Medical-Surgical Rn A Prophecy Relias Exam-Quality Document With Correct Answers
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Medical-Surgical Rn A Prophecy Relias
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Medical-Surgical Rn A Prophecy Relias
Medical-Surgical Rn A Prophecy Relias Exam-Quality
Document With Correct Answers
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)? - CORRECT ANSWERS -
15 min before the meal arrives
Which of t...
Medical-Surgical Rn A Prophecy Relias Exam-Quality
Document With Correct Answers
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)? - CORRECT ANSWERS -
15 min before the meal arrives
Which of the following would be used as part of the preop procedure to prevent
infection? - CORRECT ANSWERS -Prophylactic antibiotics
Two days after surgery, your 72-year-old patient is showing signs of agitation and
confusion, which is not his baseline. The severity fluctuates throughout the day. His
medications include hydromorphone (Dilaudid), amlodipine (Norvasc), alprazolam
(Xanax), and carbidopa-levodopa (Sinemet). What condition do you MOST likely
suspect? - CORRECT ANSWERS -Delirium
What is the proper technique when suctioning a tracheostomy? - CORRECT
ANSWERS -Suction in a circular motion while the catheter is being pulled out.
Your new patient admitted for cholecystitis expresses she has a history of anxiety
disorder. She is feeling panicked and does not think she can handle staying in the
hospital for her surgery. What action is MOST appropriate for you to take? - CORRECT
ANSWERS -Sit calmly next to her and offer her compassion and a sense of security.
The provider orders and IV infusion of D5W 1000 mL to infuse over the next 6 hours.
How many mLs per hour should the IV pump be set to? - CORRECT ANSWERS -167
mL/hr
You are assigned a new admission and note a Braden score of 11 after completing your
assessment. Which interventions would be MOST appropriate based on your
assessment? - CORRECT ANSWERS -Turn q 2hours, request nutrition consult, request
low airloss mattress.
Your patient may have tuberculosis TB) and is placed in airborne precautions. What test
would you expect to be ordered? - CORRECT ANSWERS -Acid-fast bacilli sputum
Your patient starts to complain of difficulty breathing while laying down, and states that
he has been coughing up pink sputum. While performing your assessment, you notice
jugular vein distention and coarse crackles in both lungs on auscultation. What
diagnosis do you suspect? - CORRECT ANSWERS -Congestive heart failure
You received a patient post op transurethral resection of the prostate (TURP). Which of
the following symptoms would cause you the MOST concern? - CORRECT ANSWERS
-Hemorrhage and hypotension
, Your patient with C. diff (Clostridioides difficile) has a family member about to leave the
room. What education about performing hand hygiene should you give? - CORRECT
ANSWERS -Hand hygiene with soap and water
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? - CORRECT ANSWERS -Phenazopyridine
(Pyridium)
Your patient is taking digoxin (Lanoxin) and has a potassium level of 3.0. How might this
affect the patient? - CORRECT ANSWERS -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? -
CORRECT ANSWERS -"You have the right to refuse the blood transfusion. I will inform
the provider of your decision."
1.2 milligrams is equal to how many micrograms? - CORRECT ANSWERS -1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure
effective drain function? - CORRECT ANSWERS -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? -
CORRECT ANSWERS -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? - CORRECT ANSWERS -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? - CORRECT ANSWERS -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? - CORRECT ANSWERS -Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? - CORRECT
ANSWERS -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? -
CORRECT ANSWERS -Patient lift (e.g., Hoyer)
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