Swift River New patients UPDATED Actual
Exam Questions and CORRECT Answers
Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new
diagnosis of type II diabetes. She has been documented as being obese, new onset
hypertension, polyuria, and a rash on her abdomen. She was asymptomatic upon arrival. She
was admitted yesterday for stabilization of her glucose levels, and assist her with lifestyle
modification. She states she leads a sedentary lifestyle as a bank officer. Her HbA1C is 10%.
- CORRECT ANSWER✔✔- Educational Needs Increased
Fall Risk Normal
Health change Increased
Neurological Normal
Pain level Normal
Psychological Needs Normal
Sensorium Normal
Donald Lyles, 52-year old male, was admitted yesterday evening for stabilization of his
uncontrolled type II diabetes. He is married, and his wife is requesting to stay at his side. His
HbgA1c is 10.6%. He has a history of a Myocardial Infarction, MI, one year ago, and has
refused all cardiac rehab, and has not had another cardiac event. He refuses to comply with
dietary recommendations. His BMI is 37. Vital signs are: BP: 146/94, P: 88, R: 22, T: 99.2,
PaO2: 94% Blood glucose upon admission is 340 mg/dl - CORRECT ANSWER✔✔-
Educational Needs Increased
Fall Risk Normal
Health change Increased
Neurological Normal
Pain level Normal
Psychological Needs Normal
Mary Barkley, 74y/o female has been admitted to your floor with a respiratory infection and
she has tested positive for COVID19. She resides in an assisted living facility which has seen
four deaths related to COVID19. She is exhibiting the same initial signs and symptoms as the
other patients and her primary care provider would like to start aggressively treating her. She
is running a low-grade fever 99.8 and has a sore scratchy throat which is causing an
unproductive cough. She also is complaining of chills, muscle pain and headache. She is an
at-risk patient because of her age. She also suffers from Lupus and is already taking
Hydroxychloroquine, a first-line lupus therapy, but there is no conclusive evidence of its
,benefits for coronavirus yet. She is very fearful and is requesting to see her family. She states
that she does not want to die alone. - CORRECT ANSWER✔✔- Educational Needs
Increased
Fall Risk Normal
Health change Increased
Neurological Normal
Pain level Increased
Psychological Needs Increased
Karen Cole, 56 year old female, Karen Cole, a school principal at White House High School.
Admitted directly from the Dr.'s office to the IMCU after initial complaint for tightness in her
chest, denies pain, and slight shortness of breath. Vital signs are BP: 168/92, P: 90, R: 24, T:
98.6. Her husband insisted that she come. She is insisting that she will only stay 12 hours,
because she has to be back to school in the morning. - CORRECT ANSWER✔✔-
Educational Needs Increased
Fall Risk Normal
Health change Increased
Pain level Normal
Psychological Needs Normal
Sensorium Normal
Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. She is 2 days
post-op. She is 85 years old and has a history of osteoarthritis and cataracts. PT has been
getting the patient up with a walker and she is able to take a few steps. She is aware of self
and situation, but not time or day. Her family lives out of state, but the daughter was here for
the surgery, she left yesterday. The plan is to discharge Ms. Yu back to her assisted living
facility. Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and
ASA 81 mg daily. The surgeon added oxycodone 5mg q 4-6 hours prn pain. NKDA. -
CORRECT ANSWER✔✔- Educational Needs Increased
Fall Risk Increased
Health change Increased
Neurological Increased
Pain level Normal
Psychological Needs Increased
,Lida Pittmon - CORRECT ANSWER✔✔- Educational Needs Increased
Fall Risk Increased
Health Change Increased
Neurological Increased
Pain Normal
Psychological Normal
Kenny Barrett, 64 years old, was admitted for observation of initial administering of BP his
treatment with blood pressure of 220/124 after visiting his doctor for a routine physical. ECG
was unremarkable. No past history of HTN. Past medical history includes hyperlipidemia and
a history of 1 pack a day smoker for the past 20 years. Vital signs are Temp 98.9F, BP 178/90,
P 88, RR 18 SaO2 95% on Room air. IV with NS @ 125 mL/ hr. Patient has been
complaining of a headache and dizziness. He is a patient of Dr. Adams. - CORRECT
ANSWER✔✔- Educational Needs Increased
Fall Risk Increased
Health change Increased
Pain level Increased
Psychological Needs Normal
Sensorium Normal
Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a
state rival football game earlier in the evening. Chest pain became progressively worse, so he
called for an ambulance to bring him to the Emergency Department. Once the ambulance
arrived, he reported his pain as 10/10. The 12-lead EKG showed ST elevation. Vital signs
were HR 160, BP 145/102, Respirations 23, and Pulse Ox 89%. He was given nitroglycerin
during transport to the hospital with little relief. He complained of feeling "light- headed". He
has been admitted to the unit, and the pain has subsided. He does have a 10-year history of
hypertension. He was transferred here to the cardiac stepdown unit from the ER, because no
beds were open in cardiac ICU. Ambulance report: Nitroglycerin SL x 3, 12-lead EKG, Blood
drawn for cardiac enzymes, Peripheral IV started to left forearm. - CORRECT
ANSWER✔✔- Educational Needs Increased
Fall Risk Increased
Health change Increased
Neurological Normal
Pain level Normal
Psychological Needs Increased
, Donald Lyles
52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II
diabetes. He is married, and his wife is requesting to stay at his side. His HbgA1c is 10.6%.
He has a history of a Myocardial Infarction, MI, one year ago, and has refused all cardiac
rehab, and has not had another cardiac event. He refuses to comply with dietary
recommendations. His BMI is 37. Vital signs are: BP: 146/94, P: 88, R: 22, T: 99.2, PaO2:
94% Blood glucose upon admission is 340 mg/dl - CORRECT ANSWER✔✔- Physiological
Acute Pain False
Impaired comfort False
Knowledge Deficit True
Nausea False
Safety
Fall Risk False
Risk for infection True
Jose Martinez
Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football
game earlier in the evening. Chest pain became progressively worse, so he called for an
ambulance to bring him to the Emergency Department. Once the ambulance arrived, he
reported his pain as 10/10. The 12-lead EKG showed ST elevation. Vital signs were HR 160,
BP 145/102, Respirations 23, and Pulse Ox 89%. He was given nitroglycerin during transport
to the hospital with little relief. He complained of feeling "light- headed". He has been
admitted to the unit, and the pain has subsided. He does have a 10-year history of
hypertension. He was transferred here to the cardiac stepdown unit from the ER, because no
beds were open in cardiac ICU. Ambulance report: Nitroglycerin SL x 3, 12-lead EKG, Blood
drawn for cardiac enzymes, Peripheral IV started to left forearm. - CORRECT
ANSWER✔✔- Physiological
Acute Pain True
Altered body image False
Anxiety True
Disturbed thought process False
Impaired gas exchange False
