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MEDICAL-SURGICAL RN A PROPHECY RELIAS TEST, EXAM | QUESTIONS AND ANSWERS | GRADED A+, Exams of Nursing

MEDICAL-SURGICAL RN A PROPHECY RELIAS TEST, EXAM | QUESTIONS AND ANSWERS | GRADED A+

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MEDICAL-SURGICAL RN A PROPHECY
RELIAS TEST, EXAM | QUESTIONS AND
ANSWERS | GRADED A+
1.2 milligrams is equal to how many micrograms?
- 1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure
effective drain function?
-Compress the drain, then plug the bulb to establish suction
Your male patient complains of discomfort while inflating the balloon during
insertion of an indwelling urinary catheter. What would be the MOST appropriate
action? - Deflate the balloon, advance the catheter further, then reinflate the balloon
Your patient has symptomatic anemia but is refusing a blood transfusion for
religious reason. What is an appropriate response?
-Respect his wishes and notify the provider
Your patient is admitted with diverticulitis. What type of diet do you expect to
be ordered for the patient?
-broth, jello, soft fruit no skin,
You were hired to work the medical unit and when you arrive at work the charge
nurse has assigned you to the post-surgical unit since they are understaffed. Which is
the MOST appropriate action?
-Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
-Acid Reduction
Which adaptive equipment would be MOST appropriate to use for a severely
contracted patient who is unable to bear weight when transferring from the bed to
the chair?
-Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with severe
dementia?
-PAINAD scale
Your patient is admitted from the ED with failure to thrive and advanced dementia.
You note he is extremely underweight, appears unbathed for some time, and has a
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MEDICAL-SURGICAL RN A PROPHECY

RELIAS TEST, EXAM | QUESTIONS AND

ANSWERS | GRADED A+

1.2 milligrams is equal to how many micrograms?

  • 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain function?
  • Compress the drain, then plug the bulb to establish suction Your male patient complains of discomfort while inflating the balloon during insertion of an indwelling urinary catheter. What would be the MOST appropriate action? - Deflate the balloon, advance the catheter further, then reinflate the balloon Your patient has symptomatic anemia but is refusing a blood transfusion for religious reason. What is an appropriate response?
  • Respect his wishes and notify the provider Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the patient?
  • broth, jello, soft fruit no skin, You were hired to work the medical unit and when you arrive at work the charge nurse has assigned you to the post-surgical unit since they are understaffed. Which is the MOST appropriate action?
  • Report to the post-surgical unit. What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
  • Acid Reduction Which adaptive equipment would be MOST appropriate to use for a severely contracted patient who is unable to bear weight when transferring from the bed to the chair?
  • Patient lift (e.g., Hoyer) Which tool should you use to assess pain in you 80-year-old patient with severe dementia?
  • PAINAD scale Your patient is admitted from the ED with failure to thrive and advanced dementia. You note he is extremely underweight, appears unbathed for some time, and has a

stage 4 pressure injury to his coccyx. You were told in report that he lives at home with family members. What should you do?

  • Notify the charge nurse and social worker of your concerns. Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. You notice she has been having several episodes of acute confusion since being admitted to your unit. What is the MOST important order you should anticipate from the provider? - Stat CT of head Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the indwelling urinary catheter in the last 2 hours. What is your patient MOST likely experiencing.
  • Sepsis What type of personal protective equipment (PPE) is applied prior to entering a room for a patient with C. diff?
  • Gown and gloves Your patient continues to pull at their IV site located in their left forearm despite verbal reminders and increased observation. The nursing assistant recommends using soft mitt restraints on the patient. What is your recommendation? - Request an order for soft mitts as they are the least restrictive Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson's disease, depression, and alcohol use. On his second hospitalized day, you notice he is more anxious and restless than his baseline. What would be your FIRST nursing intervention?
  • Ask the patient when his last drink of alcohol was. What is the BEST indication of an acute neurological problem?
  • Change in level of consciousness While in a supine position your patient states, "I'm tired and cannot catch my breath." Physical assessment reveals jugular vein distention and a third heart sound (S3). These symptoms are indicative of what condition? - Heart failure
  • Severe abdominal pain or rebound tenderness

