%. Neuro WNL's, alert and
cooperative. IV maintenance fluids with D5 1/2 NS at 125ml
per hour in left forearm. c/o headache- medicated with Lortab
5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose
at 0834. Stools are decreasing but patient remains very weak.
Wife at bedside. Diet as tolerated. Dr. Jones. -
<<<Answers>>>Educational Needs Increased acuity
Fall Risk Increased acuity
Health Change Increased acuity
Pain Level Increased acuity
Psychological Needs Normal acuity
Sensorium Normal acuity
John Duncan - <<<Answers>>>Physiological
Deficient Fluid Volume True
Electrolyte Imbalance, Risk for True
Excess Fluid Volume, Risk for False
Fatigue True
Nausea False
, SWIFT RIVER MED SURG PT SCENARIOS EXAM
(Actual 2025) QUESTIONS & VERIFIED ANSWERS
Self-Care Deficit False
Safety
Fall, Risk for True
Infection, Risk for False
Esteem
Ineffective Coping False
Noncompliance True
John Duncan
Scenario 1
As you enter the room, Mr. Duncan is refusing to eat foods
from bland diet.
Scenario 2
Mr. Duncan is now complaining of feeling "dizzy" when he
stands.
Scenario 3
, SWIFT RIVER MED SURG PT SCENARIOS EXAM
(Actual 2025) QUESTIONS & VERIFIED ANSWERS
Several hours later, Mr. Duncan is now complaining of
nausea.
Scenario 4
Two hours later, Mr. Duncan is asked how frequent his stools
have been today. He replies, "six times in the past four hours".
He also states he is feeling weak.
Scenario 5
Mr. Duncan's wife meets you in hall asking what she could
bring her husband to eat from home. -
<<<Answers>>>Scenario 1
Assess intake and output and possible reasoning
Construct dietary consult (plan)
Acquire daily weight and food intake
Evaluate outcome of dietary plan
Scenario 2
Full assessment including both lying/standing
Check input/output for possible dehydration
Teach patient about safety when getting out of bed
Document findings
Scenario 3
, SWIFT RIVER MED SURG PT SCENARIOS EXAM
(Actual 2025) QUESTIONS & VERIFIED ANSWERS
Wash and glove hands
Provide emesis basin/cloth
Vital assessment
Administer antiemetic medication
Evaluate medication effectiveness
Scenario 4
Vital assessment
Assessment of bowel movement
Administer protocol antidiarrheal medication
Document results/findings
Include patient condition change in shift report
Scenario 5
Inform and educate spouse of dietary orders
Evaluate/modify plan of care
Assess food consumption and intake and output
Document findings/results
Ann Rails, 38 years old, c/o back pain, non-significant past
medical history. No known allergies (NKA). Vital signs -BP
124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Pain and
numbness in legs for one week. Abnormal left leg weakness,
gait unsteady, 5/10 on numeric pain scale. Neuro WNL,
(Actual 2025) QUESTIONS & VERIFIED ANSWERS
John Duncan, 56yr-old male, Dx- Gastroenteritis, returned
yesterday from Cancun, c/o intractable diarrhea, weak, pale,
and refusing to eat. No known allergies (NKA). Non-
significant past medical Hx. Vital signs Temp 99.4, BP
106/72, P 96, RR 20, SaO2 91%. Neuro WNL's, alert and
cooperative. IV maintenance fluids with D5 1/2 NS at 125ml
per hour in left forearm. c/o headache- medicated with Lortab
5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose
at 0834. Stools are decreasing but patient remains very weak.
Wife at bedside. Diet as tolerated. Dr. Jones. -
<<<Answers>>>Educational Needs Increased acuity
Fall Risk Increased acuity
Health Change Increased acuity
Pain Level Increased acuity
Psychological Needs Normal acuity
Sensorium Normal acuity
John Duncan - <<<Answers>>>Physiological
Deficient Fluid Volume True
Electrolyte Imbalance, Risk for True
Excess Fluid Volume, Risk for False
Fatigue True
Nausea False
, SWIFT RIVER MED SURG PT SCENARIOS EXAM
(Actual 2025) QUESTIONS & VERIFIED ANSWERS
Self-Care Deficit False
Safety
Fall, Risk for True
Infection, Risk for False
Esteem
Ineffective Coping False
Noncompliance True
John Duncan
Scenario 1
As you enter the room, Mr. Duncan is refusing to eat foods
from bland diet.
Scenario 2
Mr. Duncan is now complaining of feeling "dizzy" when he
stands.
Scenario 3
, SWIFT RIVER MED SURG PT SCENARIOS EXAM
(Actual 2025) QUESTIONS & VERIFIED ANSWERS
Several hours later, Mr. Duncan is now complaining of
nausea.
Scenario 4
Two hours later, Mr. Duncan is asked how frequent his stools
have been today. He replies, "six times in the past four hours".
He also states he is feeling weak.
Scenario 5
Mr. Duncan's wife meets you in hall asking what she could
bring her husband to eat from home. -
<<<Answers>>>Scenario 1
Assess intake and output and possible reasoning
Construct dietary consult (plan)
Acquire daily weight and food intake
Evaluate outcome of dietary plan
Scenario 2
Full assessment including both lying/standing
Check input/output for possible dehydration
Teach patient about safety when getting out of bed
Document findings
Scenario 3
, SWIFT RIVER MED SURG PT SCENARIOS EXAM
(Actual 2025) QUESTIONS & VERIFIED ANSWERS
Wash and glove hands
Provide emesis basin/cloth
Vital assessment
Administer antiemetic medication
Evaluate medication effectiveness
Scenario 4
Vital assessment
Assessment of bowel movement
Administer protocol antidiarrheal medication
Document results/findings
Include patient condition change in shift report
Scenario 5
Inform and educate spouse of dietary orders
Evaluate/modify plan of care
Assess food consumption and intake and output
Document findings/results
Ann Rails, 38 years old, c/o back pain, non-significant past
medical history. No known allergies (NKA). Vital signs -BP
124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Pain and
numbness in legs for one week. Abnormal left leg weakness,
gait unsteady, 5/10 on numeric pain scale. Neuro WNL,
