Scenario #1
Use therapeutic
Educate pt.
Evaluate pt. learning
Place call light
Document
Scenario #2
Wash and glove hands
Assess
Provide comfort measures
Notify doctor
Document
Scenario #3
Listen to pt. concerns
Reassure pt. of options
Notify lead nurse/doctor
Contact Social Services
Document
Scenario #4
Wash and glove hands
Visual assessment
Do not disturb
Verify Call Light
Document
Scenario #5
Assess for bowel sounds
Encourage fluids/fiber/ambulation
Evaluate pt. understanding
Attain fluids/fiber diet
Document
question
Arthur Thomason
answer
Educational - increased
Health change - increased
LOC - increased
Pain - increased
Psychological needs - increased
Safety - increased
question
Arthur Thomason
answer
Impaired confort
Impaired gas exchange
Ineffective airway clearance
Shock, risk for
Anxiety/fear
Failure to thrive, risk for
question
Arthur Thomason
answer
Scenario #1
Assess
Replace O2
Use therapeutic
Notify Dr. and charge nurse
Scenario #2
Remind physician
Explain to physician
Assist physician
Obtain recent
Reassure pt.
Scenario #3
Tap pt.
Elevate HOB
Call rapid response
Start secondary
Remain with pt.
Scenario #4
Provide verbal report
Emergency intubation
Assume role
Obtain pt. record
Provide information
Scenario #5
You explain that his condition
You explain that he is receiving
You have them remain with you
You escort them with you
You call his doctor
question
Calvin Umbyuma
answer
Educational - increased
Fall Risk - normal
Health Change - increased
Pain - increased
Psychological needs - normal
Neurological - normal
question
Calvin Umbyuma
answer
Acute pain
Deficient knowledge
question
Calvin Umbyuma
answer
Scenario #1
Place on respiratory isolation
Ask Mr. U
Obtain blood cultures
Start IV
Collect sputum culture
Scenario#2
Wash hand, don PPE
Explain to the visitor
Respiratory assessment
Explain to Mr. U
Place signage on door
Scenario #3
Ask pt. what he knows
Ask pt. what his mother's
Educate pt.
Evaluate effectiveness
Report findings
Scenario #4
Pt. teaching
Contact respiratory therapy
Chest x-ray
Western blot
Bronchoscopy
Scenario #5
Elevate HOB
Initiate O2 at 4L
Reassess VS
Reevaluate amount of blood lost
Contact HCP
question
Cameron Daniels
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - normal
Neurological - normal
question
Cameron Daniels
answer
Acute pain
Impaired mobility
Deficient knowledge
Fall, risk for
Infection, risk for
question
Cameron Daniels
answer
Scenario #1
Give tylenol
Start another IV
Initiate bolus
Request additional pain med
Reasses temp in 1 hour
Scenario #2
Sit at an eye level
Teach Cameron
Evaluate understanding
Contact charge nurse
Document pt's statements
Scenario #3
Provide emotional support
Assure pt.
Explain to pt.
Stress importance
Inform pt.
Scenario #4
Make sure accurate wt.
Explain reason for medication
Tell the mother that you understand
Tell the mother that visitors are welcome
Be honest with Cameron
Scenario #5
Assess pt.
Perform rapid assessment
Ask pt.
Inform charge nurse
Call local law enforcement
question
Chanthavy Chhet
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Neurological - normal
question
Chanthavy Chhet
answer
Acute pain
Impaired mobility, risk for
Nausea
Cultural competence
Deficient knowledge
Impaired verbal communication
question
Chanthavy Chhet
answer
Scenario #1
Obtain translator
Initiate IV
Begin fluid and electrolyte
Administer IV ABX
Consult with MD
Scenario #2
What is going on?
We need to stop the bleeding
Tell me where you are
Who were you talking to?
What were the voices telling you?
Scenario #3
Attempt to establish rapport
Notify HCP of findings
Attempt to restart IV
Contact dietary
Obtain a sitter
Remove potential harmful objects
Scenario #4
Delay insertion of IV
Contact HCP
Contact CC's uncle
Request the uncle come
Request the uncle participates
Scenario #5
Provide one-to-one
Initiate anti-psychotic meds
Ensure family member
Reassess environment
Initiate continuous observation
question
Clement Hall
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Neurological - normal
Pain - increased
Psychological needs - normal
question
Clement Hall
answer
Acute pain
Impaired mobility, risk for
Fluid & electrolyte imbalance, risk for
Infection
question
Clement Hal
answer
Scenario #1
Contact isolation
Administer pain meds
Initiate IV
Ask pt.
Document physical findings
Scenario #2
Explain the need
Elevate HOB
Measure nose to ear
Have pt. swallow
Check placement
Scenario #3
Remind pt.
Reassess pt.
Obtain an order
Teach pt. to avoid
Teach pt. to apply
Scenario #4
Assess pain
Asminister morphine
NG tube to LIS
Call for triple lumen
Address concerns
Scenario #5
Therapeutic communication
Pt. teaching
Evaluate learning
Make referral
Dietary consult
question
Dana Fitzgerald
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - normal
Neurological - normal
question
Dana Fitzgerald
answer
Deficient knowledge
Grieving, risk for
question
Dana Fitzgerald
answer
Scenario #1
Sit with the pt.
Reinforce provider teaching
Assess family support system
Reassure the pt.
Ask the pt.
Scenario #2
Head-to-toe assessment
Inspect catheter
Teach pt.
Instruct pt.
Ask the charge nurse
Scenario #3
Teach the pt.
