Nursing Workforce Readiness: A Community Health Nurse Experience
Eastern Michigan University School of NursingIn this scenario, the learner will treat patients at a mosque as part of a community health fair. The learner must interview a 70-year-old Bangladeshi male with a history of hypertension and depression. Initial assessment requires them to go through a number of health screenings with him. The learner should...
Nursing Workforce Readiness: A Community Health Nurse Experience
In this scenario, the learner will treat patients at a mosque as part of a community health fair. The learner must interview a 70-year-old Bangladeshi...
Nursing Workforce Readiness: Pediatric Fluid and Electrolyte Imbalance
SimXA 2-year-old boy presents to the hospital with severe dehydration and gastroenteritis. His father reports multiple episodes of vomiting and diarrhea following a visit to the carnival. Despite attempting oral rehydration at home, the patient’s condition worsened, leading to lethargy and decreased responsiveness. Learners will assess, intervene, and communicate with...
A 2-year-old boy presents to the hospital with severe dehydration and gastroenteritis. His father reports multiple episodes of vomiting and diarrhea following a visit to...
Nursing Workforce Readiness: Inpatient Altered Mental Status
SimXWilliam Kotari, a 72-year-old male, is currently admitted to the medical-surgical unit for the management of an infected diabetic foot ulcer. While in the room, his wife, Susan Kotari, alerts the nurse to sudden neurological changes. She states that he was last seen normal 45 minutes ago, but now exhibits...
William Kotari, a 72-year-old male, is currently admitted to the medical-surgical unit for the management of an infected diabetic foot ulcer. While in the room,...
Nursing Workforce Readiness: Systemic Infection Response
SimXA 68-year-old male presents to the Emergency Department with a 4-day history of worsening cough, fever, and shortness of breath. Family reports the cough is productive of yellow sputum, and they note poor appetite and increasing confusion. Despite initial EMS oxygen administration, the patient's condition deteriorated en route, exhibiting persistent...
A 68-year-old male presents to the Emergency Department with a 4-day history of worsening cough, fever, and shortness of breath. Family reports the cough is...
Nursing Workforce Readiness: Refractory Hypoxemia in the ICU
SimXA 52-year-old male, Michael Johnson, with a history of hypertension and type 2 diabetes, is intubated and mechanically ventilated in the ICU for progressive shortness of breath following severe pneumonia. The patient is sedated and on assist-control ventilation, but despite initial settings, the patient’s condition worsens, with the patient hypotensive...
A 52-year-old male, Michael Johnson, with a history of hypertension and type 2 diabetes, is intubated and mechanically ventilated in the ICU for progressive shortness...
Nursing Workforce Readiness: Medication Access in Mental Health Conditions
SimXA 24-year-old male is admitted with an acute exacerbation of chronic schizophrenia. He is pacing the room, responding to internal stimuli (auditory hallucinations), and exhibiting paranoia regarding his medication and food. Learners must establish a therapeutic rapport, assess for command hallucinations, and administer medication safely. Once the patient is stabilized,...
A 24-year-old male is admitted with an acute exacerbation of chronic schizophrenia. He is pacing the room, responding to internal stimuli (auditory hallucinations), and exhibiting...
Nursing Workforce Readiness: Pediatric Infection Control
SimXA 3-month-old male presented to the emergency department yesterday with a temp of 39.2⁰ C for 2 days, decreased oral intake, sleeping poorly, increased irritability/crying, and decreased number of wet diapers. In the ER, the patient was noted to have dry mucous membranes as well as a rash. A lumbar...
A 3-month-old male presented to the emergency department yesterday with a temp of 39.2⁰ C for 2 days, decreased oral intake, sleeping poorly, increased irritability/crying,...
Nursing Workforce Readiness: Recognition and Management of Acute Cardiac Decompensation
SimXWhile caring for a patient on an inpatient medical-surgical unit, the learner will encounter a sudden cardiac emergency. The participant must activate hospital response systems, initiate Basic Life Support (BLS), and delegate roles to arriving support staff based on their scope of practice. The scenario concludes once the code team...
