Prophecy health medical surgical RN A UPDATED ACTUAL Exam
Questions and CORRECT Answers
What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - 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? - Hyperoxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that are: - Low
potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with chronic obstructive
pulmonary disease(COPD) - 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? - 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? - LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - Change in level of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the
patient? - Clear liquids
Which tool should you use to assess pain in your 80 year old patient with severe dementia? - ?
, Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective drain
function? - Compress the drain, then plug the bulb to establish suction.
Is a patient with peritonitis Presents with tachycardia, hypotension , and dehydration. What other
assessment finding would you anticipate as part of your physical assessment? - Severe
abdominal pain or rebound tenderness
Your patient with a known history of diabetes is displaying symptoms of diaphoresis, Cool skin,
lethargy, And shakiness. What is your 1st action? - Check the patient's blood glucose level
a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you
anticipate administering? - Vitamin K
While in a supine position your patient States" I'm tired and cannot catch my breath". Physical
assessment reveals juggler vein distention and a 3rd heart sound(S3). These symptoms are
indicative of what condition? - Heart failure
Upon entry to your patient's room, you find her sitting in high Fowler's Position and complaining
of shortness of breath. Her respiratory rate is 34 breaths/minute And 02 sat is 84%. Which mode
of oxygen delivery would most likely reverse the symptoms? - Non rebreather mask
Your patient continues to pull at their iv 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? - Request and order for soft mitts As they are the least
restrictive..
What is an early symptom that a patient is developing a complication of heart failure? - Edema in
the legs and feet
Questions and CORRECT Answers
What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - 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? - Hyperoxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that are: - Low
potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with chronic obstructive
pulmonary disease(COPD) - 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? - 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? - LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - Change in level of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the
patient? - Clear liquids
Which tool should you use to assess pain in your 80 year old patient with severe dementia? - ?
, Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective drain
function? - Compress the drain, then plug the bulb to establish suction.
Is a patient with peritonitis Presents with tachycardia, hypotension , and dehydration. What other
assessment finding would you anticipate as part of your physical assessment? - Severe
abdominal pain or rebound tenderness
Your patient with a known history of diabetes is displaying symptoms of diaphoresis, Cool skin,
lethargy, And shakiness. What is your 1st action? - Check the patient's blood glucose level
a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you
anticipate administering? - Vitamin K
While in a supine position your patient States" I'm tired and cannot catch my breath". Physical
assessment reveals juggler vein distention and a 3rd heart sound(S3). These symptoms are
indicative of what condition? - Heart failure
Upon entry to your patient's room, you find her sitting in high Fowler's Position and complaining
of shortness of breath. Her respiratory rate is 34 breaths/minute And 02 sat is 84%. Which mode
of oxygen delivery would most likely reverse the symptoms? - Non rebreather mask
Your patient continues to pull at their iv 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? - Request and order for soft mitts As they are the least
restrictive..
What is an early symptom that a patient is developing a complication of heart failure? - Edema in
the legs and feet
