Medical-Surgical RN A Prophecy Relias Exam| Questions and Verified Answers| 2023/ 2024

Medical-Surgical RN A Prophecy Relias Exam| Questions and Verified Answers| 2023/ 2024 Q: 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 Q: 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 Q: What type of personal protective equipment (PPE) is applied prior to entering a room for a patient with C. diff? Answer: Gown and gloves Q: 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 Q: 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. Q: What is the BEST indication of an acute neurological problem? Answer: Change in level of consciousness Q: 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 Q: 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 Q: Patients with diabetes are at high risk for complications from damage to what body areas? Answer: Nerve and kidney damage Q: If your patient with a known history of diabetes is displaying symptoms of diaphoresis, cool skin, lethargy, and shakiness. What is your first action? Answer: Check the patient's blood glucose level. Q: 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? Answer: Discuss code status with the patient and follow up with provider to ensure the medical record reflects her wishes. Q: 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? Answer: No action is necessary because no PHI was displayed. Q: Your new patient understands very limited English. How should you communicate with them when completing the admission assessment? Answer: Use the organization's interpreter services. Q: 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? Answer: Obtain capillary blood glucose level.