What is the EARLIEST sign indicating increased intracranial pressure (ICP)? - Level of consciousness checking for: - Paresthesia and paralysis You received a report on a patient that sustained a right hemisphere CVA 48 hours ago. What do you expect the patient to exhibit? - Left sided weakness of the leg, arm, and face. You are ordered to give digoxin (Lanoxin). Your patients vital signs are: BP 130/70, Temp 97.9F, HR 52, RR 16, O2 Sat 100% on room air. What should you do NEXT? - Hold digoxin (Lanoxin) and call the provider Upon entry to your patient's room, you find her sitting in High Fowler's position and complaining of shortness of breath. Her respiratory rate is 34 breaths/min and O2 sat is 84%. Which mode of oxygen delivery would MOST likely reverse these symptoms?

  • Non-rebreather mask Your patient is on contact precautions for active MRSA. What proper PPE should you use before entering the room?
  • Gown and gloves Your patient recently had a G-tube placed and intermittent enteral feedings have been initiated. What symptoms may indicate intolerance to the feedings? - Vomiting and diarrhea Upon entering your patient's room, you note that they are having a seizure. What is your FIRST action?
  • Position the patient on their side to maintain the airway. Your 18-year-old female patient was admitted with dehydration secondary to anorexia nervosa. During your assessment you note she has a flat affect and says, "I just want to die. I'm tired of my life." What should be your FIRST intervention? - Stay with the patient and ask fi she has a plan to carry out this wish. Your patient has a non-productive cough and presence of secretions in his tracheostomy. Prior to suctioning the patient, what should you do FIRST? - Hyperoxygenate patient.

Medical-Surgical RN A Prophecy Relias Test, Questions

& Answers Latest Update 2022

To reduce the risk of infection and phlebitis in an adult patient with a peripheral IV, what is the MINIMUM duration the catheter should remain in place before ROUTINE replacement?

  • 72 hours You are caring for a patient post lobectomy with a chest tube in place for drainage. What is a priority in care for this patient?
  • Encourage the patient to cough and deep breathe. What patient population is the pneumococcal vaccine, PPSV23 indicated for? - Adults aged 65 years and older Your patient with stave IV terminal lung cancer continues to experience increasing pain as each day passes. What would you anticipate the provider ordering for this patient?
  • Palliative care consult The provider gives you a telephone order to explain a surgical procedure to your patient and obtain surgical consent. How should you respond?
  • Inform the provider that explaining the procedure is outside the nurse's scope of practice. The patient has diltiazem HCl (Cardizem CD) ordered and is requesting the capsule be mixed into her morning yogurt. How should you respond?
  • "Sorry, it is a slow-release medication that cannot be opened or crushed." Your 72-year-old male patient is admitted for colon cancer related complications and has a history of CHF, stroke, and a recent knee replacement. Based on your patient's risk assessment, you determine he is at risk for venous thromboembolism (VTE). What is an appropriate VTE prophylaxis order for this patient?
  • Enoxaparin (Lovenox) once daily and intermittent pneumatic compressions (IPC) You receive a provider's order that is not consistent with evidence-based practice. What is your FIRST step?
  • Clarify the order with the provider. When would sucralfate (Carafate) 4 times daily be scheduled for?
  • 1 hour before meals and at bedtime

Medical-Surgical RN A Prophecy Relias Test,

Questions & Answers Latest Update 2022

  • PRBCs Your 68-year-old patient is a Type 1 diabetic with a history of schizophrenia and exhibits signs and symptoms of tardive dyskinesia. What long-term medication is associated with signs and symptoms of tardive dyskinesia?
  • risperidone, olanzapine, quetiapine, ziprasidone, aripiprazole, paliperidone, lurasidone, chlorpromazine, fluphenazine, haloperidol, perphenazine Your 80-year-old patient is being discharged home post CVA. She lives alone, yet still requires assistance with ADLs. What referral is MOST appropriate to ensure her needs are met?
  • Case Manager Central Telemetry calls and tells you your patient is experiencing bradycardia. What is the first thing you should do after entering the room? - Assess the patient and take vital signs. Your patient is currently under 1:1 observation for suicide precautions. He states he needs to have a bowel movement and would like some privacy to use the bathroom. What is the MOST appropriate response?
  • "I must be within an arms' length view of you at all times for your safety, including while using the bathroom." A female patient requests a female nurse to provide care for her based on her religious beliefs. What is the MOST appropriate action to take? - Accommodate her request if possible. Your patient is a 40-year-old female with a recent history of hair loss, extremely dry skin, a nd a 20-point weight loss in the last 3 weeks. She also exhibits occasional episodes of tremors in her upper extremities. What condition do these symptoms MOST likely indicate?
  • Hyperthyroidism Insulin lispro (Humalog) is orders via sliding scale a.c. for your patient with diabetes. When is the best time to administer insulin lispro (Humalog)? - 15 min before the meal arrives Which of the following would be used as part of the preop procedure to prevent infection?

