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: Management of Metabolic Disorders
SimXSara Ramirez, a 24-year-old female with a known history of type 1 diabetes, is brought to the emergency department by ambulance after several days of feeling unwell. Family reports that she has been excessively thirsty, urinating frequently, and complaining of abdominal pain, nausea, and fatigue. She admits to missing several...
Sara Ramirez, a 24-year-old female with a known history of type 1 diabetes, is brought to the emergency department by ambulance after several days of...
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: Antibiotic Initiation and Response
SimXLearners will care for Kendra Webb, an 18-year-old admitted for osteomyelitis following a soccer injury. While beginning her first dose of the IV antibiotics, Kendra develops rapid-onset anaphylaxis, progressing from localized itching to life-threatening airway obstruction and hypotension. Learners must prioritize interventions using clinical judgment to support the patient, stop...
Learners will care for Kendra Webb, an 18-year-old admitted for osteomyelitis following a soccer injury. While beginning her first dose of the IV antibiotics, Kendra...
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 Essentials: Hygiene and Daily Cares
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: 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: Postoperative Pain Management and Respiratory Care
California State University, Los Angeles SimXA 58-year-old female who underwent a right-sided video-assisted thoracoscopic surgery resection earlier today is admitted to the medical-surgical unit following an uneventful stay in the post-anesthesia care unit. The patient is experiencing significant "stabbing" pain at the surgical site. In this scenario, learners must complete a focused postoperative assessment, manage...
A 58-year-old female who underwent a right-sided video-assisted thoracoscopic surgery resection earlier today is admitted to the medical-surgical unit following an uneventful stay in the...
Nursing Essentials: Airway Management and Oxygen Therapy
California State University, Los Angeles SimXA 78-year-old female was admitted to the hospital overnight from her long-term care facility with suspected influenza. She has an established tracheostomy due to a history of laryngeal cancer and a subsequent partial laryngectomy 5 years ago. In this scenario, learners will need to obtain a specimen sample from the...
A 78-year-old female was admitted to the hospital overnight from her long-term care facility with suspected influenza. She has an established tracheostomy due to a...
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: IV Access and Medication Administration
California State University, Los Angeles SimXA 56-year-old female was admitted to the oncology unit 8 days ago for chemotherapy management and supportive care due to treatment complications following a recurrence of breast cancer. She has a past history of a right-sided mastectomy with axillary lymph node removal. She has a left-sided tunneled central venous catheter...
A 56-year-old female was admitted to the oncology unit 8 days ago for chemotherapy management and supportive care due to treatment complications following a recurrence...
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...
Interprofessional Medication Error Management and Disclosure
George Mason UniversityCarmel Johnson is a 22-year-old female who was admitted for overnight observation after a minor surgical procedure. Learner(s) will receive a handoff from the outgoing nurse who reports that the patient is feeling unwell. Learner(s) will enter the room to assess the patient, identify that she has hypoglycemia from an...
Carmel Johnson is a 22-year-old female who was admitted for overnight observation after a minor surgical procedure. Learner(s) will receive a handoff from the outgoing...
Medical/Surgical UTI/DKA
Southeastern Illinois CollegePatient has been admitted to the Medical/Surgical unit from the ED with diagnosis of UTI and DKA. The participant will be given a brief report from the nursing staff in the ED and the ED paperwork/EHR. The participant should administer ordered IV antibiotics (initially Bactrim ordered but participant needs to...
Patient has been admitted to the Medical/Surgical unit from the ED with diagnosis of UTI and DKA. The participant will be given a brief report...
Atypical Presentation of an Older Adult
St. John Fisher University, Wegmans School of NursingElderly female in a long term care facility develops acute confusion, diminished appetite, and intermittent complaints of back pain over the past 2 days. The student will have the opportunity to assess the patient, recognize confusion and s/sx of UTI/pyelonephritis, and order point of care testing, including glucose, dipstick U/A,...
Elderly female in a long term care facility develops acute confusion, diminished appetite, and intermittent complaints of back pain over the past 2 days. The...
ICU Sepsis – CVVHD
Houston VANick O. Kidman, a 54-year-old male patient admitted from ED for COPD exacerbation and uncontrolled DM Type 2; was transferred to ICU from the medical floor unit ED 2 days ago for PNA, ARF/AKI, and Sepsis. Patient has AKI with hyperkalemic fluid-overload, requiring dialysis. He also has sever hypotension, requiring...
Nick O. Kidman, a 54-year-old male patient admitted from ED for COPD exacerbation and uncontrolled DM Type 2; was transferred to ICU from the medical...
Postpartum Hemorrhage—Hospital
Southeastern Illinois College30-year-old African American female arriving at the Mother Baby Unit after delivering a male via vaginal delivery approximately 1 and a half hours ago at 39 weeks gestation, P3G2A1. Patient had a retained placenta requiring manual extraction. Patient has had 3 pads saturated in 1 hour and currently feels a...
30-year-old African American female arriving at the Mother Baby Unit after delivering a male via vaginal delivery approximately 1 and a half hours ago at...
Effects of Opioid Abuse on Children and Families
George Mason UniversityJerome Marshall, 19-year-old, refugee from Uganda, lives in a high opioid abuse, imporverished neighborhood. His father is deceased, and his mother remarried a middle-aged Caucasian man who struggles with an opioid addiction. Jerome has a younger half-sister, Namazzi (age 12). Namazzi told Jerome that her stepfather has been sleeping a...
Jerome Marshall, 19-year-old, refugee from Uganda, lives in a high opioid abuse, imporverished neighborhood. His father is deceased, and his mother remarried a middle-aged Caucasian...