Explain to the pt.
Administer pain meds
Tell the pt.
Have the pt. ambulate
Scenario #4
Inspect pt's abdomen
Auscultate
Percuss & palpate
Contact provider
Tell husband & pt.
Scenario #5
Inform the pt.
Provide pt. privacy
Lubricate tip of enema
Squeeze the contents
Have the pt. lay on their side
question
Don Johnson
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Neurological - normal
question
Don Johnson
answer
Acute pain
Altered body image, risk for
Audiology changes, risk for
Fluid & electrolyte imbalance, risk for
PTSD, risk for
Infection, risk for
question
Don Johnson
answer
Scenario #1
Complete full assessment
Insert foley
Initiate IV
Apply Silvadene
Contact HCP
Scenario #2
Reassess lung sounds
Empty foley bag
Administer pain meds
Notify HCP
Document
Scenario #3
Elevate HOB
Assess pt's sputum
Reassure the pt.
Assure the pt.
Contact respiratory therapy
Scenario #4
Obtain doppler pulse
Adjust rate of IV
Ask for available tech
Change dressing
Determine if the pt.
Scenario #5
Obtain bear hugger
Explain to the pt.
Notify nursing supervisor
Contact nutritionist
Allow visitors to enter
question
Dotty Hamilton
answer
Educational - increased
Fall Risk - normal
Health Change - normal
Pain - normal
Psychological Needs - increased
Neurological - normal
question
Dotty Hamilton
answer
Bleeding, risk for
Impaired comfort, risk for
Deficient knowledge
Infection, risk for
question
Dotty Hamilton
answer
Scenario #1
Contact surgeon
Complete pre-op
Ensure surgical consents
Check to see
Pt. teaching
Scenario #2
Wash hands
Complete full assessment
Check wound sites
Use therapeutic
Encourage first IS
Scenario #3
Reassure & communicate
Check blood glucose
Administer ABX
Encourage aggressive IS
Start PCA pump
Scenario #4
Reassure pt.
Complete full pt. assessment
Assess whether or not
Obtain labs
Notify HCP
Scenario #5
Complete full assessment
Place pt. on telemetry
Check foley
Assist anesthesia
Explain to pt.
Scenario #6
Have family step out
Bring the family in
Offer to the family
Contact funeral home
Ask nursing manager
question
Glenn Massey
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - normal
Neurological - normal
question
Glenn Massey
answer
Acute pain
Impaired mobility, risk for
Nausea, risk for
Deficient knowledge
question
Glenn Massey
answer
Scenario #1
Ensure room was cleaned
Disinfect call light
Clean and obtain IV pole
Obtain burn sheets
Notify infection control nurse
Scenario #2
Obtain VS
Initial assessment
Administer pain meds
Educate pt.
Check pt's chart
Scenario #3
Hand hygiene
Set up supplies
Apply clean gloves
Gently peel off
Clean wound site
Apply new dressing
Scenario #4
Notify HCP
Inform pt.
Initiate cardiac telemetry
Give 1L NS
Empty foley
Scenario #5
Explore why pt.
Educate pt.
Evaluate pt's understanding
Contact social services
Involve family
question
Hannah Knox
answer
Educational- increased
Fall Risk - increased
Health Change - increased
Pain - increased
PsychologicL Needs - increased
Neurological - normal
question
Hannah Knox
answer
Chronic pain
Impaired comfort
Deficient knowledge
Fear of death
Gas exchange, risk for
Infection, fisk for
question
Hannah Knox
answer
Scenario #1
Full assessment
Contact IV team
Contact HCP
Set up PCA
Contact social services
Scenario #2
Administer ABX & start morphine
Contact hospice/social work
Place pt. on continuous pulse ox
Reassess effectiveness
Document
Scenario #3
Reassess VS & elevate HOB
Continue to provide
Seek clarification
Call respiratory therapy
Provide emotional support
Scenario #4
Full assessment
Place pt. on 100% non-rebreather
Review PCA pump history
DNR armband
Discuss with HCP
Scenario #5
Contact HCP
Contact chaplain
Take pt's family
Prepare Mrs. Knox's body
Notify social services
question
Hildegard Lowe
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - normal
Psychological Needs - normal
Neurological - normal
question
Hildegard Lowe
answer
Impaired mobility, risk for
Deficient knowledge
Impaired gas exchange, risk for
Peripheral neurovascular dysfunction, risk for
Risk for infection
Ineffective breathing pattern
question
Hildegard Lowe
answer
Scenario #1
Reposition HOB to semi-fowler's
Increase supplemental O2
Orient pt.
Initiate IS treatment
Retake VS
Scenario #2
WBC
Magnesium
RBC
Hemoglobin
BUN
Scenario #3
Stop infusion
Don gloves
Inspect site
Collect supplies
Remove IV & document
Scenario #4
Have secretary
Review current
Discuss the policy
Ask Hildegard
Document teaching
Talk to daughter
Scenario #5
Don gloves & assist pt.
Assess stool
Assist pt. to bed
Anticipate need
Call the physician
Place pt. on enteric
question
Janene Whitmore
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Neurological - normal
question
Janene Whitmore
answer
Acute pain
Bleeding
Impaired comfort
Deficient knowledge
Infection, risk for
question
Janene Whitmore
answer
Scenario #1
Explain to pt.
Medicate pt.
Initiate IV
Put an arm band
Ask pt.
Scenario #2
Explain to Mrs. Whitmore
Inform pt.
Explain to pt.
Reassure pt.
