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 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 SimXA 76-year-old male is admitted to the medical-surgical unit three days after abdominal surgery. Over the past two days, he has developed a fever, increased wound drainage, and escalating confusion, repeatedly attempting to remove his IV line. A wound culture returns positive for MRSA, requiring contact precautions. Despite IV antibiotics...
A 76-year-old male is admitted to the medical-surgical unit three days after abdominal surgery. Over the past two days, he has developed a fever, increased...
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...
Heat Stroke Pain Management in an Adult
Mount Saint Mary's UniversityThe patient is a 19-year-old male patient admitted to the ED for dehydration and fluid/electrolyte imbalances due to heat exhaustion. The patient has been stabilized but the nurse reports that he was complaining of general fatigue & a mild headache. He was given acetaminophen 650 mg PO about 3 hours...
The patient is a 19-year-old male patient admitted to the ED for dehydration and fluid/electrolyte imbalances due to heat exhaustion. The patient has been stabilized...
Post-op Mobility and Elimination
University of Nebraska Medical CenterA 67-year-old male is admitted to the surgical ward after hip repair surgery and develops a clostridium difficile infection. The learner must put on proper personal protective equipment and perform an initial assessment, including a focused musculoskeletal exam. The learner should notice that the patient needs to be cleaned–including appropriate...
Post-op Mobility and Elimination
A 67-year-old male is admitted to the surgical ward after hip repair surgery and develops a clostridium difficile infection. The learner must put on proper...
C. Diff
Indiana University School of NursingThis scenario presents an elderly patient with diarrhea who is newly diagnosed with Clostridium difficile colitis, which the learner is informed of via EMR progress notes on VR tablet. The learner must note positive C Diff results on the tablet, don gown and gloves to enter the treatment room, counsel...
This scenario presents an elderly patient with diarrhea who is newly diagnosed with Clostridium difficile colitis, which the learner is informed of via EMR progress...
New-onset Type 2 Diabetes in Adult
Indiana University School of NursingIn this scenario, the learner is informed via EMR progress notes on the VR tablet that the patient is newly insulin dependent with known Type 2 Diabetes. The patient is started on insulin after hyperglycemia presentation despite oral medication and ready for discharge. The learner must counsel the patient and...
In this scenario, the learner is informed via EMR progress notes on the VR tablet that the patient is newly insulin dependent with known Type...