SWIFT RIVER MEDICAL SURGICAL UPDATED
COMPREHENSIVE EXAM QUESTIONS AND ANSWERS
SURE A+
✔✔John Davis - ✔✔Scenario #1
Offer pt. a urinal
Perform post-op
Assist pt.
Tell pt.
Ensure side rails
Scenario #2
Assess large dressing site
Administer pain meds
Assess dressing supply
Assess pt's need
Document
Scenario #3
Restart new IV
Administer nausea med
Assess for contraindications
Weight the pt.
Take VS & provide pt. teaching
Scenario #4
Complete full assessment
Apply clean dressing
Encourage pt.
Continue to encourage
Document & inform
,Scenario #5
Assess pt's concerns
Teach pt.
Make referral
Consult social services
Have pt. verbalize
✔✔Joyce Workman - ✔✔Educational - increased
Fall Risk - normal
Health Change - increased
Neurological - normal
Pain - normal
Psychological Needs - normal
Sensorium - normal
✔✔Joyce Workman - ✔✔Enhanced readiness for learning
Ineffective health maintenance
Imbalanced nutrition
Risk for injury
✔✔Joyce Workman - ✔✔Scenario #1
Ask Mrs. Workman
Explain in laymen terms
Discuss lifestyle choices
Discuss lifestyle changes
Document teaching
Scenario #2
Asses Mrs. Workman's knowledge
Ask Mrs. Workman for 24-hour diet
Educate Mrs. Workman
Provide Mrs. Workman
Ask Mrs. Workman to demonstrate
Scenario #3
Assess pt's preferred
Ensure the pt.
Provide an exercise routine
Review with Mrs. Workman
Use teach back
Scenario #4
Assess pt's blood glucose
Provide 20 gram carb
Provide another
,Reassess blood glucose
Proved additional teaching
Scenario #5
Assess Mrs. Workman's understanding
Explain to Mrs. Workman
Explore new ways
Provide information
Document education
✔✔Kate Bradley - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Neurological - increased
✔✔Kate Bradley - ✔✔Acute pain
Bleeding, risk for
Impaired comfort
Impaired mobility
Deficient knowledge
Fall, risk for
Infection, risk for
✔✔Kate Bradley - ✔✔Scenario #1
Complete full assessment
Secure help
Medicate
Contact nursing supervisor
Complete bed bath
Scenario #2
Reassess VS
Report discrepancy
Notify HCP
Contact IV team
Document all findings
Scenario #3
Explain to surgeon
Check on labs
Contact charge nurse
Meet with daughter
Assess pt.
, Scenario #4
Provide therapeutic
Assess last medication
Assist the IV team
Explain to daughter
Contact social services
Scenario #5
Witness daughter
Call report
88 y/o female
Former nursing home
Pt. has a foley
Have daughter stay
✔✔Kathy Gestalt - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - normal
Psychological Needs - increased
Sensorium - normal
✔✔Kathy Gestalt - ✔✔Acute Pain
Impaired mobility
Impaired skin integrity, risk for
Anxiety
Deficient knowledge
Fall, risk for
Decisional comfort
Disturbed body
✔✔Kathy Gestalt - ✔✔Scenario #1
Check pedal cap refill
Educate pt.
Evaluate understanding
Adjust crutches
Assist pt. OOB
Scenario #2
Wash & glove
VS assessment
Administer anit-pyretics
Verify call light
Document results
Scenario #3
COMPREHENSIVE EXAM QUESTIONS AND ANSWERS
SURE A+
✔✔John Davis - ✔✔Scenario #1
Offer pt. a urinal
Perform post-op
Assist pt.
Tell pt.
Ensure side rails
Scenario #2
Assess large dressing site
Administer pain meds
Assess dressing supply
Assess pt's need
Document
Scenario #3
Restart new IV
Administer nausea med
Assess for contraindications
Weight the pt.
Take VS & provide pt. teaching
Scenario #4
Complete full assessment
Apply clean dressing
Encourage pt.
Continue to encourage
Document & inform
,Scenario #5
Assess pt's concerns
Teach pt.
Make referral
Consult social services
Have pt. verbalize
✔✔Joyce Workman - ✔✔Educational - increased
Fall Risk - normal
Health Change - increased
Neurological - normal
Pain - normal
Psychological Needs - normal
Sensorium - normal
✔✔Joyce Workman - ✔✔Enhanced readiness for learning
Ineffective health maintenance
Imbalanced nutrition
Risk for injury
✔✔Joyce Workman - ✔✔Scenario #1
Ask Mrs. Workman
Explain in laymen terms
Discuss lifestyle choices
Discuss lifestyle changes
Document teaching
Scenario #2
Asses Mrs. Workman's knowledge
Ask Mrs. Workman for 24-hour diet
Educate Mrs. Workman
Provide Mrs. Workman
Ask Mrs. Workman to demonstrate
Scenario #3
Assess pt's preferred
Ensure the pt.
Provide an exercise routine
Review with Mrs. Workman
Use teach back
Scenario #4
Assess pt's blood glucose
Provide 20 gram carb
Provide another
,Reassess blood glucose
Proved additional teaching
Scenario #5
Assess Mrs. Workman's understanding
Explain to Mrs. Workman
Explore new ways
Provide information
Document education
✔✔Kate Bradley - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Neurological - increased
✔✔Kate Bradley - ✔✔Acute pain
Bleeding, risk for
Impaired comfort
Impaired mobility
Deficient knowledge
Fall, risk for
Infection, risk for
✔✔Kate Bradley - ✔✔Scenario #1
Complete full assessment
Secure help
Medicate
Contact nursing supervisor
Complete bed bath
Scenario #2
Reassess VS
Report discrepancy
Notify HCP
Contact IV team
Document all findings
Scenario #3
Explain to surgeon
Check on labs
Contact charge nurse
Meet with daughter
Assess pt.
, Scenario #4
Provide therapeutic
Assess last medication
Assist the IV team
Explain to daughter
Contact social services
Scenario #5
Witness daughter
Call report
88 y/o female
Former nursing home
Pt. has a foley
Have daughter stay
✔✔Kathy Gestalt - ✔✔Educational - increased
Fall Risk - increased
Health Change - increased
Pain - normal
Psychological Needs - increased
Sensorium - normal
✔✔Kathy Gestalt - ✔✔Acute Pain
Impaired mobility
Impaired skin integrity, risk for
Anxiety
Deficient knowledge
Fall, risk for
Decisional comfort
Disturbed body
✔✔Kathy Gestalt - ✔✔Scenario #1
Check pedal cap refill
Educate pt.
Evaluate understanding
Adjust crutches
Assist pt. OOB
Scenario #2
Wash & glove
VS assessment
Administer anit-pyretics
Verify call light
Document results
Scenario #3
