RELIAS MEDICAL SURGICAL RN
ACTUAL EXAM COMPLETE
QUESTIONS & CORRECT DETAILED
ANSWERS
Whichsxadaptivesxequipmentsxwouldsxbesxmostsxappropriatesxtosxusesxforsxasxseverelysxco
ntractedsxpatientsxwhosxissxunablesxtosxbearsxweightsxwhensxtransferringsxfromsxbedsxtosxch
airsx-sxANSWERS-PatientsxLiftsxexamplesxhoyer
Whatsxlabsxvaluessxaresxexpectedsxtosxbesxinsxasxpatientsxwithsxendsxstagesxrenalsxdiseasesx
onsxhemodialysissx-sxANSWERS-BUNsx32,sxCREATNINEsx8.32
Yoursx85sxyearsxoldsxpatientsxwithsxatrialsxfibrillationsxfellsxatsxhomesx3sxdayssxago.sxYousxnot
icesxshesxhassxbeensxhavingsxseveralsxepisodessxofsxacutesxconfusionsxsincesxbeingsxadmi
ttedsxtosxyoursxunit.sxWhatsxissxthesxmostsximportantsxordersxyousxshouldsxanticipatesxfromsxt
hesxprovider?sxYou're?sx-sxANSWERS-
Holdsxwayfaringsx(coumadin)sxforsxthesxnextsx48sxhours
Yoursxnewsxadmissionsxpresentssxwithsxasxcough,sxunintentionalsxweightsxloss,sxfrequentsx
knotsxsweats,sxandsxbloodysxsputum.sxWhatsxtypesxofsxisolationsxprecautionssxshouldsxyou
sxinitiate,sxifsxany?sx-sxANSWERS-Airbornesxprecautions
Uponsxenteringsxyoursxpatient'ssxroomsxyousxnotesxthatsxtheysxaresxhavingsxasxseizure.sxWh
atsxissxyoursx1stsxaction?sx-sxANSWERS-
Positionsxthesxpatientsxonsxtheirsxsidesxtosxmaintainsxthesxairway
Yousxfindsxyoursxcoworkersxlookingsxthroughsxyoursxpatient'ssxmedicalsxrecord..sxShesxStat
essxhowsxissxMr.sxSmithsxdoing?
sxHesxissxmysxbestsxfriend'ssxdad.sxWesxaresxsosxworriedsxaboutsxhim.sxWhatsxissxthesxbestsxc
oursesxofsxaction?sx-sxANSWERS-
Tellsxhersxyousxcannotsxgivesxhersxinformationsxandsxreportsxhersxactionssxtosxyoursxmanag
er.
Yoursxmalesxpatientsxcomplaintssxofsxdiscomfortsxwhilesxinflatingsxthesxballoonsxduringsxins
ertionsxofsxasxendwellingsxurinarysxcatheter.sxWhatsxwouldsxbesxthesxmostsxappropriatesxact
ion?sx-sxANSWERS-
Deflatesxthesxballoon,sxadvancesxthesxcathetersxfurther,sxthensxreinflatesxthesxballoon.
