Fundamentals Swift River Questions and
Answers Latest Version Already Passed
A patient is refusing a bed bath because they are tired. What is the best response from the nurse?
✔✔ Offer to return later and respect the patient's preferences while ensuring hygiene needs are
met.
A nurse enters the room and sees the patient attempting to get out of bed alone despite fall risk.
What should the nurse do first?
✔✔ Assist the patient back to bed safely and reinforce the use of the call light.
A patient on a low sodium diet asks for soy sauce. What should the nurse do?
✔✔ Explain that soy sauce is high in sodium and offer alternative seasonings.
A nurse is preparing to administer a medication but finds the label is partially torn. What is the
safest action?
✔✔ Do not administer the medication and request a new dose from the pharmacy.
A patient asks what the call light is for. What should the nurse say?
1
,✔✔ Use this to call for help any time you need assistance.
A patient is incontinent and asks for help cleaning up. What should the nurse do?
✔✔ Provide hygiene care immediately and maintain the patient’s dignity.
A nurse finds a patient crying in their bed during a routine check. What is the best first response?
✔✔ Sit with the patient and ask if they’d like to talk about what’s bothering them.
A patient needs assistance to the bathroom but is too embarrassed to ask. What can the nurse do
to support them?
✔✔ Offer regular toileting times and reassure them that needing help is normal.
A nurse notices a medication error occurred in the previous shift. What is the appropriate action?
✔✔ Report the error immediately according to facility protocol and ensure patient safety.
While changing a dressing, the nurse notices the wound has foul-smelling drainage. What should
be done next?
✔✔ Document the findings and notify the healthcare provider for evaluation.
2
,A confused patient keeps pulling at their IV line. What should the nurse do?
✔✔ Assess the cause of confusion and consider alternative securement or protective devices.
A nurse is assisting with feeding and the patient begins to cough. What is the best action?
✔✔ Stop feeding immediately and assess the patient’s ability to swallow.
A patient in isolation asks why staff wear gowns and masks. What is the best explanation?
✔✔ It prevents the spread of infection and keeps both you and others safe.
The nurse is transferring a patient from bed to wheelchair. What is the safest first step?
✔✔ Lock the wheelchair wheels and ensure the bed is at a safe height.
A patient with hearing impairment cannot hear discharge instructions. What should the nurse do?
✔✔ Provide written instructions and use visual aids if needed.
A nurse finds a patient sleeping with their side rail down despite being a fall risk. What should
the nurse do?
3
, ✔✔ Raise the side rail and reassess the environment for safety risks.
A patient asks how often vital signs are taken. What is the appropriate answer?
✔✔ It depends on your condition, but typically every 4 to 8 hours unless more frequent
monitoring is needed.
A nurse prepares to take a rectal temperature and the patient refuses. What should the nurse do?
✔✔ Respect the patient’s wishes and choose an alternative method of temperature measurement.
A patient is restless and states, "I can’t sleep." What can the nurse suggest to help?
✔✔ Offer a quiet environment, limit noise, and consider a back rub or relaxation techniques.
While giving a bed bath, the nurse notices a reddened area on the patient’s heel. What is the best
action?
✔✔ Document the finding, reposition the patient, and notify the provider if needed.
A patient refuses to take a prescribed medication. What should the nurse do first?
✔✔ Ask why they are refusing and provide education about the medication’s purpose.
4
Answers Latest Version Already Passed
A patient is refusing a bed bath because they are tired. What is the best response from the nurse?
✔✔ Offer to return later and respect the patient's preferences while ensuring hygiene needs are
met.
A nurse enters the room and sees the patient attempting to get out of bed alone despite fall risk.
What should the nurse do first?
✔✔ Assist the patient back to bed safely and reinforce the use of the call light.
A patient on a low sodium diet asks for soy sauce. What should the nurse do?
✔✔ Explain that soy sauce is high in sodium and offer alternative seasonings.
A nurse is preparing to administer a medication but finds the label is partially torn. What is the
safest action?
✔✔ Do not administer the medication and request a new dose from the pharmacy.
A patient asks what the call light is for. What should the nurse say?
1
,✔✔ Use this to call for help any time you need assistance.
A patient is incontinent and asks for help cleaning up. What should the nurse do?
✔✔ Provide hygiene care immediately and maintain the patient’s dignity.
A nurse finds a patient crying in their bed during a routine check. What is the best first response?
✔✔ Sit with the patient and ask if they’d like to talk about what’s bothering them.
A patient needs assistance to the bathroom but is too embarrassed to ask. What can the nurse do
to support them?
✔✔ Offer regular toileting times and reassure them that needing help is normal.
A nurse notices a medication error occurred in the previous shift. What is the appropriate action?
✔✔ Report the error immediately according to facility protocol and ensure patient safety.
While changing a dressing, the nurse notices the wound has foul-smelling drainage. What should
be done next?
✔✔ Document the findings and notify the healthcare provider for evaluation.
2
,A confused patient keeps pulling at their IV line. What should the nurse do?
✔✔ Assess the cause of confusion and consider alternative securement or protective devices.
A nurse is assisting with feeding and the patient begins to cough. What is the best action?
✔✔ Stop feeding immediately and assess the patient’s ability to swallow.
A patient in isolation asks why staff wear gowns and masks. What is the best explanation?
✔✔ It prevents the spread of infection and keeps both you and others safe.
The nurse is transferring a patient from bed to wheelchair. What is the safest first step?
✔✔ Lock the wheelchair wheels and ensure the bed is at a safe height.
A patient with hearing impairment cannot hear discharge instructions. What should the nurse do?
✔✔ Provide written instructions and use visual aids if needed.
A nurse finds a patient sleeping with their side rail down despite being a fall risk. What should
the nurse do?
3
, ✔✔ Raise the side rail and reassess the environment for safety risks.
A patient asks how often vital signs are taken. What is the appropriate answer?
✔✔ It depends on your condition, but typically every 4 to 8 hours unless more frequent
monitoring is needed.
A nurse prepares to take a rectal temperature and the patient refuses. What should the nurse do?
✔✔ Respect the patient’s wishes and choose an alternative method of temperature measurement.
A patient is restless and states, "I can’t sleep." What can the nurse suggest to help?
✔✔ Offer a quiet environment, limit noise, and consider a back rub or relaxation techniques.
While giving a bed bath, the nurse notices a reddened area on the patient’s heel. What is the best
action?
✔✔ Document the finding, reposition the patient, and notify the provider if needed.
A patient refuses to take a prescribed medication. What should the nurse do first?
✔✔ Ask why they are refusing and provide education about the medication’s purpose.
4