Ask Mrs. Whitmore
Scenario #3
Contact charge nurse
Contact hospital liaison
Inform pt.
Inform admitting physician
Document
Scenario #4
Ask pt.
Administer Epoetin
Pt. teaching
Administer diluted iron
Reassess pt.
Scenario #5
Remind surgeon & staff
Notify HIPAA
Notify charge nurse
Suggest
Introduce hospital liaison
question
Jody Rush
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - normal
Neurological - normal
question
Jody Rush
answer
Acute pain
Bleeding, risk for
Impaired mobility, risk for
Nausea
Deficient knowledge
question
Jody Rush
answer
Scenario #1
Wash hands
Complete full assessment
Medicate
Encourage positioning
Orient friend
Scenario #2
Complete neuro
Educate Jody's parents
Offer full AM bath
Log roll pt.
Ensure foley is draining
Scenario #3
Inform pt. & family
Draw stat D-Dimer
Obtain additional support
Ask parents
Accompany pt.
Scenario #4
Start O2 100%
Provide SBAR
Page surgeon STAT
Prepare for heparin
Assist RRT
Scenario #5
Assist & support
Alert ICU
Following pt. arrival
Provide emotional support
Ask charge nurse
question
John Davis
answer
Educational - increased
Fall Risk - normal
Health Change - increased
Pain - normal
Psychological Needs - normal
Neurological - normal
question
John Davis
answer
Deficient knowledge
question
John Davis
answer
Scenario #1
Offer pt. a urinal
Perform post-op
Assist pt.
Tell pt.
Ensure side rails
Scenario #2
Assess large dressing site
Administer pain meds
Assess dressing supply
Assess pt's need
Document
Scenario #3
Restart new IV
Administer nausea med
Assess for contraindications
Weight the pt.
Take VS & provide pt. teaching
Scenario #4
Complete full assessment
Apply clean dressing
Encourage pt.
Continue to encourage
Document & inform
Scenario #5
Assess pt's concerns
Teach pt.
Make referral
Consult social services
Have pt. verbalize
question
Joyce Workman
answer
Educational - increased
Fall Risk - normal
Health Change - increased
Neurological - normal
Pain - normal
Psychological Needs - normal
Sensorium - normal
question
Joyce Workman
answer
Enhanced readiness for learning
Ineffective health maintenance
Imbalanced nutrition
Risk for injury
question
Joyce Workman
answer
Scenario #1
Ask Mrs. Workman
Explain in laymen terms
Discuss lifestyle choices
Discuss lifestyle changes
Document teaching
Scenario #2
Asses Mrs. Workman's knowledge
Ask Mrs. Workman for 24-hour diet
Educate Mrs. Workman
Provide Mrs. Workman
Ask Mrs. Workman to demonstrate
Scenario #3
Assess pt's preferred
Ensure the pt.
Provide an exercise routine
Review with Mrs. Workman
Use teach back
Scenario #4
Assess pt's blood glucose
Provide 20 gram carb
Provide another
Reassess blood glucose
Proved additional teaching
Scenario #5
Assess Mrs. Workman's understanding
Explain to Mrs. Workman
Explore new ways
Provide information
Document education
Acute pain
Bleeding, risk for
Impaired comfort
Impaired mobility
Deficient knowledge
Fall, risk for
Infection, risk for
question
Kate Bradley
answer
Scenario #1
Complete full assessment
Secure help
Medicate
Contact nursing supervisor
Complete bed bath
Scenario #2
Reassess VS
Report discrepancy
Notify HCP
Contact IV team
Document all findings
Scenario #3
Explain to surgeon
Check on labs
Contact charge nurse
Meet with daughter
Assess pt.
Scenario #4
Provide therapeutic
Assess last medication
Assist the IV team
Explain to daughter
Contact social services
Scenario #5
Witness daughter
Call report
88 y/o female
Former nursing home
Pt. has a foley
Have daughter stay
question
Kathy Gestalt
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - normal
Psychological Needs - increased
Sensorium - normal
question
Kathy Gestalt
answer
Acute Pain
Impaired mobility
Impaired skin integrity, risk for
Anxiety
Deficient knowledge
Fall, risk for
Decisional comfort
Disturbed body
question
Kathy Gestalt
answer
Scenario #1
Check pedal cap refill
Educate pt.
Evaluate understanding
Adjust crutches
Assist pt. OOB
Scenario #2
Wash & glove
VS assessment
Administer anit-pyretics
Verify call light
Document results
Scenario #3
Inspect cast site
Assess toe movement
Notify Dr.
Document results
Scenario #4
Assess pain
Elevate extremity
Educate pt.
Notify lead nurse/Dr
Retrieve cast removal tool
Scenario #5
Use therapeutic
Notify lead nurse/Dr
Consult social services
Evaluation pt.
Document consults
question
Keaton Henderson
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Neurological - normal
Pain - normal
Psychological Needs - normal
question
Keaton Henderson
answer
Acute pain
Bleeding, risk for
Impaired comfort
Fall risk
question
Keaton Henderson
answer
Scenario #1
Introduce
Take vitals
Auscultate lungs
Inspect pleurovac
Mark drainage level
Scenario #2
Assess VS
Assess insertion site
Check pleurovac
Administer pain meds
Encourage use of IS
Scenario #3
Asses for mediastinal shift
Administer 100% O2
Auscultate lungs
Assess pleurovac
Cal rapid response
Scenario #4
Explain to pt.
