FUNDAMENTALS SWIFT RIVER: EXAM,
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
Preston Wright, 73-year-old male patient of Dr. Greene, status
post CVA 4 weeks ago. He has been readmitted for a red spot on
his sacrum of 1 cm and a 2 cm blister on his right heel. IV fluids of
D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Mr.
Wright is pleasant and cooperative but needs to be reminded to
avoid pressure on his heel and sacrum. Post CVA, he has
developed some aphasia and is having difficulty with verbal
communication. He has orders for dressing changes q daily and
pain medications before the dressing change.
Select correct nursing concepts based on reports:
Cognition
Commnication
Mobility
Sensory perception
High numbered acuities are at most risk:
Tim Jones, room 304
The nurse is assessing the patient as to where the patient's
injuries originated from. To do so, the patient must be assessed
for delirium, depression, or dementia. What are your next steps?
, Administer a mini-mental state exam.
Determine onset of confusion.
Assess patient's ability to perform activities of daily living over
the last 6 weeks.
Tim Jones Scenario 2
While attempting to inspect the patient's wounds, he is fearful of
your physical advances. How will you develop a sense of trust
with the patient?
Reduce external stimuli.
Speak slowly in a normal tone of voice.
Sit at the patient's eye level and ensure they can see your lip
movement and facial expression.
Sit quietly with the patient allowing them enough time to respond.
Tim Jones Scenario 3
In an older adult, multiple skin changes happen with aging.
Identify possible wounds of abuse as opposed to areas of normal
aging. Select wounds that are not a result of aging.
Multiple bruises to the back.
Hand imprint on the arm.
Tim Jones Scenario 4
The nurse is concerned that the patient may be abused in several
ways. The nurse assumes that the prescription medication is
being diverted to the son. After going through the patients
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
Preston Wright, 73-year-old male patient of Dr. Greene, status
post CVA 4 weeks ago. He has been readmitted for a red spot on
his sacrum of 1 cm and a 2 cm blister on his right heel. IV fluids of
D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Mr.
Wright is pleasant and cooperative but needs to be reminded to
avoid pressure on his heel and sacrum. Post CVA, he has
developed some aphasia and is having difficulty with verbal
communication. He has orders for dressing changes q daily and
pain medications before the dressing change.
Select correct nursing concepts based on reports:
Cognition
Commnication
Mobility
Sensory perception
High numbered acuities are at most risk:
Tim Jones, room 304
The nurse is assessing the patient as to where the patient's
injuries originated from. To do so, the patient must be assessed
for delirium, depression, or dementia. What are your next steps?
, Administer a mini-mental state exam.
Determine onset of confusion.
Assess patient's ability to perform activities of daily living over
the last 6 weeks.
Tim Jones Scenario 2
While attempting to inspect the patient's wounds, he is fearful of
your physical advances. How will you develop a sense of trust
with the patient?
Reduce external stimuli.
Speak slowly in a normal tone of voice.
Sit at the patient's eye level and ensure they can see your lip
movement and facial expression.
Sit quietly with the patient allowing them enough time to respond.
Tim Jones Scenario 3
In an older adult, multiple skin changes happen with aging.
Identify possible wounds of abuse as opposed to areas of normal
aging. Select wounds that are not a result of aging.
Multiple bruises to the back.
Hand imprint on the arm.
Tim Jones Scenario 4
The nurse is concerned that the patient may be abused in several
ways. The nurse assumes that the prescription medication is
being diverted to the son. After going through the patients