YoursxpatientsxtakessxregularsxinsulinsxandsxNPHsxtwicesxA-
daysxforsxglucosesxcontrol.sxWhatsxtimessxshouldsxthesxpatientsxbesxtaughtsxtosxbesxalertsxfor
sxsignssxofsxhypoglycemia?sx-sxANSWERS-Issxlatesxafternoonsxandsxearlysxmorning
Whatsxissxasxprotonsxpumpsxinhibitor,sxsuchsxassxpantoprazolesx(protonix)sxusedsxfor?sx-
sxANSWERS-Reducesxgastricsxacidsxsecretion
, Yoursxpatientsxhassxasxnonsxproductivesxcoughsxandsxpresencesxofsxsecretionssxinsxhissxtra
cheostomy.sxPriorsxtosxsectioningsxthesxpatient,sxwhatsxshouldsxyousxdosx1st?sx-
sxANSWERS-Hyperoxygenate sxpatient
dietarysxteachingsxforsxasxpatientsxwithsxchronicsxrenalsxfailuresxshouldsxincludesxchoicessxt
hatsxare:sx-sxANSWERS-Lowsxpotassium,sxlowsxprotein,sxmoderatesxfat
Whichsxofsxthesxfollowingsxnursingsxdiagnosissxissxmostsximportantsxforsxasxpatientsxwithsxch
ronicsxobstructivesxpulmonarysxdisease(COPD)sx-sxANSWERS-
Impairedsxgassxexchange
YoursxpatientsxissxadmittedsxfromsxthesxEDsxwithsxfailuresxtosxthrivesxandsxadvancedsxdeme
ntia.sxYousxnotesxhesxissxextremelysxunderweight,sxappearssxunbathedsxforsxsomesxtime,sx
andsxhassxasxstagesx4sxpressuresxinjurysxtosxhissxcoccyx.sxYousxweresxtoldsxinsxreportsxthatsx
hesxlivessxatsxhomesxwithsxfamilysxmembers.sxWhatsxshouldsxyousxdo?sx-sxANSWERS-
Notifysxthesxchargesxnursesxandsxsocialsxworkersxofsxyoursxconcerns.
Yousxhavesxasxpatientsxgoingsxforsxdialysis.sxTheresxaresxmedicationssxincludesxLisinopril(p
rinivil),sxondansetronsx(zofran),sxfamotidine(pepcid)sxandsxatorvastatin(lipitor).sxWhichsx
medicationsxwouldsxyousxpossiblysxholdsxandsxseeksxclarification?sx-sxANSWERS-
LISINOPRIL(PRINIVIL)
Whatsxissxthesxbestsxindicationsxofsxansxacutesxneurologicalsxproblem?sx-sxANSWERS-
Changesxinsxlevelsxofsxconsciousness
Yoursxpatientsxissxadmittedsxwithsxdiverticulitis.sxWhatsxtypesxofsxdietsxdosxyousxexpectsxtosx
besxorderedsxforsxthesxpatient?sx-sxANSWERS-Clearsxliquids
Whichsxtoolsxshouldsxyousxusesxtosxassesssxpainsxinsxyoursx80sxyearsxoldsxpatientsxwithsxsev
eresxdementia?sx-sxANSWERS-?
YoursxpostsxopsxpatientsxhassxasxJacksonsx-
sxPrattsxdrainsxinsxplace.sxhowsxdosxyousxensuresxeffectivesxdrainsxfunction?sx-
sxANSWERS-Compresssxthesxdrain,sxthensxplugsxthesxbulbsxtosxestablishsxsuction.
IssxasxpatientsxwithsxperitonitissxPresentssxwithsxtachycardia,sxhypotensionsx,sxandsxdehydr
ation.sxWhatsxothersxassessmentsxfindingsxwouldsxyousxanticipatesxassxpartsxofsxyoursxphys
icalsxassessment?sx-sxANSWERS-Severesxabdominalsxpainsxorsxreboundsxtenderness