Obtain 16 gauge angiocath
Set up sterile
Obtain & fill
Assist with insertion
Scenario #5
Assess VS
Auscultate lungs
Complete chest x-ray
Inspect insertion site
Ensure chest tube
Acute pain
Impaired mobility
Fall risk
Risk for infection
question
Linda Yu
answer
Scenario #1
Assess current pain
Obtain VS
Complete initial assessment
Educate pt.
Place personal aspirin
Scenario #2
Assess for injury
Obtain assistance
Take VS
Complete skin assessment
Notify healthcare provider
Scenario #3
Administer medication
Address pt's skin tear
Obtain bedside
Prepare pt.
Assign a UAP
Scenario #4
Assess leg
Treat pt.
Educate pt.
Contact power of attorney
Collect pre-op labs
Scenario #5
Assess VS & UO
Start secondary IV
Have a 2nd licensed nurse
Take VS
Assess pt. & VS
question
Mark Robinson
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Neurological - normal
Pain - increased
Psychological Needs - normal
question
Mark Robinson
answer
Bleeding, risk for
Impaired comfort
Deficient knowledge
ETOH withdrawal, risk for
question
Mark Robinson
answer
Scenario #1
Educate pt.
Draw labs
Initiate large bore IV
Advise pt.
Initiate I&O
Scenario #2
Stop the pt.
Explain to the wife
Reassess pt.
Call GI provider
Explain to pt. & wife
Scenario #3
Identify the client
Check the client
Document necessary
Check VS
Recheck VS q 5 min
Scenario #4
Repeat H&H
Administer ordered meds
Explain to the pt.
Verify with blood bank
Verify soft, low sodium
Scenario #5
Stop the platelets
Reassess VS & obtain UA
Notify HCP
Call charge nurse
Initiate incident report
question
Nathaniel Gonzalez
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Neurological - normal
question
Nathaniel Gonzalez
answer
Acute pain
Deficient knowledge
Fall, risk for
question
Nathaniel Gonzalez
answer
Scenario #1
Tell the pt. that
Perform admission
Tell the pt. to
Explain to the pt.
Ensure the bed
Scenario #2
Explain to the pt.
Reinforce the risk
Administer the medication
Assess if the contents
Remove the lunch tray
Scenario #3
Assess pt's LOC
Elevate HOB
Reapply NC
Remove the dinner tray
Reassess pt. q 5 min
Scenario #4
Restart IV
Give NS liter bolus
Recheck Tilts
Remind pt.
Draw a repeat CBC
Scenario #5
Assess pt's pain
If gastric reflux
If cardiac
Assess pt's anxiety
Verify if discharge
question
Paul Greer
answer
Educational - increased
Fall Risk - normal
Health Change - increased
Pain - normal
Psychological Needs - normal
Neurological - normal
question
Paul Greer
answer
Impaired comfort
Deficient knowledge
Sexuality
question
Paul Greer
answer
Scenario #1
Complete initial
Check patency
Medicate for pain
Explain to pt.
Inform pt.
Scenario #2
Tell the wife
Explain to Mr. Greer
Teach the pt.
Evaluate pt's understanding
Continue to observe
Scenario #3
Using therapeutic
Contact HCP
Provide the pt.
Provide a diversional
When the HCP
Scenario #4
Complete head-to-toe
Ensure pt. privacy
Complete secondary
Reinforce to the pt.
Notify HCP
Scenario #5
Ask the pt. if it is okay
Explain that Docetaxel
Explain that Radium-223
Ask the pt. to verbalize
Assess pt's understanding
question
Roger Clinton
answer
Educational - increased
Fall Risk - normal
Health Change - increased
Pain - normal
Psychological Needs - normal
Neurological - normal
question
Roger Clinton
answer
Bleeding, risk for
Impaired comfort, risk for
Impaired mobility, risk for
Nausea, risk for
Deficient knowledge
Infection, risk for
question
Roger Clinton
answer
Scenario#1
Wash hands
Explain to Roger
Obtain & verify
Initiate IV
Orient pt.
Scenario #2
Orient Roger
Take VS
Observe & mark
Assess pain
Fluid status
Scenario #3
Head-to-toe
Reinforce dressing
Notify surgeon
Notify charge nurse
Instruct pt.
Scenario #4
Take VS
Keep Mr. Clinton
Reinforce dressing
Initiate secondary
Witness signing
Scenario #5
Initiate head-to-toe
Check operative
Assess for pain
Review new orders
Encourage Mr. Clinton
question
Ronald Burgandy
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Sensorium - normal
question
Ronald Burgandy
answer
Acute pain
Bleeding
Impaired comfort
Deficient knowledge
Fall, risk for
question
Ronald Burgandy
answer
Scenario #1
Explain to the pt.
Ensure there is a full
Start and IV
Medicate
Advise pt.
Scenario #2
Explain to Mr. Burgandy
Inform Mr. Burgandy
Ask Mr. Burgandy
Reassure pt.
Reassess pt's physical
Scenario #3
Assess pt's ABCs
Take initial VS
Pale pt. on O2
Start IV
Set-up
Scenario #4
Explain procedure
Place pt. on 100% O2
Ensure there is suction
Obtain chest tube tray
Reassess pt's VS
Scenario #5
Instruct Mr. Burgandy
Notify charge nurse
Call security
Transport Mr. Burgandy
Complete incident report
question
Ruth Cummings
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Neurological - normal
question
Ruth Cummings
answer
Acute pain
Deficient knowledge
Impaired mobility, risk for
Nausea
question
Ruth Cummings
answer
Scenario #1
Orient pt.
Educate pt.
Administer rectal
Assess IV
Insert NG
Scenario #2
Describe to pt.
