Medical-Surgical RN A Prophecy Relias Exam
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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? - Answer-Report to the post-
surgical unit.
What is a proton pump inhibitor, such as pantoprazole
(Protonix) used for? - Answer-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? -
Answer-Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-
old patient with severe dementia? - Answer-PAINAD scale
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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? - Answer-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? - Answer-Stat CT of head
1.2 milligrams is equal to how many micrograms? -
Answer-1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in
place. How do you ensure effective drain function? -
Answer-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? -
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Answer-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? - Answer-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? - Answer-
broth, jello, soft fruit no skin,
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
What type of personal protective equipment (PPE) is
applied prior to entering a room for a patient with C. diff? -
Answer-Gown and gloves
Your patient continues to pull at their IV site located in their
left forearm despite verbal reminders and increased