Relias Medical Surgical Rn Actual Exam Complete Questions & Correct Detailed Answers

RELIAS MEDICAL SURGICAL RN
ACTUAL EXAM COMPLETE QUESTIONS &
CORRECT DETAILED ANSWERS
Which adaptive equipment would be most appropriate to use for a severely contracted
rl rl rl rl rl rl rl rl rl rl rl rl rl


patient who is unable to bear weight when transferring from bed to chair - ANSWERS-
rl rl rl rl rl rl rl rl rl rl rl rl rl rl


Patient Lift example hoyer rl rl rl




What lab values are expected to be in a patient with end stage renal disease on hemodi
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl


alysis - ANSWERS-BUN 32, CREATNINE 8.32 rl rl rl rl rl




Your 85 year old patient with atrial fibrillation fell at home 3 days ago. You notice she ha
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl


s been having several episodes of acute confusion since being admitted to your unit. W
rl rl rl rl rl rl rl rl rl rl rl rl rl rl


hat is the most important order you should anticipate from the provider? You're? -
rl rl rl rl rl rl rl rl rl rl rl rl rl


ANSWERS-Hold wayfaring (coumadin) for the next 48 hours
rl rl rl rl rl rl rl rl




Your new admission presents with a cough, unintentional weight loss, frequent knot sw
rl rl rl rl rl rl rl rl rl rl rl rl


eats, and bloody sputum. What type of isolation precautions should you initiate, if any? -
rl rl rl rl rl rl rl rl rl rl rl rl rl rl


ANSWERS-Airborne precautions
rl rl




Upon entering your patient's room you note that they are having a seizure. What is your
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl


1st action? - ANSWERS-Position the patient on their side to maintain the airway
rl rl rl rl rl rl rl rl rl rl rl rl




You find your coworker looking through your patient's medical record.. She States how i
rl rl rl rl rl rl rl rl rl rl rl rl rl


s Mr. Smith doing? He is my best friend's dad. We are so worried about him. What is the
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl


best course of action? - ANSWERS-
rl rl rl rl rl


Tell her you cannot give her information and report her actions to your manager.
rl rl rl rl rl rl rl rl rl rl rl rl rl




Your male patient complaints of discomfort while inflating the balloon during insertion of
rl rl rl rl rl rl rl rl rl rl rl rl r


a endwelling urinary catheter. What would be the most appropriate action? -
l rl rl rl rl rl rl rl rl rl rl rl


ANSWERS-
rl


Deflate the balloon, advance the catheter further, then reinflate the balloon.
rl rl rl rl rl rl rl rl rl rl




Your patient takes regular insulin and NPH twice A-
rl rl rl rl rl rl rl rl


day for glucose control. What times should the patient be taught to be alert for signs of h
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl


ypoglycemia? - ANSWERS-Is late afternoon and early morning rl rl rl rl rl rl rl




What is a proton pump inhibitor, such as pantoprazole (protonix) used for? -
rl rl rl rl rl rl rl rl rl rl rl rl


ANSWERS-Reduce gastric acid secretion
rl rl rl rl




Your patient has a non productive cough and presence of secretions in his tracheostom
rl rl rl rl rl rl rl rl rl rl rl rl rl


y. Prior to sectioning the patient, what should you do 1st? - ANSWERS-
rl rl rl rl rl rl rl rl rl rl rl rl


Hyperoxygenate patient rl




dietary teaching for a patient with chronic renal failure should include choices that are: -
rl rl rl rl rl rl rl rl rl rl rl rl rl rl


ANSWERS-Low potassium, low protein, moderate fat
rl rl rl rl rl rl

, Which of the following nursing diagnosis is most important for a patient with chronic obs
rl rl rl rl rl rl rl rl rl rl rl rl rl rl


tructive pulmonary disease(COPD) - ANSWERS-Impaired gas exchange
rl rl rl rl rl rl




Your patient is admitted from the ED with failure to thrive and advanced dementia. You
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl


note he is extremely underweight, appears unbathed for some time, and has a stage 4 p
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl


ressure injury to his coccyx. You were told in report that he lives at home with family me
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl


mbers. What should you do? - ANSWERS- rl rl rl rl rl rl


Notify the charge nurse and social worker of your concerns.
rl rl rl rl rl rl rl rl rl




You have a patient going for dialysis. There are medications include Lisinopril(prinivil),
rl rl rl rl rl rl rl rl rl rl rl rl


ondansetron (zofran), famotidine(pepcid) and atorvastatin(lipitor). Which medication w rl rl rl rl rl rl rl


ould you possibly hold and seek clarification? - ANSWERS-LISINOPRIL(PRINIVIL)
rl rl rl rl rl rl rl rl




What is the best indication of an acute neurological problem? - ANSWERS-
rl rl rl rl rl rl rl rl rl rl rl


Change in level of consciousness rl rl rl rl




Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl


for the patient? - ANSWERS-Clear liquids
rl rl rl rl rl




Which tool should you use to assess pain in your 80 year old patient with severe dement
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl


ia? - ANSWERS-? rl rl




Your post op patient has a Jackson -
rl rl rl rl rl rl rl


Pratt drain in place. how do you ensure effective drain function? - ANSWERS-
rl rl rl rl rl rl rl rl rl rl rl rl rl


Compress the drain, then plug the bulb to establish suction. rl rl rl rl rl rl rl rl rl




Is a patient with peritonitis Presents with tachycardia, hypotension , and dehydration. W
rl rl rl rl rl rl rl rl rl rl rl rl


hat other assessment finding would you anticipate as part of your physical assessment
rl rl rl rl rl rl rl rl rl rl rl rl


? - ANSWERS-Severe abdominal pain or rebound tenderness
rl rl rl rl rl rl rl




Your patient with a known history of diabetes is displaying symptoms of diaphoresis, Co
rl rl rl rl rl rl rl rl rl rl rl rl rl


ol skin, lethargy, And shakiness. What is your 1st action? - ANSWERS-
rl rl rl rl rl rl rl rl rl rl rl


Check the patient's blood glucose level rl rl rl rl rl




a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would yo
rl rl rl rl rl rl rl rl rl rl rl rl


u anticipate administering? - ANSWERS-Vitamin K
rl rl rl rl rl




While in a supine position your patient States" I'm tired and cannot catch my breath". Ph
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl


ysical assessment reveals juggler vein distention and a 3rd heart sound(S3). These sy
rl rl rl rl rl rl rl rl rl rl rl rl


mptoms are indicative of what condition? - ANSWERS-Heart failure
rl rl rl rl rl rl rl rl




Upon entry to your patient's room, you find her sitting in high Fowler's Position and com
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl


plaining of shortness of breath. Her respiratory rate is 34 breaths/minute And 02 sat is 8
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl


4%. Which mode of oxygen delivery would most likely reverse the symptoms? -
rl rl rl rl rl rl rl rl rl rl rl rl


ANSWERS-Non rebreather mask
rl rl rl




Your patient continues to pull at their iv located in their left forearm despite verbal remin
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl


ders And increased observation. The nursing assistant recommends using soft mitt Re
rl rl rl rl rl rl rl rl rl rl rl