RELIAS PROPHECY HEALTH MEDICAL SURGICAL RN A
QUESTIONS WITH ACCURATE ANSWERS
Which adaptive equipment would be most appropriate to use for a severely
contracted patient who is unable to bear weight when transferring from bed
to chair Accurate Answer - Patient Lift example hoyer
What lab values are expected to be in a patient with end stage renal disease on
hemodialysis Accurate Answer - BUN 32, CREATNINE 8.32
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? You're? Accurate Answer - Hold wayfaring
(coumadin) for the next 48 hours
Your new admission presents with a cough, unintentional weight loss,
frequent knot sweats, and bloody sputum. What type of isolation precautions
should you initiate, if any? Accurate Answer - Airborne precautions
Upon entering your patient's room you note that they are having a seizure.
What is your 1st action? Accurate Answer - Position the patient on
their side to maintain the airway
You find your coworker looking through your patient's medical record.. She
States how is Mr. Smith doing? He is my best friend's dad. We are so worried
about him. What is the best course of action? Accurate Answer - Tell
her you cannot give her information and report her actions to your manager.
Your male patient complaints of discomfort while inflating the balloon during
insertion of a endwelling urinary catheter. What would be the most
appropriate action? Accurate Answer - Deflate the balloon, advance the
catheter further, then reinflate the balloon.
Your patient takes regular insulin and NPH twice A-day for glucose control.
What times should the patient be taught to be alert for signs of hypoglycemia?
Accurate Answer - Is late afternoon and early morning
, What is a proton pump inhibitor, such as pantoprazole (protonix) used for?
Accurate Answer - Reduce gastric acid secretion
Your patient has a non productive cough and presence of secretions in his
tracheostomy. Prior to sectioning the patient, what should you do 1st?
Accurate Answer - Hyperoxygenate patient
dietary teaching for a patient with chronic renal failure should include choices
that are: Accurate Answer - Low potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with
chronic obstructive pulmonary disease(COPD) Accurate Answer -
Impaired gas exchange
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?
Accurate Answer - Notify the charge nurse and social worker of your
concerns.
You have a patient going for dialysis. There are medications include
Lisinopril(prinivil), ondansetron (zofran), famotidine(pepcid) and
atorvastatin(lipitor). Which medication would you possibly hold and seek
clarification? Accurate Answer - LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? Accurate
Answer - Change in level of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to
be ordered for the patient? Accurate Answer - Clear liquids
Which tool should you use to assess pain in your 80 year old patient with
severe dementia? Accurate Answer - ?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure
effective drain function? Accurate Answer - Compress the drain, then
plug the bulb to establish suction.
QUESTIONS WITH ACCURATE ANSWERS
Which adaptive equipment would be most appropriate to use for a severely
contracted patient who is unable to bear weight when transferring from bed
to chair Accurate Answer - Patient Lift example hoyer
What lab values are expected to be in a patient with end stage renal disease on
hemodialysis Accurate Answer - BUN 32, CREATNINE 8.32
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? You're? Accurate Answer - Hold wayfaring
(coumadin) for the next 48 hours
Your new admission presents with a cough, unintentional weight loss,
frequent knot sweats, and bloody sputum. What type of isolation precautions
should you initiate, if any? Accurate Answer - Airborne precautions
Upon entering your patient's room you note that they are having a seizure.
What is your 1st action? Accurate Answer - Position the patient on
their side to maintain the airway
You find your coworker looking through your patient's medical record.. She
States how is Mr. Smith doing? He is my best friend's dad. We are so worried
about him. What is the best course of action? Accurate Answer - Tell
her you cannot give her information and report her actions to your manager.
Your male patient complaints of discomfort while inflating the balloon during
insertion of a endwelling urinary catheter. What would be the most
appropriate action? Accurate Answer - Deflate the balloon, advance the
catheter further, then reinflate the balloon.
Your patient takes regular insulin and NPH twice A-day for glucose control.
What times should the patient be taught to be alert for signs of hypoglycemia?
Accurate Answer - Is late afternoon and early morning
, What is a proton pump inhibitor, such as pantoprazole (protonix) used for?
Accurate Answer - Reduce gastric acid secretion
Your patient has a non productive cough and presence of secretions in his
tracheostomy. Prior to sectioning the patient, what should you do 1st?
Accurate Answer - Hyperoxygenate patient
dietary teaching for a patient with chronic renal failure should include choices
that are: Accurate Answer - Low potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with
chronic obstructive pulmonary disease(COPD) Accurate Answer -
Impaired gas exchange
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?
Accurate Answer - Notify the charge nurse and social worker of your
concerns.
You have a patient going for dialysis. There are medications include
Lisinopril(prinivil), ondansetron (zofran), famotidine(pepcid) and
atorvastatin(lipitor). Which medication would you possibly hold and seek
clarification? Accurate Answer - LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? Accurate
Answer - Change in level of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to
be ordered for the patient? Accurate Answer - Clear liquids
Which tool should you use to assess pain in your 80 year old patient with
severe dementia? Accurate Answer - ?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure
effective drain function? Accurate Answer - Compress the drain, then
plug the bulb to establish suction.