Explain how surgery
Practice using IS
Reinforce need
Evaluate pt. understanding
Scenario #3
Ensure signed surgical
Take VS
Ask pt. to verify
Check IV
Disconnect NG tube
Scenario #4
Receive handoff
Assess/inspect
Take VS
Elevate HOB
Give pt. call light
Scenario #5
Assis pt.
Ensure side rails
Notify charge nurse
Notify HCP
Complete incidence report
question
Trey Johnson
answer
Educational - increased
Fall Risk - normal
Health Change - increased
Pain - increased
Psychological Needs - increased
Sensorium - normal
question
Trey Johnson
answer
Acute pain
Nausea
Deficient knowledge
question
Trey Johnson
answer
Scenario #1
VS & head-to-toe
Collect stool
Initiate IV
Initiate I&O
Teach pt.
Scenario #2
Place pt.
Relocate pt.
Contact HCP
Proved PRN
Continue strict I&O
Scenario #3
Notify Infection Control
Pt. education
Initiate medication
Continue medicating
Discuss coping
Scenario #4
Allow pt.
Educate pt.
Evaluate pt. understanding
Notify HCP
Document
Scenario #5
Educate pt. of protocols
Educate pt. of transmission
Evaluate potential barriers
Educate pt. of need
Evaluate pt. understanding
question
Wight Goodman
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - normal
Neurological - normal
question
Wight Goodman
answer
Acute pain
Bleeding, risk for
Impaired comfort
Deficient knowledge
Infection, risk for
question
Wight Goodman
answer
Scenario #1
Wash hands & assess
Complete neuro
Check the blood
Pre-op education
Ask surgeon
Scenario #2
Complete neuro
Educate pt.
Evaluate pt's understanding
Administer IV ABX
Sign additional
Scenario #3
Complete neuro
Educate pt. & family
Inform healthcare provider
Contact social services
Extensive discharge
Scenario #4
Repeat neuro
Reemphasize to pt.
Approach resident
Contact nursing supervisor
Document
Scenario #5
Take VS
Restart pt's IV
Obtain surgical
Assure pt.
Remain with pt.
Defensive coping
Ineffective health maintenance
Risk for post traumatic stress syndrome
Risk for injury at home
question
Tim Jones
answer
Scenario #1
Wash hands
Reassure pt.
Interviewing pt.
Complete physical
Notify charge nurse
Scenario #2
Use therapeutic
Seek clarification
Reassure Mr. Jones
Administer prescribed
Offer UAP
Scenario #3
Assess Mr. Jones
Assist Mr. Jones
Provide personal
Remind Mr. Jones
Obtain a sitter
Scenario #4
Notify HCP
Administer nebulizer
Reassess respiratory
Encourage Mr. Jones
Document
Scenario #5
Talk with Mr. Jones
Call Mr. Jones's children
Ask Mr. Jones
Discuss options
Notify the social worker
question
John Wiggins
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Neurological - normal
Pain - increased
Psychological Needs - normal
question
John Wiggins
answer
Acute pain
Deficient knowledge
Impaired mobility, risk for
Nausea
Bleeding, risk for
question
John Wiggins
answer
Scenario #1
Check for cognition
Check pupils
Check nose and ears
Check cranial nerves
Assess extremity
Scenario #2
Explain to Mr. Wiggins
Inform pt.
Ask pt. to remain
Put side rails up
Notify physician
Scenario #3
Contact radiology
Inform the pt. of the plan
Start a saline lock
Inform pt. why you are doing
Inform the pt. why he will
Notify charge RN
Scenario #4
Remain with pt.
Call for help
Note time when
Ensure IV access
Reassess VS
Scenario #5
Assist anesthesia
Administer Valium
Initiate a second 18g IV
Contact family
Continue frequent VS
question
Marcella Como
answer
Educational - increased
Fall Risk - normal
Health Change - increased
Pain - increased
Psychological Needs - increased
Sensorium - normal
question
Marcella Como
answer
Acute pain
Readiness for enhanced immunization status
Ineffective coping
Rape-trauma syndrome
Fear
Grieving
Infection, risk for
Disturbed energy field
Anxiety
Compromised family coping
Social isolation
question
Marcella Como
answer
Scenario #1
Use therapeutic
Full assessment
Provide emotional
Document
Scenario #2
Use therapeutic
Educate pt.
Provide supplies
Offer to assist
Scenario #3
Use therapeutic
Ask open-ended
Seek clarification
Summarize
Scenario #4
Restsate or paraphrase
Acknowledge
Review plan
Notify social services
Document
Scenario #5
Review labs
Educate pt.
