Swiftl Riverl Fundamentalsl Examl V2l
(Latestl 2025/l 2026l Update)l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)
Q:l Wightl Goodman,l Patientl wasl admittedl tol thel floorl lastl nightl froml thel ERl forl anl
orbitall fracture.l Hel wasl hitl inl thel leftl eyel byl al softballl yesterday.l Apparently,l hel wasl
pitching,l andl thel batterl hitl al linel drivel hittingl himl inl thel rightl sidel ofl thel face.l Theyl
appliedl somel icel tol hisl face,l andl hel decidedl tol gol tol thel postl gamel kegl partyl insteadl
ofl comingl tol thel ER.l Thel patientl statedl thatl therel wasl significantl swelling,l butl hisl
visionl wasl fine,l andl thel painl wasl controlledl withl beerl andl 800mgl ofl ibuprofen.l Hel
wasl unablel tol sleepl laterl inl thel eveningl asl thel painl becamel worse,l andl hisl visionl
becamel morel impaired.l Thel maxillofaciall surgeonl wasl consulted,l andl theyl willl seel himl
thisl morning.l Theyl werel notl concernedl asl hisl intraocularl pressurel wasl normall inl thel
ER.l Therel isl significantl edemal andl discolorationl tol thel leftl sidel ofl hisl face,l andl hisl
leftl eyel isl almostl completelyl swollenl shut.l Hisl visuall acuityl isl diminished,l and
Answer:
Intracraniall regulation
Mobility
Sensory
Q:l Highl numberedl acuitiesl arel atl mostl risk:
Sarahl Kathrynl Hortonl rooml 303
Assess:l Thel patientl hasl justl experiencedl al traumaticl mass-shooting.l Assessl thel patient'sl
currentl psychologicall andl physicall status.l Whatl shouldl bel includedl inl thel "Assessment"?l
Selectl alll thatl apply
Answer:
Introducel andl sitl downl byl thel patient'sl bedside.
,Determinel cognitionl byl askingl questionsl tol determinel ifl shel knowsl who,l where,l andl
whatl happened.
Reviewl ofl bodyl systemsl andl evaluatel painl onl al scalel ofl 1-10.
Q:l Sarahl Kathrynl Hortonl Scenariol 2
Diagnose:l Youl determinel afterl thel assessmentl thatl shel isl physicallyl stable,l andl herl
gunshotl woundsl havel beenl stabilized.l Shel isl emotionallyl distraughtl andl labile.l Whatl
shouldl bel includedl inl thel "Diagnose"?
Answer:
Thel patientl hasl survivedl al massl shooting.
Shel experiencedl lifel threateningl woundsl withl 2l gunshotl wounds,l includingl onel tol thel
shoulder.
Thel patientl isl unablel tol processl thel eventl sol far.
Q:l Sarahl Kathrynl Hortonl Scenariol 3
Plan:l Thel patientl continuesl tol declinel psychologically.l Youl findl thel patientl onl thel floorl
inl al fetall positionl crying.l Whatl shouldl bel includedl inl thel "Plan"?
Answer:
Comfortl andl orientl patientl tol person,l place,l andl time.
Remainl withl thel patient.
Checkl tol seel availabilityl forl PRNl anxiolyticl medication.
Requestl assistancel withl yourl otherl patientsl andl determinel family'sl availabilityl tol stayl
withl thel patient.
Q:l Sarahl Kathrynl Hortonl Scenariol 4
,Implementation:l Thel patientl continuesl tol declinel psychologically.l Youl findl thel patientl
onl thel floorl inl al fetall positionl crying.l Thel familyl membersl arel notifiedl andl willl bel
arrivingl soon.l Shel hasl anl orderl forl PRNl Ativanl POl forl severel anxiety.l Whatl shouldl
bel includedl inl thel "Implementation"?
Answer:
Orientl arrivingl familyl memberl tol thel situation,l andl explainl importancel ofl remainingl
withl thel patient.
Assurel patientl thatl shel isl safel inl thel hospital,l andl youl willl notl leavel her.
Givel anl SBARl onl yourl otherl patientsl tol thel nursel whol isl assistingl you.
