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SWIFT RIVER
SWIFT RIVER FUNDAMENTALS EXAM QUESTIONS &
ANSWERS| GRADE A| 100% CORRECT (VERIFIED
SOLUTIONS)(2025/ 2026 UPDATE)
Preston Wright Scenario 1
Mr. Wright is experiencing aphasia. Select the appropriate ways to facilitate communication
with him.
You correctly selected 5 out of 5 actions:
Your AnswerCorrect AnswerStatusLabelExplanationYesYesListen attentively and be
patientPatient may have a delayed or slow responseYesYesAsk simple questions that require
yes or no AnswersAllows patient in Answering non-verballyYesYesUse visual cuesWords,
pictures, or objects allows the patient to Answer non-verbally or give simple
AnswersYesYesLet the patient know if you did not understand himProvides clarification to
the patientNoNoInterrupt patient to inform him you do not understand himThis may frustrate
the patient and could harm communication - ANS ✓
Preston Wright Scenario 2
Mr. Wright did not bring his hearing aids to the hospital. Select appropriate interventions to
assist.
You correctly selected 4 out of 5 actions:
Your AnswerCorrect AnswerStatusLabelExplanationNoYesReduce environmental
noiseEnvironmental noises distract the patient from hearing clear tonesYesYesEnsure you
have the patient's full attention before speakingAllows the patient the opportunity to focus
when engaged in verbal communicationYesYesFace patient with mouth visible while
speakingAllows patient to see lip movement when communicatingNoNoChew gum when
communicating with the patientChewing gum is unprofessional and can impede from the
patient reading lipsNoNoShout at patientSpeak at a normal voice - patients with hearing loss
hear better at normal to low tones - ANS ✓
Preston Wright Scenario 3
When reminding the patient to avoid pressure on his heel and sacrum, you notice he has
become confused and is cognitively impaired. What are some communication skills to assist
with a cognitively impaired patient?
You correctly selected 3 out of 5 actions:
Your AnswerCorrect AnswerStatusLabelExplanationYesYesAsk one question at a
timeAllows patient to process one thought at a time, decreasing confusionYesYesUse simple
sentences and avoid lengthy explanationsAllows patient to process one thought at a time,
decreasing confusionNoYesInclude family and friends in conversationsFamily and friends
understand how to communicate with the patient and can reinforce the
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conversationNoNoProvide detailed written instructionsIt is essential to keep all instructions
simple when dealing with a cognitively impaired patientNoYesUse charismatic
languageBody language such as gestures, eye contact, etc. may help - ANS ✓
Preston Wright Scenario 4
The patient is being prepared for discharge but cannot find his glasses. What actions are
appropriate to take next?
You correctly selected 3 out of 5 actions:
Your AnswerCorrect AnswerStatusLabelExplanationYesYesHelp patient search for his
glassesTo ensure the patient locates his glassesYesYesIdentify yourself verbally when
entering and leaving the roomIdentifying yourself helps the patient recognize nursing
staffNoYesDo not rely on gestures or non-verbal communicationThe patient is unable to see
gestures or non-verbal communicationYesYesUse indirect lighting to avoid glareA glare
could further distort the patient's visibilityYesNoUse direct lighting to illuminate the room
betterDirect lighting may cause glare and distort a visual field - ANS ✓
Preston Wright Scenario 5
The nurse is having difficulty communicating the discharge instructions with Mr. Wright's
wife. Mrs. Wright is Korean and speaks very little English. What are appropriate actions to
take in communicating with Mrs. Wright?
You correctly selected 5 out of 5 actions:
Your AnswerCorrect AnswerStatusLabelExplanationYesYesUse an interrupter/ family
member if availableA hospital interpreter may be available to facilitate
communicationYesYesSpeak to Mrs. Wright in a normal tone and cadenceChanging your
tone or cadence does not increase understandingYesYesUse a communication board, if
availablePictures/communication board is a simple and effective way to
communicateYesYesAccess telephone language lineTelephone interpreters are available in
most healthcare facilities to assist in communicatingNoNoSpeak loudlySpeaking loudly does
not increase understanding - ANS ✓
Charlie Raymond Scenario 1
Inform Mr. Raymond's family members that they will not be allowed to visit him while he is
here, that they must self-isolate and _____________.
You correctly selected 3 out of 5 actions:
Your AnswerCorrect AnswerStatusLabelExplanationYesYesSuggest that the family
Facetime/video chatFamily is unable to visit the patient, visual/auditory facetime will
decrease anxiety for both family and patientYesYesInform family members that they need to
be tested for COVID-19Per CDC guidelines, exposure to COVID-19 patientsYesNoTell the
family not to worry that if they don't have any symptoms within 72 hoursFamily members
could be asymptomatic or not yet experienced symptomsNoYesExplain to the patient and
family the need for a negative pressure roomMinimizes the risk of spread to other
patients/staffNoNoAllow family to visit the patient once they have a (-) COVID resultA
negative test by both the patient a - ANS ✓
Charlie Raymond Scenario 2
SWIFT RIVER
SWIFT RIVER
SWIFT RIVER FUNDAMENTALS EXAM QUESTIONS &
ANSWERS| GRADE A| 100% CORRECT (VERIFIED
SOLUTIONS)(2025/ 2026 UPDATE)
Preston Wright Scenario 1
Mr. Wright is experiencing aphasia. Select the appropriate ways to facilitate communication
with him.
