SWIFT RIVER WEEK 1 MEDICAL-SURGICAL
EXAM PAPER 2026 COMPLETE QUESTIONS
WITH ANSWERS GRADED A+
◉ Dotty Hamilton,
52 y/o female who has been admitted for bariatric Surgery. She has
arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y
gastric bypass (RYGB). She is super morbidly obese with a BMI of 52,
Ht, 5'3", Wt, 293lbs. She has well controlled hypertension with
Losartan (Cozaar) 50 mg q daily. She also takes Metformin to control
her Type 2 Diabetes. She has sleep apnea, and she brought her CPAP
machine. She is very excited about the surgery but is also
apprehensive. She was told by a friend that the complication rate for
this surgery is very high. She believes this surgery is her only hope,
as she says she has tried everything else to lose weight. Her husband
is with her and seems to be very supportive. Body Mass Index (BMI)
= kg/m2 where kg is a person's weight in kilograms and m2 is their
height in metres squared. A BMI of 25.0 or more is overweight, while
the healthy range is 18.5 to 24.9. Exampl. Answer: Educational
Needs: Increased
Fall Risk: Normal
Health Change: Normal
Pain Level: Normal
Psychological Needs: Increased
Neurological needs: Normal
,Phase 2:
Nausea- False
Potential for alteration in comfort- True
Potential for bleeding- True
Knowledge deficit- True
Peripheral neurovascular dysfunction- False
Potential for infection- True
Scenario 1:
Contact surgeon
Complete pre-op
Ensure surgical consents
Check to see
Pt. teaching
Scenario 2:
Wash hands
Complete full assessment
Check wound sites
Use therapeutic
Encourage first IS
, Scenario 3:
Reassure & communicate
Patient's change in condition requires another full assessment. The
absence of bowel sounds would indicate an abdominal ileus
Administer Antibiotics
Check blood glucose
Start PCA pump
Scenario 4:
Reassure pt.
Complete full pt. assessment
Assess whether or not
Obtain labs
Notify HCP
Scenario 5:
Complete full assessment
Place pt. on telemetry
Check foley
Explain to pt.
Assist anesthesia
EXAM PAPER 2026 COMPLETE QUESTIONS
WITH ANSWERS GRADED A+
◉ Dotty Hamilton,
52 y/o female who has been admitted for bariatric Surgery. She has
arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y
gastric bypass (RYGB). She is super morbidly obese with a BMI of 52,
Ht, 5'3", Wt, 293lbs. She has well controlled hypertension with
Losartan (Cozaar) 50 mg q daily. She also takes Metformin to control
her Type 2 Diabetes. She has sleep apnea, and she brought her CPAP
machine. She is very excited about the surgery but is also
apprehensive. She was told by a friend that the complication rate for
this surgery is very high. She believes this surgery is her only hope,
as she says she has tried everything else to lose weight. Her husband
is with her and seems to be very supportive. Body Mass Index (BMI)
= kg/m2 where kg is a person's weight in kilograms and m2 is their
height in metres squared. A BMI of 25.0 or more is overweight, while
the healthy range is 18.5 to 24.9. Exampl. Answer: Educational
Needs: Increased
Fall Risk: Normal
Health Change: Normal
Pain Level: Normal
Psychological Needs: Increased
Neurological needs: Normal
,Phase 2:
Nausea- False
Potential for alteration in comfort- True
Potential for bleeding- True
Knowledge deficit- True
Peripheral neurovascular dysfunction- False
Potential for infection- True
Scenario 1:
Contact surgeon
Complete pre-op
Ensure surgical consents
Check to see
Pt. teaching
Scenario 2:
Wash hands
Complete full assessment
Check wound sites
Use therapeutic
Encourage first IS
, Scenario 3:
Reassure & communicate
Patient's change in condition requires another full assessment. The
absence of bowel sounds would indicate an abdominal ileus
Administer Antibiotics
Check blood glucose
Start PCA pump
Scenario 4:
Reassure pt.
Complete full pt. assessment
Assess whether or not
Obtain labs
Notify HCP
Scenario 5:
Complete full assessment
Place pt. on telemetry
Check foley
Explain to pt.
Assist anesthesia