Medical-Surgical RN A Prophecy Relias Test, Questions

& Answers Latest Update 2022

  • Prophylactic antibiotics

Medical-Surgical RN A Prophecy Relias Test, Questions

& Answers Latest Update 2022

the room. What education about performing hand hygiene should you give?

  • Hand hygiene with soap and water

Medical-Surgical RN A Prophecy Relias Test, Questions

& Answers Latest Update 2022

Your patient has a diagnosis of urinary tract infection (UTI) and is currently taking medication that has recently made her urine reddish-orange. Which of the following medications would cause this side effect?

  • Phenazopyridine (Pyridium) Your patient is taking digoxin (Lanoxin) and has a potassium level of 3.0. How might this affect the patient?
  • Increase risk of digoxin toxicity You are preparing to hang 1 unit PRBC's to administer to your patient. The patient states, "I don't take blood products." What is the MOST appropriate response?
  • "You have the right to refuse the blood transfusion. I will inform the provider of your decision." An older adult patient arrives on the unit looking emaciated, disheveled, and with soiled clothes. The patient claims that his daughter cares for him at home. What would you suspect?
  • Neglect You just left your patient's room with her husband at bedside. You then receive a phone call from someone states that she is your patient's mother and demands updates about your patient. What should you do NEXT?
  • Verify your patient's consent to release information to her mother. The provider orders Heparin 4 units/kg SQ. Your patient weighs 176 pounds. How many units should you administer?
  • 320 units What diagnostic finding would support a diagnosis of deep vein thrombosis?
  • Positive D-dimer You are caring for a combative 85-year-old male with a history of dementia, CHF, UTI, and anemia. The family states he appears to be more confused than his baseline. What tests do you expect the provider to order?
  • Urinalysis with cultures, CBC A patient has recently been diagnosed with terminal cancer. Her responses are caustic and abrasive. What is the BEST way to respond?
    • Acknowledge her feelings, understanding this is expected in the grieving process.

Medical-Surgical RN A Prophecy Relias Test, Questions

& Answers Latest Update 2022

Digoxin (Lanoxin) 125 mcg is equivalent to how many mg?

Medical-Surgical RN A Prophecy Relias Test, Questions

& Answers Latest Update 2022

  • 0.125mg As you are walking down the hallway you overhear your colleague discussing her personal family issues with a patient. What would be the MOST appropriate response?
  • Remind her later of her responsibility for establishing and maintaining professional boundaries with patients. Your patient, who has soft wrist restraints for safety (non-violent), is working with the occupational therapist at the bedside. The nursing assistant enters and says, "The patient is not allowed to have his restraints untied." How do you respond?
  • "Restraints can be temporarily off while directly working with staff. Let me know when the therapy session is finished and I will re-apply them." Your patient suddenly develops signs and symptoms of shortness of breath, restlessness, tachypnea, hemoptysis, and decreased oxygen saturations despite being on 2L/min of O2 by nasal cannula. What do you expect is happening? Pulmonary embolism The dosage of which drug must be tapered down slowly to prevent acute adrenal insufficiency?
  • Prednisone Your patient with CHF states, "I can still eat the same food, I just have to weight myself everyday." Based on this statement, which nursing diagnosis would be appropriate?
  • Knowledge Deficit patient arrives on unit. you do an assessment and notice lice in her hair. what is your first action?
  • Secure a private room Patient presents dusky pallor and pulseless. First action - Initiate facility code procedure