Q:l Sarahl Kathrynl Hortonl Scenariol 5
Evaluate:l Anl hourl hasl passed;l thel patientl isl quietl andl eatingl dinner.l Thel patient'sl
dressingsl arel dryl andl intact.l Herl vitall signsl arel stable,l andl shel reportsl painl 2/10.l Whatl
shouldl bel includedl inl thel "Evaluate"?
Answer:
Askl thel patientl andl familyl memberl ifl therel isl anything,l wel canl dol tol makel herl morel
comfortable.
Recordl whatl andl howl muchl thel patientl eats.
Notel thatl thel familyl memberl supportl hasl beenl invaluable,l andl encouragel herl tol stay.
Q:l Highl numberedl acuitiesl arel atl mostl risk:
Prestonl Wright,l rooml 301
Mr.l Wrightl isl experiencingl aphasia.l Selectl thel appropriatel waysl tol facilitatel
communicationl withl him.
Answer:
Listenl attentivelyl andl bel patient.
Askl simplel questionsl thatl requirel yesl orl nol answers.
, Usel visuall cues.
Letl thel patientl knowl ifl youl didl notl understandl him.
Q:l Prestonl Wrightl Scenariol 2
Mr.l Wrightl didl notl bringl hisl hearingl aidsl tol thel hospital.l Selectl appropriatel
interventionsl tol assist.
Answer:
Reducel environmentall noise.
Ensurel youl havel thel patient'sl fulll attentionl beforel speaking.
Facel patientl withl mouthl visiblel whilel speaking.
Q:l Prestonl Wrightl Scenariol 3
Whenl remindingl thel patientl tol avoidl pressurel onl hisl heell andl sacrum,l youl noticel hel
hasl becomel confusedl andl isl cognitivelyl impaired.l Whatl arel somel communicationl skillsl
tol assistl withl al cognitivelyl impairedl patient?
Answer:
Askl onel questionl atl al time.
Usel simplel sentencesl andl avoidl lengthyl explanations.
Includel familyl andl friendsl inl conversations.
Usel charismaticl language.
Q:l Prestonl Wrightl Scenariol 4
Thel patientl isl beingl preparedl forl dischargel butl cannotl findl hisl glasses.l Whatl actionsl
arel appropriatel tol takel next?
(Latestl 2025/l 2026l Update)l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)
Q:l Wightl Goodman,l Patientl wasl admittedl tol thel floorl lastl nightl froml thel ERl forl anl
orbitall fracture.l Hel wasl hitl inl thel leftl eyel byl al softballl yesterday.l Apparently,l hel wasl
pitching,l andl thel batterl hitl al linel drivel hittingl himl inl thel rightl sidel ofl thel face.l Theyl
appliedl somel icel tol hisl face,l andl hel decidedl tol gol tol thel postl gamel kegl partyl insteadl
ofl comingl tol thel ER.l Thel patientl statedl thatl therel wasl significantl swelling,l butl hisl
visionl wasl fine,l andl thel painl wasl controlledl withl beerl andl 800mgl ofl ibuprofen.l Hel
wasl unablel tol sleepl laterl inl thel eveningl asl thel painl becamel worse,l andl hisl visionl
becamel morel impaired.l Thel maxillofaciall surgeonl wasl consulted,l andl theyl willl seel himl
thisl morning.l Theyl werel notl concernedl asl hisl intraocularl pressurel wasl normall inl thel
ER.l Therel isl significantl edemal andl discolorationl tol thel leftl sidel ofl hisl face,l andl hisl
leftl eyel isl almostl completelyl swollenl shut.l Hisl visuall acuityl isl diminished,l and
Answer:
Intracraniall regulation
Mobility
Sensory
Q:l Highl numberedl acuitiesl arel atl mostl risk:
Sarahl Kathrynl Hortonl rooml 303
Assess:l Thel patientl hasl justl experiencedl al traumaticl mass-shooting.l Assessl thel patient'sl
currentl psychologicall andl physicall status.l Whatl shouldl bel includedl inl thel "Assessment"?l
Selectl alll thatl apply
Answer:
Introducel andl sitl downl byl thel patient'sl bedside.
,Determinel cognitionl byl askingl questionsl tol determinel ifl shel knowsl who,l where,l andl
whatl happened.
Reviewl ofl bodyl systemsl andl evaluatel painl onl al scalel ofl 1-10.
