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Medical-Surgical RN A Prophecy Relias Latest 2024 Questions and Answers(Scored 100%)
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Medical-Surgical RN A Prophecy Relias Latest 2024 Questions and Answers(Scored 100%)
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Medical-Surgical RN A Prophecy Relias1. 1.2 milligrams is equal to how many micrograms?
Correct answer- 1200 mcg
2. Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure
effective drain function?
Correct answer- Compress the drain, then plug the bulb to establish suction
3. Your male patient complains of discomfort while inflating the balloon during
insertion of an indwelling urinary catheter. What would be the MOST appropriate
action?
Correct answer- Deflate the balloon, advance the catheter further, then reinflate
the balloon
4. Your patient has symptomatic anemia but is refusing a blood transfusion for
religious reason. What is an appropriate response?
Correct answer- Respect his wishes and notify the provider
5. Your patient is admitted with diverticulitis. What type of diet do you expect to be
ordered for the patient?
Correct answer- broth, jello, soft fruit no skin,
6. 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?
Correct answer- Report to the post-surgical unit.
7. What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
Correct answer- Acid Reduction
8. 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?
Correct answer- Patient lift (e.g., Hoyer)
, 9. Which tool should you use to assess pain in you 80-year-old patient with severe
dementia?
Correct answer- PAINAD scale
10. 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?
Correct answer- Notify the charge nurse and social worker of your concerns.
11. 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?
Correct answer- Stat CT of head
12. 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.
Correct answer- Sepsis
13. What type of personal protective equipment (PPE) is applied prior to entering a
room for a patient with C. diff?
Correct answer- Gown and gloves
14. 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?
Correct answer- Request an order for soft mitts as they are the least restrictive
15. 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?
Correct answer- Ask the patient when his last drink of alcohol was.
16. What is the BEST indication of an acute neurological problem?
Correct answer- Change in level of consciousness
17. 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?
Correct answer- Heart failure
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