Medical-Surgical RN A Prophecy Relias 2022| A+ GRADED
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Medical-Surgical RN A Prophecy Relias
Medical-Surgical RN A Prophecy Relias
1.2 milligrams is equal to how many micrograms? Correct Answer: 1200 mcg
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 suct...
Medical-Surgical RN A Prophecy Relias
1.2 milligrams is equal to how many micrograms? Correct Answer: 1200 mcg
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
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
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
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,
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.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? Correct Answer: 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 Answer: Patient lift (e.g.,
Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with severe dementia? Correct
Answer: 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?
Correct Answer: 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? Correct Answer: 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. Correct Answer: Sepsis
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
, 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
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.
What is the BEST indication of an acute neurological problem? Correct Answer: 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? Correct Answer: Heart failure
Your new admission presents with a cough, unintentional weight loss, frequent night sweats, and bloody
sputum. What type of isolation precautions should you initiate, if any? Correct Answer: Airborne
precautions
Patients with diabetes are at high risk for complications from damage to what body areas? Correct
Answer: Nerve and kidney damage
If your patient with a known history of diabetes is displaying symptoms of diaphoresis, cool skin,
lethargy, and shakiness. What is your first action? Correct Answer: Check the patient's blood glucose
level.
Your patient tells you, "I hope I don't die, but if I do I don't want to be brought back.? You notice on her
chart and wrist band that she is a full code. What would be the MOST appropriate action? Correct
Answer: Discuss code status with the patient and follow up with provider to ensure the medical record
reflects her wishes.
Your coworker posted photos on social media from a birthday party they had for her in the unit
breakroom. What should be your NEXT course of action? Correct Answer: No action is necessary
because no PHI was displayed.
Your new patient understands very limited English. How should you communicate with them when
completing the admission assessment? Correct Answer: Use the organization's interpreter services.
You are caring for a patient with a history of diabetes mellitus. You walk into the room and find the
patient lethargic and diaphoretic. What is your first action? Correct Answer: Obtain capillary blood
glucose level.
Your patient is 4 hours post open appendectomy and has not voided yet. You note his lower abdomen is
distended. What should you do NEXT? Correct Answer: Perform a bladder scan
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