Swift River Simulation - Adult Medical
Surgical - Ann Rails Exam Questions
And Verified Answers.
Ann Rails 24 years old, admitted for back pain. The injury, according to her report, occurred as a
result of a domestic dispute in which she was pushed into a kitchen counter. She has no other
significant medical history. No known allergies (NKA). Her last vital signs are blood pressure
124/82, temperature 98.2, pulse 84, respiration rate 22, SpO2 96% on room air. She states she
has had pain and numbness in her legs for one week. There is abnormal left leg weakness, gait
unsteady, 5/10 on numeric pain scale. She is receiving Lortab 2 tabs every 6 hours, which she
states relieves her pain. Her neuro assessment is within expected parameters, except for the leg
pain upon movement. Activity as tolerated with assistance; we have asked her to call for
assistance when getting out of bed. She is on a regular diet, but she has had very little intake
since she has been here. Her children have visited, but we have not seen her - Answer
Maslow's Hierarchy of Needs - High Priority
Airway, Breathing, Circulation - Low Priority
Safety and Risk Reduction - High Priority
Urgent vs Non-urgent - Low Priority
Chronic vs Acute/Stable vs Unstable - Low Priority
Initial Nursing Assessment
0745: The nurse reviews the information received in report.
Which of the following concerns should the nurse address while providing client care? (Select all
that apply.)
Safety: Injury Prevention
Physiological: Mobility
Physiological: Pain
Physiological: Sensory
Physiological: Nutrition
Physiological: Elimination
Safety: Self-harm
Physiological: Thermoregulation - Answer Safety: Injury Prevention
Physiological: Mobility
Surgical - Ann Rails Exam Questions
And Verified Answers.
Ann Rails 24 years old, admitted for back pain. The injury, according to her report, occurred as a
result of a domestic dispute in which she was pushed into a kitchen counter. She has no other
significant medical history. No known allergies (NKA). Her last vital signs are blood pressure
124/82, temperature 98.2, pulse 84, respiration rate 22, SpO2 96% on room air. She states she
has had pain and numbness in her legs for one week. There is abnormal left leg weakness, gait
unsteady, 5/10 on numeric pain scale. She is receiving Lortab 2 tabs every 6 hours, which she
states relieves her pain. Her neuro assessment is within expected parameters, except for the leg
pain upon movement. Activity as tolerated with assistance; we have asked her to call for
assistance when getting out of bed. She is on a regular diet, but she has had very little intake
since she has been here. Her children have visited, but we have not seen her - Answer
Maslow's Hierarchy of Needs - High Priority
Airway, Breathing, Circulation - Low Priority
Safety and Risk Reduction - High Priority
Urgent vs Non-urgent - Low Priority
Chronic vs Acute/Stable vs Unstable - Low Priority
Initial Nursing Assessment
0745: The nurse reviews the information received in report.
Which of the following concerns should the nurse address while providing client care? (Select all
that apply.)
Safety: Injury Prevention
Physiological: Mobility
Physiological: Pain
Physiological: Sensory
Physiological: Nutrition
Physiological: Elimination
Safety: Self-harm
Physiological: Thermoregulation - Answer Safety: Injury Prevention
Physiological: Mobility