While caring for a patient on an inpatient medical-surgical unit, the learner will encounter a sudden cardiac emergency. The participant must activate hospital response systems,...
Nursing Workforce Readiness: Outpatient Heart Failure
SimXA patient, recently diagnosed with heart failure during an inpatient stay for respiratory distress and pneumonia, presents to the outpatient clinic. He was discharged two weeks ago with new medications that he has not yet filled or taken. The patient does not understand the necessity of the medication and demonstrates...
A patient, recently diagnosed with heart failure during an inpatient stay for respiratory distress and pneumonia, presents to the outpatient clinic. He was discharged two...
Nursing Workforce Readiness: Family Centered Care during Psychological Diagnosis
SimXA young adult male is admitted to the psychiatric unit with symptoms of acute mania. The patient has just been diagnosed with Bipolar I and is ordered for stabilization, education, and medication initiation and titration. The patient lives with their brother who is very supportive and present during this admission....
A young adult male is admitted to the psychiatric unit with symptoms of acute mania. The patient has just been diagnosed with Bipolar I and...
Nursing Essentials: Gastric Decompression and Specimen Collection
California State University, Los Angeles SimXA 75-year-old male patient with active hematemesis is admitted to the emergency department. The patient has a history of Coumadin and NSAID use. In this scenario, learners must complete a focused abdominal assessment, implement fluid resuscitation, and initiate an anticoagulant reversal protocol. Essentials procedural skills include nasogastric tube insertion, pH...
A 75-year-old male patient with active hematemesis is admitted to the emergency department. The patient has a history of Coumadin and NSAID use. In this...
Nursing Essentials: Urinary Output and Elimination
California State University, Los Angeles SimXAn 86-year-old male was admitted the medical-surgical unit for altered mental status secondary to a urinary tract infection. The patient is pleasant but disoriented to place and time and experiencing urinary retention due to Benign Prostatic Hyperplasia (BPH). In this scenario, learners must complete a focused assessment, manage care for...
An 86-year-old male was admitted the medical-surgical unit for altered mental status secondary to a urinary tract infection. The patient is pleasant but disoriented to...
Nursing Essentials: Colostomy and Palliative Care Management
California State University, Los Angeles SimXA 42-year-old male with stage IV colorectal cancer has recently been transferred to a long-term care facility for palliative care management. In this scenario, learners must manage care for a terminally ill patient with a colostomy and chronic pain, balancing physical and psychosocial needs. This scenario has been designed for...
A 42-year-old male with stage IV colorectal cancer has recently been transferred to a long-term care facility for palliative care management. In this scenario, learners...
Nursing Essentials: Infection Control and Patient Safety
California State University, Los Angeles SimXAn 83-year-old female was admitted to a high-acuity Skilled Nursing Facility (SNF) 25 days ago after experiencing a significant left-sided ischemic stroke. She has significant right-sided deficits and requires assistance completing Activities of Daily Living (ADLs). In this scenario, learners must assist a dependent patient in completing daily cares, including...
An 83-year-old female was admitted to a high-acuity Skilled Nursing Facility (SNF) 25 days ago after experiencing a significant left-sided ischemic stroke. She has significant...
Nursing Essentials: Head to Toe Assessment
SimXA 65-year-old male was admitted to the hospital 3 days ago for antibiotic treatment for pneumonia. Learners should conduct a comprehensive head-to-toe assessment on the patient. This scenario has been designed for a moderatorless experience and focuses on developing skills such as AIDET Communication, Comprehensive Adult Physical Assessment, and more.
A 65-year-old male was admitted to the hospital 3 days ago for antibiotic treatment for pneumonia. Learners should conduct a comprehensive head-to-toe assessment on the...
Multi-Patient Safe Medication Administration
George Mason UniversityA learner is assigned three patients during a morning medication pass on a medical-surgical unit. Each patient has unique health conditions requiring the administration of multiple medications. The learner must assess patient status, identify potential safety concerns, and use clinical judgment to determine the appropriateness of each medication. Throughout the...