Q:l Sarahl Kathrynl Hortonl Scenariol 2
Diagnose:l Youl determinel afterl thel assessmentl thatl shel isl physicallyl stable,l andl herl
gunshotl woundsl havel beenl stabilized.l Shel isl emotionallyl distraughtl andl labile.l Whatl
shouldl bel includedl inl thel "Diagnose"?
Answer:
Thel patientl hasl survivedl al massl shooting.
Shel experiencedl lifel threateningl woundsl withl 2l gunshotl wounds,l includingl onel tol thel
shoulder.
Thel patientl isl unablel tol processl thel eventl sol far.
Q:l Sarahl Kathrynl Hortonl Scenariol 3
Plan:l Thel patientl continuesl tol declinel psychologically.l Youl findl thel patientl onl thel floorl
inl al fetall positionl crying.l Whatl shouldl bel includedl inl thel "Plan"?
Answer:
Comfortl andl orientl patientl tol person,l place,l andl time.
Remainl withl thel patient.
Checkl tol seel availabilityl forl PRNl anxiolyticl medication.
Requestl assistancel withl yourl otherl patientsl andl determinel family'sl availabilityl tol stayl
withl thel patient.
Q:l Sarahl Kathrynl Hortonl Scenariol 4
,Implementation:l Thel patientl continuesl tol declinel psychologically.l Youl findl thel patientl
onl thel floorl inl al fetall positionl crying.l Thel familyl membersl arel notifiedl andl willl bel
arrivingl soon.l Shel hasl anl orderl forl PRNl Ativanl POl forl severel anxiety.l Whatl shouldl
bel includedl inl thel "Implementation"?
Answer:
Orientl arrivingl familyl memberl tol thel situation,l andl explainl importancel ofl remainingl
withl thel patient.
Assurel patientl thatl shel isl safel inl thel hospital,l andl youl willl notl leavel her.
Givel anl SBARl onl yourl otherl patientsl tol thel nursel whol isl assistingl you.
Q:l Sarahl Kathrynl Hortonl Scenariol 5
Evaluate:l Anl hourl hasl passed;l thel patientl isl quietl andl eatingl dinner.l Thel patient'sl
dressingsl arel dryl andl intact.l Herl vitall signsl arel stable,l andl shel reportsl painl 2/10.l Whatl
shouldl bel includedl inl thel "Evaluate"?
Answer:
Askl thel patientl andl familyl memberl ifl therel isl anything,l wel canl dol tol makel herl morel
comfortable.
Recordl whatl andl howl muchl thel patientl eats.
Notel thatl thel familyl memberl supportl hasl beenl invaluable,l andl encouragel herl tol stay.
Q:l Highl numberedl acuitiesl arel atl mostl risk:
Prestonl Wright,l rooml 301
Mr.l Wrightl isl experiencingl aphasia.l Selectl thel appropriatel waysl tol facilitatel
communicationl withl him.
Answer:
Listenl attentivelyl andl bel patient.
Askl simplel questionsl thatl requirel yesl orl nol answers.
, Usel visuall cues.
Letl thel patientl knowl ifl youl didl notl understandl him.
Q:l Prestonl Wrightl Scenariol 2
Mr.l Wrightl didl notl bringl hisl hearingl aidsl tol thel hospital.l Selectl appropriatel
interventionsl tol assist.
Answer:
Reducel environmentall noise.
Ensurel youl havel thel patient'sl fulll attentionl beforel speaking.
Facel patientl withl mouthl visiblel whilel speaking.
Q:l Prestonl Wrightl Scenariol 3
Whenl remindingl thel patientl tol avoidl pressurel onl hisl heell andl sacrum,l youl noticel hel
hasl becomel confusedl andl isl cognitivelyl impaired.l Whatl arel somel communicationl skillsl
tol assistl withl al cognitivelyl impairedl patient?
Answer:
Askl onel questionl atl al time.
Usel simplel sentencesl andl avoidl lengthyl explanations.
Includel familyl andl friendsl inl conversations.
Usel charismaticl language.
Q:l Prestonl Wrightl Scenariol 4
Thel patientl isl beingl preparedl forl dischargel butl cannotl findl hisl glasses.l Whatl actionsl
arel appropriatel tol takel next?
