Medical-Surgical Rn A Prophecy Relias Exam
2024 ( A+ Graded 100% Verified)
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? - answers-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? - answers-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. - answers-Sepsis
What type of personal protective equipment (PPE) is applied prior to entering a
room for a patient with C. diff? - answers-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? -
answers-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? - answers-Ask the patient when his last drink of
alcohol was.
What is the BEST indication of an acute neurological problem? - answers-Change
in level of consciousness
1.2 milligrams is equal to how many micrograms? - answers-1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure
effective drain function? - 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? - 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? - 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? - 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? - answers-Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? -
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? - answers-Patient lift (e.g., Hoyer)
2024 ( A+ Graded 100% Verified)
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? - answers-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? - answers-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. - answers-Sepsis
What type of personal protective equipment (PPE) is applied prior to entering a
room for a patient with C. diff? - answers-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? -
answers-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? - answers-Ask the patient when his last drink of
alcohol was.
What is the BEST indication of an acute neurological problem? - answers-Change
in level of consciousness
1.2 milligrams is equal to how many micrograms? - answers-1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure
effective drain function? - 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? - 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? - 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? - 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? - answers-Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? -
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? - answers-Patient lift (e.g., Hoyer)