Yoursxpatientsxwithsxasxknownsxhistorysxofsxdiabetessxissxdisplayingsxsymptomssxofsxdiapho
resis,sxCoolsxskin,sxlethargy,sxAndsxshakiness.sxWhatsxissxyoursx1stsxaction?sx-
sxANSWERS-Checksxthesxpatient'ssxbloodsxglucosesxlevel
asxpatientsxonsxwarfarin(Coumadin/
jantoven)sxhassxansxINRsxofsx6.sxWhichsxmedicationsxwouldsxyousxanticipatesxadministerin
g?sx-sxANSWERS-VitaminsxK
WhilesxinsxasxsupinesxpositionsxyoursxpatientsxStates"sxI'msxtiredsxandsxcannotsxcatchsxmysxb
reath".sxPhysicalsxassessmentsxrevealssxjugglersxveinsxdistentionsxandsxasx3rdsxheartsxsou
ACTUAL EXAM COMPLETE
QUESTIONS & CORRECT DETAILED
ANSWERS
Whichsxadaptivesxequipmentsxwouldsxbesxmostsxappropriatesxtosxusesxforsxasxseverelysxco
ntractedsxpatientsxwhosxissxunablesxtosxbearsxweightsxwhensxtransferringsxfromsxbedsxtosxch
airsx-sxANSWERS-PatientsxLiftsxexamplesxhoyer
Whatsxlabsxvaluessxaresxexpectedsxtosxbesxinsxasxpatientsxwithsxendsxstagesxrenalsxdiseasesx
onsxhemodialysissx-sxANSWERS-BUNsx32,sxCREATNINEsx8.32
Yoursx85sxyearsxoldsxpatientsxwithsxatrialsxfibrillationsxfellsxatsxhomesx3sxdayssxago.sxYousxnot
icesxshesxhassxbeensxhavingsxseveralsxepisodessxofsxacutesxconfusionsxsincesxbeingsxadmi
ttedsxtosxyoursxunit.sxWhatsxissxthesxmostsximportantsxordersxyousxshouldsxanticipatesxfromsxt
hesxprovider?sxYou're?sx-sxANSWERS-
Holdsxwayfaringsx(coumadin)sxforsxthesxnextsx48sxhours
Yoursxnewsxadmissionsxpresentssxwithsxasxcough,sxunintentionalsxweightsxloss,sxfrequentsx
knotsxsweats,sxandsxbloodysxsputum.sxWhatsxtypesxofsxisolationsxprecautionssxshouldsxyou
sxinitiate,sxifsxany?sx-sxANSWERS-Airbornesxprecautions
Uponsxenteringsxyoursxpatient'ssxroomsxyousxnotesxthatsxtheysxaresxhavingsxasxseizure.sxWh
atsxissxyoursx1stsxaction?sx-sxANSWERS-
Positionsxthesxpatientsxonsxtheirsxsidesxtosxmaintainsxthesxairway
Yousxfindsxyoursxcoworkersxlookingsxthroughsxyoursxpatient'ssxmedicalsxrecord..sxShesxStat
essxhowsxissxMr.sxSmithsxdoing?
sxHesxissxmysxbestsxfriend'ssxdad.sxWesxaresxsosxworriedsxaboutsxhim.sxWhatsxissxthesxbestsxc
oursesxofsxaction?sx-sxANSWERS-
Tellsxhersxyousxcannotsxgivesxhersxinformationsxandsxreportsxhersxactionssxtosxyoursxmanag
er.
Yoursxmalesxpatientsxcomplaintssxofsxdiscomfortsxwhilesxinflatingsxthesxballoonsxduringsxins
ertionsxofsxasxendwellingsxurinarysxcatheter.sxWhatsxwouldsxbesxthesxmostsxappropriatesxact
ion?sx-sxANSWERS-
Deflatesxthesxballoon,sxadvancesxthesxcathetersxfurther,sxthensxreinflatesxthesxballoon.
