RELIAS MEDICAL SURGICAL TELEMENTARY
EXAM 2024 |TEST BANK COMPLETE 180
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES |PRE-EVALUATED A+
Your inserting a urinary catheter into a male patient. As you
inflate a balloon, the patient complains of discomfort what is
the best action? - ...CORRECT ANSWER...Aspirate the fluid,
advance the catheter farther, then re-inflate the balloon
When assessing a patient, you notice crepitus on the right
upper shoulder. You notify the physician and anticipate which
diagnosis? - ...CORRECT ANSWER...Subcutaneous emphysema
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.
You are providing patient education to a patient prior to
administering IV Protonix.... When there is no history of GERD -
...CORRECT ANSWER...Protonix is given as G.I. prophylaxis
to prevent
stress ulcers
The patient has a morphine PCA post operatively. On rounding
you notice respirations at eight per minute O2 saturation of
82%. What medication would be given in the situation? -
...CORRECT
ANSWER...Narcan
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
A patient with peritonitis presents with tachycardia,
hypotension, and dehydration. What other assessment finding
would you anticipate as part of your physical assessment? -
...CORRECT ANSWER...Severe abdominal pain or rebound
tenderness
What is the EARLIEST sign indicating increased intracranial
pressure (ICP)? - ...CORRECT ANSWER...Level of
consciousness
,In addition to pain, pallor, and pulselessness, a neurovascular
assessment also includes checking for: -
...CORRECT ANSWER...Paresthesia and
paralysis
You received a report on a patient that sustained a right
hemisphere CVA 48 hours ago. What do you expect the patient
to exhibit? - ...CORRECT ANSWER...Left sided weakness of the
leg, arm, and face.
You are ordered to give digoxin (Lanoxin). Your patients vital
signs are: BP 130/70, Temp 97.9F, HR 52, RR 16, O2 Sat 100% on
room air. What should you do NEXT? - ...CORRECT
ANSWER...Hold digoxin
(Lanoxin) and call the provider
You were caring for a patient who is 18 hours postop after a
right BKA a. They report sudden chest pain pulse ox at 86%.
The patient may be experiencing: - ...CORRECT
ANSWER...Pulmonary embolism
Cardiac strip - ...CORRECT ANSWER...Unable to determine
At 0500, you know your patient to be diaphoretic, clammy, and
their hands are shaking. The patient's blood sugar is currently
60. Which of the following is the most appropriate intervention
- ...CORRECT ANSWER...Have the patient drink 120 ML's of
orange juice
- ...CORRECT ANSWER...Ventricular tachycardia
- ...CORRECT ANSWER...Normal sinus rhythm
, Which of the following food items would you question in the
menu of your patient who is diagnosed with celiac disease? -
...CORRECT ANSWER...Wheat bread
A postoperative laparoscopic appendectomy patient is
receiving morphine PCA for pain findings with alert you to the
potential of a narcotic overdose? - ...CORRECT ANSWER...A
respiratory rate of 8 breaths per minute
- ...CORRECT ANSWER...Paced rhythm
Your patient was admitted with severe dehydration. Which of
the following orders would you question - ...CORRECT
ANSWER...KCI 40 mEq IV push STAT
What is the first sign of increased intracranial pressure? -
...CORRECT
ANSWER...Change in LOC
A patient suddenly complains of new onset of chest pain. The
doctor is suspecting a possible?... What is most likely to be
ordered? - ...CORRECT ANSWER...Morphine Duramorph,
oxygen, nitrates,
Aceticsalicylic acid, bayer buffered aspirin
The Glasgow, scale ranges from: - ...CORRECT ANSWER...3 to 15
You deserve the nurse aid removing her gloves and
immediately using alcohol hand sanitizer in a room with a
patient who has C-Diff. What education should you provide to
the nurse aide - ...CORRECT ANSWER...And washing with soap
EXAM 2024 |TEST BANK COMPLETE 180
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES |PRE-EVALUATED A+
Your inserting a urinary catheter into a male patient. As you
inflate a balloon, the patient complains of discomfort what is
the best action? - ...CORRECT ANSWER...Aspirate the fluid,
advance the catheter farther, then re-inflate the balloon
When assessing a patient, you notice crepitus on the right
upper shoulder. You notify the physician and anticipate which
diagnosis? - ...CORRECT ANSWER...Subcutaneous emphysema
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.
You are providing patient education to a patient prior to
administering IV Protonix.... When there is no history of GERD -
...CORRECT ANSWER...Protonix is given as G.I. prophylaxis
to prevent
stress ulcers
The patient has a morphine PCA post operatively. On rounding
you notice respirations at eight per minute O2 saturation of
82%. What medication would be given in the situation? -
...CORRECT
ANSWER...Narcan
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
A patient with peritonitis presents with tachycardia,
hypotension, and dehydration. What other assessment finding
would you anticipate as part of your physical assessment? -
...CORRECT ANSWER...Severe abdominal pain or rebound
tenderness
What is the EARLIEST sign indicating increased intracranial
pressure (ICP)? - ...CORRECT ANSWER...Level of
consciousness
,In addition to pain, pallor, and pulselessness, a neurovascular
assessment also includes checking for: -
...CORRECT ANSWER...Paresthesia and
paralysis
You received a report on a patient that sustained a right
hemisphere CVA 48 hours ago. What do you expect the patient
to exhibit? - ...CORRECT ANSWER...Left sided weakness of the
leg, arm, and face.
You are ordered to give digoxin (Lanoxin). Your patients vital
signs are: BP 130/70, Temp 97.9F, HR 52, RR 16, O2 Sat 100% on
room air. What should you do NEXT? - ...CORRECT
ANSWER...Hold digoxin
(Lanoxin) and call the provider
You were caring for a patient who is 18 hours postop after a
right BKA a. They report sudden chest pain pulse ox at 86%.
The patient may be experiencing: - ...CORRECT
ANSWER...Pulmonary embolism
Cardiac strip - ...CORRECT ANSWER...Unable to determine
At 0500, you know your patient to be diaphoretic, clammy, and
their hands are shaking. The patient's blood sugar is currently
60. Which of the following is the most appropriate intervention
- ...CORRECT ANSWER...Have the patient drink 120 ML's of
orange juice
- ...CORRECT ANSWER...Ventricular tachycardia
- ...CORRECT ANSWER...Normal sinus rhythm
, Which of the following food items would you question in the
menu of your patient who is diagnosed with celiac disease? -
...CORRECT ANSWER...Wheat bread
A postoperative laparoscopic appendectomy patient is
receiving morphine PCA for pain findings with alert you to the
potential of a narcotic overdose? - ...CORRECT ANSWER...A
respiratory rate of 8 breaths per minute
- ...CORRECT ANSWER...Paced rhythm
Your patient was admitted with severe dehydration. Which of
the following orders would you question - ...CORRECT
ANSWER...KCI 40 mEq IV push STAT
What is the first sign of increased intracranial pressure? -
...CORRECT
ANSWER...Change in LOC
A patient suddenly complains of new onset of chest pain. The
doctor is suspecting a possible?... What is most likely to be
ordered? - ...CORRECT ANSWER...Morphine Duramorph,
oxygen, nitrates,
Aceticsalicylic acid, bayer buffered aspirin
The Glasgow, scale ranges from: - ...CORRECT ANSWER...3 to 15
You deserve the nurse aid removing her gloves and
immediately using alcohol hand sanitizer in a room with a
patient who has C-Diff. What education should you provide to
the nurse aide - ...CORRECT ANSWER...And washing with soap