Provide emotional
Discuss support
question
Preston Wright
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Neurological - normal
Pain - increased
Psychological Needs - normal
question
Preston Wright
answer
Acute pain
Altered body image
Impaired physical mobility
Impaired tissue integrity
Risk for imbalanced nutrition
Risk for infection
Risk for injury related to falls
question
Preston Wright
answer
Scenario #1
Assess current pain
Assess documented pain
Review medication
Prepare and administer
Reassess pain
Scenario #2
Asses Mr. Wright's willingness
Eliminate as many
Explain rationales
Assess understanding
Document
Scenario #3
Remove old dressing
Assess the injury
Assess and document
Measure wound size
Re-apply new sterile dressing
Scenario #4
Don clean gloves
Remove clean gloves
Clean wound
Place sterile moistened
Secure dressing
Scenario #5
Explain S/Sx
Encourage Mr. Wright
Assess understanding
Alert Mr. Wright's case manager
Call Report
question
John Duncan
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - normal
Sensorium - normal
question
John Duncan
answer
Deficient fluid volume
Electrolyte imbalance, risk for
Fatigue
Fall, risk for
Noncompliance
question
John Duncan
answer
Scenario #1
Assess I&O
Construct dietary consult
Acquire daily weight
Evaluate outcome
Scenario #2
Full assessment
Check I&O
Teach pt. about safety
Document
Scenario #3
Wash/glove hands
Provide emesis basin
VS assessment
Administer antiemetic
Evaluate medication
Scenario #4
VS assessment
Assessment of bowel
Administer protocol
Document results
Include pt. condition
Scenario #5
Inform & educate spouse
Evaluate/modify
Assess food
Document
question
Karen Cole
answer
Educational - increased
Fall Risk - normal
Health Change - increased
Pain - normal
Psychological Needs - normal
Sensorium - normal
question
Karen Cole
answer
Impaired coping
Risk for impaired comfort
Infection risk
Risk for injury
question
Karen Cole
answer
Scenario #1
Apply O2
Connect pt.
Complete full assessment
Obtain IV access
Orient pt. & husband
Scenario #2
Give IV morphine
Reassess VS
Notify Cath lab
Obtain informed consent
Transport pt.
Scenario #3
Take VS
Post-op assessment
Ensure pressure dressing
Instruct pt.
Assess pain
Scenario #4
Explain the necessary
Perform hand hygiene
Remove infiltrated IV
Don new gloves
Insert new IV
Scenario #5
Asses pt. & family
Provide pt. post MI
Pt. & family should
Schedule cardiac
Document
question
Tom Richardson
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - normal
Sensorium - normal
question
Tom Richardson
answer
Acute pain
Impaired mobility, risk for
Impaired urinary elimination
Fall, risk for
question
Tom Richardson
answer
Scenario #1
Wash & glove
Vital assessment
Administer
Reassess pt.
Document
Scenario #2
Vital assessment
Notify Dr.
Administer new
Reassess pt.
Scenario #3
Use therapeutic
Obtain urinary
Assist pt.
Remain w/ pt.
Document
Scenario #4
Use therapeutic
Educate pt.
Evaluate understanding
Contact dietary
Document
Scenario #5
D/C instruction
Evaluate understanding
Escort pt.
Document
Notify housekeeping
question
Mary Barkley
answer
Educational - increased
Fall Risk - normal
Health Change - increased
Neurological - normal
Pain - increased
Psychological Needs - increased
Scenario #1
Have pt.
Wash hands
Use therapeutic
Guide her back
Set her up
Scenario #2
InitiateO2
Scenario #3
Contact RT
Obtaintelemetry
Ask PCT
Don PPE
Assist RT
Scenario #4
Call rapid response
Continue to assist
Give SBAR
Call for crash cart
Ensure documentation
Scenario #5
Encourage the HCP
Offer to contact
Contact assisted living
Notify HCP
Assist w/ intubation
question
Richard Dominec
answer
Educational - increased
Fall Risk - normal
Health Change - increased
LOC - normal
Pain - increased
Safety - increased
Psychological Needs - normal
Sensorium - normal
question
Richard Dominec
answer
Acute pain
Knowledge deficit
Nutrition
Risk for infection
Skin integrity at risk
Fera/anxiety
question
Richard Dominec
answer
Scenario #1
Perform full assessment
Provide comfort
Check surgical consent
Inform his partner
Scenario #2
Educate about recovery
Discuss his understanding
Offer assistance
Determine from medical
Scenario #3
You discuss this cough
Notify Dr. of change
Explain to Mr. Dominec
Explain that he will
Notify charge nurse
Scenario #4
Inform pt. about
Obtain and provide
Encourage Mr. Dominec
Document and provide
Scenario #5
This information
Remind staff
Leave the break room
Report this activity
question
Ramona Stukes
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - normal
Sensorium - normal
question
Ramona Stukes
answer
Bleeding, risk for
Deficient fluid volume, risk for
Impaired mobility
Fall, risk for
Infection, risk for
question
Ramona Stukes
answer
Scenario #1
Wash & glove
Full assessment
Allow expression
Educate pt.
Evaluate understanding
Scenario #2
Wash & glove
Full assessment
Check NG tube
Administer IV antiemetic
Scenario #3
Full assessment
Educate pt.
Evaluate understanding
Notify lead RN
Consult wound care
Scenario #4
Discuss w/ pt.
Notify lead RN
Contact social services
Update pt.
Scenario #5
Follow HIPAA
Explain HIPAA
Offer resource
Contact wound care
Document
question
Kenny Barrett
answer
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - normal
Sensorium - increased
question
Kenny Barrett
answer
Acute pain
Deficient knowledge
Fall risk
question
Kenny Barrett
answer
Scenario #1
Perform hand hygiene
Reassess BP & P
Evaluate pt's understanding
Administer
Document
Scenario #2
Retake VS
Instruct pt.
Perform comfort
Request CNA
Notify the HCP
Scenario #3
Pt. Kenny Barrett
Pt. was admitted
Current VS
Request possible change
Scenario #4
Take VS not
Maintain strice
500 mL NS
Hold next dose
Contact HCP
Scenario #5
Assess stress level
Communicate
Discuss willingness
Educate pt.
Contact HCP
Bleeding, risk for
Imbalanced nutrition
Self-care deficit
Acute confusion
Fall, risk for
Failure to thrive
question
Lithia Monson
answer
Scenario #1
Perform neuro
Reorient pt.