A learner is assigned three patients during a morning medication pass on a medical-surgical unit. Each patient has unique health conditions requiring the administration of...
Mixed Mass Casualty Incident Triage
Uniformed Services University of the Health SciencesIn this scenario, learners are plunged into the chaotic aftermath of a military airshow accident. They arrive on the scene to discover a family of four among the injured: a father, mother, a five-year-old child, and an infant. The scenario is designed to test the learners' ability to perform under...
In this scenario, learners are plunged into the chaotic aftermath of a military airshow accident. They arrive on the scene to discover a family of...
Surgical Nursing: Fire in the OR
VALOR ProgramThe learner(s) will participate in an open appendectomy case for an otherwise medically uncomplicated patient. However, a fire breaks out when the Bovie is used on the patient. The learner(s) must assist the operative team in calling for help, putting out any fires, assessing the patient, and giving handoff to...
The learner(s) will participate in an open appendectomy case for an otherwise medically uncomplicated patient. However, a fire breaks out when the Bovie is used...
Surgical Nursing: Malignant Hyperthermia
VALOR ProgramThe learner(s) will participate in an open appendectomy case for an otherwise medically uncomplicated patient. However, before the procedure starts, the patient develops malignant hyperthermia from the induction. The learner(s) must assist the operative team in calling for help, requesting the malignant hyperthermia cart, preparing dantrolene for the anesthesiologist, and...
The learner(s) will participate in an open appendectomy case for an otherwise medically uncomplicated patient. However, before the procedure starts, the patient develops malignant hyperthermia...
School-Based Instructional Support Team
Molloy University, School of Education and Human ServicesEthan is a 10-year-old, Latino boy who is in fifth grade. He and his mother are meeting with a professional team to create a support plan. He has academic performance issues, behavior outbursts in class (e.g., meltdowns during transitions), and is increasingly withdrawn from peers. His mother feels overwhelmed and...
Ethan is a 10-year-old, Latino boy who is in fifth grade. He and his mother are meeting with a professional team to create a support...
Lumbar Spine Discitis/Osteomyelitis
Parker UniversityPatient presents to chiropractor with low back pain. Participant reviews intake paperwork. Participant then completes a history of present illness (HPI) regarding the patient’s chief complaint. Initially, the participant must use the patient’s intake paperwork and HPI to provide three appropriate differential diagnoses. In subsequent states, the participant must perform...
Patient presents to chiropractor with low back pain. Participant reviews intake paperwork. Participant then completes a history of present illness (HPI) regarding the patient’s chief...
Ossification of Posterior Longitudinal Ligament (OPLL)
Parker UniversityA 55 year old male presents with a complaint of neck pain. He has had pain, tingling and numbness in bilateral hands for several years. Today he started to note loss of bladder control. Patient will want to schedule an MRI for next week when he is not as busy....
A 55 year old male presents with a complaint of neck pain. He has had pain, tingling and numbness in bilateral hands for several years....
Cervical Spondylotic Myelopathy
Parker University65 year old male presents complaining of neck pain. In further questioning he admits to difficulty writing and two recent falls due to unsteady gait. Examination shows atrophy of hand muscles, widened and slower gait, diminished reflexes over brachioradialis, positive supinator reflexes, and hyperreflexia over triceps and lower extremity MSRs....
65 year old male presents complaining of neck pain. In further questioning he admits to difficulty writing and two recent falls due to unsteady gait....
Pediatric Blunt Abdominal Trauma and Hemorrhage
Children's Mercy Kansas CityThis scenario involves a 4-year-old Spanish-speaking male after he was struck by a vehicle while running across a road. The scenario is set in a community hospital emergency department trauma room. An EMS provider arrives with the patient and provides a report. The patient is an irritable child with blood...
This scenario involves a 4-year-old Spanish-speaking male after he was struck by a vehicle while running across a road. The scenario is set in a...