Medical-Surgical RN B Prophecy Relias LATEST UPDATRED 2025/2026 WITH COMPLETE QUESTIONS AND SURE VERIFIED SOLUTIONS 100% GRADED AT A+ SCORE!!

Medical-Surgical RN B Prophecy Relias LATEST UPDATRED 2025/2026 WITH COMPLETE QUESTIONS AND SURE VERIFIED SOLUTIONS 100% GRADED AT A+ SCORE!! 1. 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? - ANSWER Case Manager 2. Central Telemetry calls and tells you your patient is experiencing bradycardia. What is the first thing you should do after entering the room? - ANSWER Assess the patient and take vital signs. 3. 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? - ANSWER "I must be within an arms' length view of you at all times for your safety, including while using the bathroom." 4. 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? - ANSWER Accommodate her request if possible. 5. 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? - ANSWER Hyperthyroidism 6. 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)? - ANSWER 15 min before the meal arrives 7. Which of the following would be used as part of the preop procedure to prevent infection? - ANSWER Prophylactic antibiotics 8. 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? - ANSWER Delirium 9. What is the proper technique when suctioning a tracheostomy? - ANSWER Suction in a circular motion while the catheter is being pulled out. 10. 1.2 milligrams is equal to how many micrograms? - ANSWER 1200 mcg 11. Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain function? - ANSWER Compress the drain, then plug the bulb to establish suction 12. Your male patient complains of discomfort while inflating the balloon during insertion of an indwelling urinary catheter. What would be the MOST appropriate action? - ANSWER Deflate the balloon, advance the catheter further, then reinflate the balloon 13. Your patient has symptomatic anemia but is refusing a blood transfusion for religious reason. What is an appropriate response? - ANSWER Respect his wishes and notify the provider 14. Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the patient? - ANSWER broth, jello, soft fruit no skin, 15. 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? - ANSWER Report to the post-surgical unit. 16. What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? - ANSWER Acid Reduction 17. 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? - ANSWER Patient lift (e.g., Hoyer) 18. Which tool should you use to assess pain in you 80-year-old patient with severe dementia? - ANSWER PAINAD scale 19. 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? - ANSWER Notify the charge nurse and social worker of your concerns. 20. 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? - ANSWER Stat CT of head 21. 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. - ANSWER Sepsis 22. What type of personal protective equipment (PPE) is applied prior to entering a room for a patient with C. diff? - ANSWER Gown and gloves 23. 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? - ANSWER Request an order for soft mitts as they are the least restrictive 24. 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? - ANSWER Ask the patient when his last drink of alcohol was. 25. What is the BEST indication of an acute neurological problem? - ANSWER Change in level of consciousness 26. 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? - ANSWER Heart failure 27. 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? - ANSWER Airborne precautions 28. Patients with diabetes are at high risk for complications from damage to what body areas? - ANSWER Nerve and kidney damage