Assess for fall
Offer nutrition
Scenario #2
Explain reason
VS assessments
Apply restraint
Perform circulatory
Request sitter
Scenario #3
Employ therapeutic
Release restraints
Reapply restraints
Perform circulatory
Document
Scenario #4
Use therapeutic
Attempt to orient
Perform circulatory
Offer nutrition
Document
Scenario #5
Check monitor
Apply NC O2
VS reassessment
Notify lead RN
Remain w/ pt.
question
Charlie Raymond
answer
Educational - increased
Fall - increased
Health Change - increased
Neurological - normal
Pain - normal
Psychological Needs - normal
question
Charlie Raymond
answer
- Death anxiety
- Impaired gas exchange
- Ineffective breathing pattern
question
Charlie Raymond
answer
Scenario #1
Don appropriate PPE
Change to simple
Perform focused
Notify respiratory therapy
Notify family
Scenario #2
Reorient pt.
Obtain a sitter
Restart IV
Begin strict
Obtain an order
Scenario #3
Use therapeutic
Position the pt.
Create sterile
Instruct Lucy
Insert foley
Scenario #4
Make sure O2 mask
Ensure pt.
Check the foley
Notify RRT
Provide initial
Scenario #5
Mr. Raymond, COVID-19
Pt. has a HX
Intubated by
Recommend pt.
Accompany pt.
question
Sarah Kathryn Horton
answer
Educational - increased
Fall - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Sensorium - normal
question
Sarah Kathryn Horton
answer
- Acute pain
- Anxiety
- Disturbed personal identity
- Impaired physical mobility
- Impaired skin integrity
- Risk for post trauma syndrome
question
Sarah Kathryn Horton
answer
Scenario #1
Wash hands
Assess respiratory
Do not disturb
Reduce stimuli
Document
Scenario #2
Wash hands
Assess Ms. Horton's
Medicate
Attempt deescalation
Document
Scenario #3
Gather supplies
Wash hands
Explain procedure
Provide morphine
Perform dressing
Scenario #4
Educate Ms. Horton
Reinforce past
Educate family regarding active
Educate family regarding intervention
Document
Scenario #5
Assess Ms. Horton's
Use therapeutic
Assist Ms. Horton
Escort pt.
Provide report
question
Sarah Getts
answer
- Educational - increased
Fall Risk - increased
Health Change - increased
Pain - normal
Psychological Needs - increased
Sensorium - increased
question
Sarah Getts
answer
- Electrolyte imbalance
- Imbalanced fluid volume, risk for
- Ineffective renal perfusion, risk for
- Acute confusion
- Fall, risk for
- Failure to thrive
question
Sarah Getts
answer
Scenario #1
Wash and glove
Full assessment
Monitor and evaluate
Educate pt.
Document
Scenario #2
Wash and glove
Full assessment
Apply fall risk
Document
Scenario #3
Offer assistance
Remain with pt.
Therapeutic communication
Notify lead nurse
Document
Scenario #4
Visual asess
Call rapid response
Apply oxygen
Establish second
Remain with pt.
Scenario #5
Give verbal
Escort pt.
Notify family
Document
question
Donald Lyles
answer
Educational - increased
Fall Risk - normal
Health Change - increased
Neurological - normal
Pain - normal
Psychological Needs - normal
question
Donald Lyles
answer
- Knowledge deficit
- Risk for infection
question
Donald Lyles
answer
Scenario #1
Establish responsiveness
Call for code
Check for breathing
Begin continuous
When help arrives
Scenario #2
Assist with airway
Assist with applying
Establish large IV
Provide pt. hx
Provide medical hx
Scenario #3
Check time
Establish when the cardiac
Begin list of medications
Document rhythm
Remind CODE
Scenario #4
Ensure cardio pads
Charge the monitor
Announce to CODE
Announce, "CLEAR
Ensure no one
Scenario #5
Give 1mg atropine
Reassess its VS
Repeat 1mg atropine
Prepare for external
Document and accompany
question
Estelle Hatcher
answer
- Educational Needs - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - increased
Sensorium - normal
question
Estelle Hatcher
answer
- Acute pain
- Electrolyte imbalance, risk for
- Impaired comfort
- Deficient knowledge
- Fall ,risk for
- Infection, risk for
question
Estelle Hatcher
answer
Scenario #1
Introduce yourself
Full assessment
Educate pt.
Evaluate understanding
Provide comfort
Scenario #2
Wash/glove
Inspect pain
Check proper
Verify call light
Notify doctor
Scenario #3
Educate pt.
Evaluate understanding
Remove NG
Order a new clear
Document
Scenario #4
Wash/glove
Full assessment
Encourage
Verify call light
Document
Scenario #5
Use therapeutic
Educate pt.
Evaluate understanding
Verify call light
Document
question
Jose Martinez
answer
- Educational Needs - increased
- Fall Risk - increased
- Health Change - increased
- Neurological - increased
- Pain - normal
- Psychological Needs - increased
question
Jose Martinez
answer
- Acute pain
- Anxiety
- Impaired tissue perfusion
- Ineffective health maintenance
- Powerlessness
- Drug therapy
question
Jose Martinez
answer
Scenario #1
Assess airway
Ensure continuous
Administer oxygen
Provide morphine
Reassess pt's VS
Scenario #2
Assess for the abrupt
Initiate IV heparin
Give ASA
Observe for bleeding
Monitor aPTT
Scenario #3
Provide emotional
Assess MR. Martinez's willingness
Provide introductory
Report Mr. Martinez's
Document
Scenario #4
Troponin
CPK
CK-MB
Serum Potassium
Serum Sodium
Scenario #5
Clarify
Promote open
Explain to Mr. and Mrs.