YoursxpatientsxtakessxregularsxinsulinsxandsxNPHsxtwicesxA-
daysxforsxglucosesxcontrol.sxWhatsxtimessxshouldsxthesxpatientsxbesxtaughtsxtosxbesxalertsxfor
sxsignssxofsxhypoglycemia?sx-sxANSWERS-Issxlatesxafternoonsxandsxearlysxmorning
Whatsxissxasxprotonsxpumpsxinhibitor,sxsuchsxassxpantoprazolesx(protonix)sxusedsxfor?sx-
sxANSWERS-Reducesxgastricsxacidsxsecretion
, Yoursxpatientsxhassxasxnonsxproductivesxcoughsxandsxpresencesxofsxsecretionssxinsxhissxtra
cheostomy.sxPriorsxtosxsectioningsxthesxpatient,sxwhatsxshouldsxyousxdosx1st?sx-
sxANSWERS-Hyperoxygenate sxpatient
dietarysxteachingsxforsxasxpatientsxwithsxchronicsxrenalsxfailuresxshouldsxincludesxchoicessxt
hatsxare:sx-sxANSWERS-Lowsxpotassium,sxlowsxprotein,sxmoderatesxfat
Whichsxofsxthesxfollowingsxnursingsxdiagnosissxissxmostsximportantsxforsxasxpatientsxwithsxch
ronicsxobstructivesxpulmonarysxdisease(COPD)sx-sxANSWERS-
Impairedsxgassxexchange
YoursxpatientsxissxadmittedsxfromsxthesxEDsxwithsxfailuresxtosxthrivesxandsxadvancedsxdeme
ntia.sxYousxnotesxhesxissxextremelysxunderweight,sxappearssxunbathedsxforsxsomesxtime,sx
andsxhassxasxstagesx4sxpressuresxinjurysxtosxhissxcoccyx.sxYousxweresxtoldsxinsxreportsxthatsx
hesxlivessxatsxhomesxwithsxfamilysxmembers.sxWhatsxshouldsxyousxdo?sx-sxANSWERS-
Notifysxthesxchargesxnursesxandsxsocialsxworkersxofsxyoursxconcerns.
Yousxhavesxasxpatientsxgoingsxforsxdialysis.sxTheresxaresxmedicationssxincludesxLisinopril(p
rinivil),sxondansetronsx(zofran),sxfamotidine(pepcid)sxandsxatorvastatin(lipitor).sxWhichsx
medicationsxwouldsxyousxpossiblysxholdsxandsxseeksxclarification?sx-sxANSWERS-
LISINOPRIL(PRINIVIL)
Whatsxissxthesxbestsxindicationsxofsxansxacutesxneurologicalsxproblem?sx-sxANSWERS-
Changesxinsxlevelsxofsxconsciousness
Yoursxpatientsxissxadmittedsxwithsxdiverticulitis.sxWhatsxtypesxofsxdietsxdosxyousxexpectsxtosx
besxorderedsxforsxthesxpatient?sx-sxANSWERS-Clearsxliquids
Whichsxtoolsxshouldsxyousxusesxtosxassesssxpainsxinsxyoursx80sxyearsxoldsxpatientsxwithsxsev
eresxdementia?sx-sxANSWERS-?
YoursxpostsxopsxpatientsxhassxasxJacksonsx-
sxPrattsxdrainsxinsxplace.sxhowsxdosxyousxensuresxeffectivesxdrainsxfunction?sx-
sxANSWERS-Compresssxthesxdrain,sxthensxplugsxthesxbulbsxtosxestablishsxsuction.
IssxasxpatientsxwithsxperitonitissxPresentssxwithsxtachycardia,sxhypotensionsx,sxandsxdehydr
ation.sxWhatsxothersxassessmentsxfindingsxwouldsxyousxanticipatesxassxpartsxofsxyoursxphys
icalsxassessment?sx-sxANSWERS-Severesxabdominalsxpainsxorsxreboundsxtenderness
Yoursxpatientsxwithsxasxknownsxhistorysxofsxdiabetessxissxdisplayingsxsymptomssxofsxdiapho
resis,sxCoolsxskin,sxlethargy,sxAndsxshakiness.sxWhatsxissxyoursx1stsxaction?sx-
sxANSWERS-Checksxthesxpatient'ssxbloodsxglucosesxlevel
asxpatientsxonsxwarfarin(Coumadin/
jantoven)sxhassxansxINRsxofsx6.sxWhichsxmedicationsxwouldsxyousxanticipatesxadministerin
g?sx-sxANSWERS-VitaminsxK
WhilesxinsxasxsupinesxpositionsxyoursxpatientsxStates"sxI'msxtiredsxandsxcannotsxcatchsxmysxb
reath".sxPhysicalsxassessmentsxrevealssxjugglersxveinsxdistentionsxandsxasx3rdsxheartsxsou