You correctly selected 5 out of 5 actions:
Your AnswerCorrect AnswerStatusLabelExplanationYesYesListen attentively and be
patientPatient may have a delayed or slow responseYesYesAsk simple questions that require
yes or no AnswersAllows patient in Answering non-verballyYesYesUse visual cuesWords,
pictures, or objects allows the patient to Answer non-verbally or give simple
AnswersYesYesLet the patient know if you did not understand himProvides clarification to
the patientNoNoInterrupt patient to inform him you do not understand himThis may frustrate
the patient and could harm communication - ANS ✓
Preston Wright Scenario 2
Mr. Wright did not bring his hearing aids to the hospital. Select appropriate interventions to
assist.
You correctly selected 4 out of 5 actions:
Your AnswerCorrect AnswerStatusLabelExplanationNoYesReduce environmental
noiseEnvironmental noises distract the patient from hearing clear tonesYesYesEnsure you
have the patient's full attention before speakingAllows the patient the opportunity to focus
when engaged in verbal communicationYesYesFace patient with mouth visible while
speakingAllows patient to see lip movement when communicatingNoNoChew gum when
communicating with the patientChewing gum is unprofessional and can impede from the
patient reading lipsNoNoShout at patientSpeak at a normal voice - patients with hearing loss
hear better at normal to low tones - ANS ✓
Preston Wright Scenario 3
When reminding the patient to avoid pressure on his heel and sacrum, you notice he has
become confused and is cognitively impaired. What are some communication skills to assist
with a cognitively impaired patient?
You correctly selected 3 out of 5 actions:
Your AnswerCorrect AnswerStatusLabelExplanationYesYesAsk one question at a
timeAllows patient to process one thought at a time, decreasing confusionYesYesUse simple
sentences and avoid lengthy explanationsAllows patient to process one thought at a time,
decreasing confusionNoYesInclude family and friends in conversationsFamily and friends
understand how to communicate with the patient and can reinforce the
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conversationNoNoProvide detailed written instructionsIt is essential to keep all instructions
simple when dealing with a cognitively impaired patientNoYesUse charismatic
languageBody language such as gestures, eye contact, etc. may help - ANS ✓
Preston Wright Scenario 4
The patient is being prepared for discharge but cannot find his glasses. What actions are
appropriate to take next?
You correctly selected 3 out of 5 actions:
Your AnswerCorrect AnswerStatusLabelExplanationYesYesHelp patient search for his
glassesTo ensure the patient locates his glassesYesYesIdentify yourself verbally when
entering and leaving the roomIdentifying yourself helps the patient recognize nursing
staffNoYesDo not rely on gestures or non-verbal communicationThe patient is unable to see
gestures or non-verbal communicationYesYesUse indirect lighting to avoid glareA glare
could further distort the patient's visibilityYesNoUse direct lighting to illuminate the room
betterDirect lighting may cause glare and distort a visual field - ANS ✓
Preston Wright Scenario 5
The nurse is having difficulty communicating the discharge instructions with Mr. Wright's
wife. Mrs. Wright is Korean and speaks very little English. What are appropriate actions to
take in communicating with Mrs. Wright?
You correctly selected 5 out of 5 actions:
Your AnswerCorrect AnswerStatusLabelExplanationYesYesUse an interrupter/ family
member if availableA hospital interpreter may be available to facilitate
communicationYesYesSpeak to Mrs. Wright in a normal tone and cadenceChanging your
tone or cadence does not increase understandingYesYesUse a communication board, if
availablePictures/communication board is a simple and effective way to
communicateYesYesAccess telephone language lineTelephone interpreters are available in
most healthcare facilities to assist in communicatingNoNoSpeak loudlySpeaking loudly does
not increase understanding - ANS ✓
Charlie Raymond Scenario 1
Inform Mr. Raymond's family members that they will not be allowed to visit him while he is
here, that they must self-isolate and _____________.
You correctly selected 3 out of 5 actions:
Your AnswerCorrect AnswerStatusLabelExplanationYesYesSuggest that the family
Facetime/video chatFamily is unable to visit the patient, visual/auditory facetime will
decrease anxiety for both family and patientYesYesInform family members that they need to
be tested for COVID-19Per CDC guidelines, exposure to COVID-19 patientsYesNoTell the
family not to worry that if they don't have any symptoms within 72 hoursFamily members
could be asymptomatic or not yet experienced symptomsNoYesExplain to the patient and
family the need for a negative pressure roomMinimizes the risk of spread to other
patients/staffNoNoAllow family to visit the patient once they have a (-) COVID resultA
negative test by both the patient a - ANS ✓
Charlie Raymond Scenario 2
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