Suzanne Morris vSim Feedback Log Assessment Actual
Exam 2026/2027 – Complete 30 Questions with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+ Graded
SECTION A: Recognizing Cues – Assessment & Data Collection
(Q1–Q5)
Q1: Suzanne Morris is postoperative day 1 after abdominal surgery. During the initial
vSim assessment, which finding should the nurse recognize as EXPECTED in the early
postoperative period?
A. Absent bowel sounds in all four quadrants at 24 hours post-op
B. Serous drainage on the surgical dressing with edges approximated and no erythema
[CORRECT]
C. Purulent, foul-smelling drainage saturating the dressing
D. Blood pressure 88/54 with heart rate 128
Correct Answer: B
Rationale: Small amounts of serous drainage with well-approximated incision edges are
normal at post-op day 1. Absent bowel sounds beyond a few hours, purulent drainage,
and hypotension with tachycardia are unexpected findings requiring escalation.
Q2: The nurse reviews Suzanne Morris's postoperative orders and notes a PCA pump is
prescribed. Which assessment is MOST essential BEFORE administering the first PCA
dose?
A. The patient's ability to demonstrate understanding of the PCA button
B. Baseline respiratory rate, sedation level, and pain score [CORRECT]
C. The brand of the PCA machine in use
D. Whether the patient prefers oral medications instead
Correct Answer: B
Rationale: Baseline respiratory status, sedation score, and pain assessment establish
the reference point for safe opioid titration and early detection of respiratory
depression. Understanding of the button matters for teaching, but baseline physiologic
status takes priority before the first dose.
, Q3: During rounds on Suzanne, the nurse notes which set of vital signs that warrants
immediate provider notification in the first 24 hours after surgery?
A. Temperature 37.8°C, HR 88, RR 16, BP 128/76
B. Temperature 38.9°C, HR 118, RR 24, BP 96/58 [CORRECT]
C. Temperature 37.2°C, HR 84, RR 14, BP 132/80
D. Temperature 38.2°C, HR 92, RR 18, BP 124/78
Correct Answer: B
Rationale: Fever with tachycardia, tachypnea, and borderline hypotension
postoperatively suggests developing sepsis or hypovolemia—a time-sensitive
escalation. Mild low-grade fever alone can be expected post-op, and normal vitals
require routine monitoring only.
Q4: Which focused assessment is the priority when Suzanne reports "something doesn't
feel right" and her family notes she seems confused?
A. Full neurological assessment including orientation and sedation score, plus oxygen
saturation [CORRECT]
B. Review of her dietary preferences for the day
C. Assessment of her entertainment preferences for the room
D. Detailed family history of chronic illness
Correct Answer: A
Rationale: New confusion in a postoperative patient receiving opioids signals possible
hypoxemia, respiratory depression, or infection—requiring immediate neurological,
sedation, and oxygenation assessment. Non-urgent psychosocial and historical data are
collected after the acute concern is addressed.
Q5: The vSim feedback log notes the student auscultated breath sounds and found
diminished basilar sounds bilaterally. Which additional cue should the nurse collect to
complete the respiratory picture?
A. The patient's favorite television program
B. Respiratory rate, oxygen saturation, presence of cough, and ability to take deep
breaths [CORRECT]
C. The time of the last visitor
D. The patient's insurance information
Correct Answer: B
Rationale: Diminished breath sounds in a postoperative patient raise concern for
atelectasis or pneumonia; rate, SpO₂, cough effectiveness, and inspiratory effort
Exam 2026/2027 – Complete 30 Questions with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+ Graded
SECTION A: Recognizing Cues – Assessment & Data Collection
(Q1–Q5)
Q1: Suzanne Morris is postoperative day 1 after abdominal surgery. During the initial
vSim assessment, which finding should the nurse recognize as EXPECTED in the early
postoperative period?
A. Absent bowel sounds in all four quadrants at 24 hours post-op
B. Serous drainage on the surgical dressing with edges approximated and no erythema
[CORRECT]
C. Purulent, foul-smelling drainage saturating the dressing
D. Blood pressure 88/54 with heart rate 128
Correct Answer: B
Rationale: Small amounts of serous drainage with well-approximated incision edges are
normal at post-op day 1. Absent bowel sounds beyond a few hours, purulent drainage,
and hypotension with tachycardia are unexpected findings requiring escalation.
Q2: The nurse reviews Suzanne Morris's postoperative orders and notes a PCA pump is
prescribed. Which assessment is MOST essential BEFORE administering the first PCA
dose?
A. The patient's ability to demonstrate understanding of the PCA button
B. Baseline respiratory rate, sedation level, and pain score [CORRECT]
C. The brand of the PCA machine in use
D. Whether the patient prefers oral medications instead
Correct Answer: B
Rationale: Baseline respiratory status, sedation score, and pain assessment establish
the reference point for safe opioid titration and early detection of respiratory
depression. Understanding of the button matters for teaching, but baseline physiologic
status takes priority before the first dose.
, Q3: During rounds on Suzanne, the nurse notes which set of vital signs that warrants
immediate provider notification in the first 24 hours after surgery?
A. Temperature 37.8°C, HR 88, RR 16, BP 128/76
B. Temperature 38.9°C, HR 118, RR 24, BP 96/58 [CORRECT]
C. Temperature 37.2°C, HR 84, RR 14, BP 132/80
D. Temperature 38.2°C, HR 92, RR 18, BP 124/78
Correct Answer: B
Rationale: Fever with tachycardia, tachypnea, and borderline hypotension
postoperatively suggests developing sepsis or hypovolemia—a time-sensitive
escalation. Mild low-grade fever alone can be expected post-op, and normal vitals
require routine monitoring only.
Q4: Which focused assessment is the priority when Suzanne reports "something doesn't
feel right" and her family notes she seems confused?
A. Full neurological assessment including orientation and sedation score, plus oxygen
saturation [CORRECT]
B. Review of her dietary preferences for the day
C. Assessment of her entertainment preferences for the room
D. Detailed family history of chronic illness
Correct Answer: A
Rationale: New confusion in a postoperative patient receiving opioids signals possible
hypoxemia, respiratory depression, or infection—requiring immediate neurological,
sedation, and oxygenation assessment. Non-urgent psychosocial and historical data are
collected after the acute concern is addressed.
Q5: The vSim feedback log notes the student auscultated breath sounds and found
diminished basilar sounds bilaterally. Which additional cue should the nurse collect to
complete the respiratory picture?
A. The patient's favorite television program
B. Respiratory rate, oxygen saturation, presence of cough, and ability to take deep
breaths [CORRECT]
C. The time of the last visitor
D. The patient's insurance information
Correct Answer: B
Rationale: Diminished breath sounds in a postoperative patient raise concern for
atelectasis or pneumonia; rate, SpO₂, cough effectiveness, and inspiratory effort