Discuss physical
Provide information
question
Virginia Smith
answer
Educational Needs - increased
Health Change - increased
- LOC - normal
- Pain - increased
- Psychological Needs - normal
- Safety - increased
Scenario #1
Ask pt. to explain
If pt. statement
Stay with pt.
Contact head RN
Procedure is scheduled
Scenario #2
Therapeutic communication
Validate NPO
Encourage to ambulate
Connect telemetry
Provide a few chairs
Scenario #3
Vital signs taken
Complete assessment
Talk with her
Allow husband
Document
Scenario #4
Provide operative summary
Present health assessment
Report current
Request time
Explain to her family
Scenario #5
Full assessment of pt
Provide for physical
Therapeutic communication
Begin post-op
Notify family
question
Carlos Mancia
answer
- Educational Needs - increased
- Fall Risk - increased
- Health Change - increased
- Pain - normal
- Psychological Needs - increased
- Sensorium - normal
question
Carlos Mancia
answer
- Fatigue
- Impaired gas exchange
- Ineffective airway clearance
- Noncompliance
- Anxiety
- Deficient knowledge
- Fear
- Readiness for self-care enhancement
- Social isolation, risk for
question
Carlos Mancia
answer
Scenario #1
Don PPE
Allow for non-compliance
Do not probe
Verify call light
Document
Scenario #2
Obtain translator
Offer masks
Educate pt
Evaluate understanding
Obtain Spanish
Scenario #3
Obtain translator
Wash hands
Put on gown
Don gloves
Administer
Scenario #4
Educate caller
Evaluate caller
Refer caller
Notify doctor
Document
Scenario #5
Obtain translator
Use therapeutic
Educate pt.
Evaluate learning
Document
question
Julia Monroe
answer
- Education Needs - increased
- Fall Risk - increased
- Health Change - increased
- Neurological - normal
- Pain - increased
- Psychological - normal
Scenario #1
Perform initial
Ask the pt. if she
Ask the pt about
Ask if the pt. understands
Ensure informed consent
Scenario #2
Comfort the pt
Provide education
Explain the TX
Evaluate pt.
Document
Scenario #3
Assist the pt.
Perform
Draw digoxin
Request order
Place call light
Scenario #4
Assess the pt.
Establish an IV
Administer digoxin
Monitor for adverse
Request repeat
Scenario #5
Check leads
Perform
Start O2
Call RRT
Educate pt
question
Linda Pittmon
answer
- Educational Needs - increased
- Fall Risk - increased
- Health Change - increased
- Neurological - increased
- Pain - normal
- Psychological Needs - normal
question
Linda Pittmon
answer
- Disturbed body image
- Ineffective health maintenance
- Risk for malnutrition
- Impaired tissue integrity
- Risk for physical injury
- Self-care deficit
question
Linda Pittmon
answer
Scenario #1
Wash handa
Obtain blood (culture #1)
Obtain blood (culture #2)
Initiate IV
Administer levofloxacin
Scenario #2
Ask the pt.
Assess VS
Place the syringe
Notify the charge
Call HCP
Scenario #3
Assess VS
Therapeutic communication
Call HCP
Prescribed medication
Assess for therapeutic
Scenario #4
Ask Mrs. Pittman
Perform pre-op
Ensure signed consent
Ensure type and cross
Have IV ABX
Scenario #5
Pre-medicate
Don clean gloves
Monitor neurovascular
Don 2nd set
Elevate stump
question
Robert Sturgess
answer
- Educational - increased
- Fall Risk - increased
- Health Change - increased
- Pain - increased
- Psychological Needs - increased
- Sensorium - normal
question
Robert Sturgess
answer
- Chronic pain
- Constipation, risk for
- Imbalanced nutrition
- Anxiety
- Fear
- Grieving
- Hopelessness
- Powerlessness
question
Robert Sturgess
answer
Scenario #1
Wash and glove
Full assessment
Seek clarification
Check PRN
Verify call light
Scenario #2
Full assessment
Educate pt.
Place pt.
Observe closely
Perform pain
Scenario #3
Use therapeutic
Educate pt.
Notify doctor
Contact social services
Report
Scenario #4
Use therapeutic
Notify MD
Education
Insert
Document
Scenario #5
Allow family
Full assessment
Provide comfort
Pain reassessment
Document
question
Viola Cumble
answer
- Educational Needs - increased
- Fall Risk - increased
- Health Change - increased
- Pain - increased
- Psychological Needs - normal
- Sensorium - normal
question
Viola Cumble
answer
- Acute pain
- Bleeding, risk for
- Impaired mobility
- Fall, risk for
- Ineffective health maintenance
- Infection, risk for
question
Viola Cumble
answer
Scenario #1
Assess for bowel
Administer PRN
Encourage fluids
Evaluate understanding
Review pain
Scenario #2
Check physician
Educate pt.
Offer bedpan
Record I/O
Verify call light
Scenario #3
Obtain VS
Wash and glove
ID pt.
Assess vital
Document
Scenario #4
Wash and glove
Administer antipyretic
Encourage fluids
Notify doctor
Document
Scenario #5
Notify PT
PT to educate
Read PT
Reassess pt.
Evaluate/modify
Haven't found what you need?
Search for quizzes and test answers now
Quizzes.studymoose.com uses cookies. By continuing you agree to our cookie policy