Medical-Surgical RN A Prophecy Relias
1.2 milligrams is equal to how many micrograms? - ANS1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain
function? - ANSCompress 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? - ANSDeflate 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? - ANSRespect 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? - ANSbroth, jello, soft fruit no skin,
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? - ANSReport to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? - ANSAcid
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? - ANSPatient lift (e.g.,
Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with severe dementia? -
ANSPAINAD scale
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? - ANSNotify 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? - ANSStat CT of head
, 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. - ANSSepsis
What type of personal protective equipment (PPE) is applied prior to entering a room for a
patient with C. diff? - ANSGown and gloves
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? - ANSRequest 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? -
ANSAsk the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - ANSChange in level of
consciousness
While in a supine position your patient states, "I'm tired and cannot catch my breath." Physical
assessment reveals jugular vein distention and a third heart sound (S3). These symptoms are
indicative of what condition? - ANSHeart failure
Your new admission presents with a cough, unintentional weight loss, frequent night sweats,
and bloody sputum. What type of isolation precautions should you initiate, if any? - ANSAirborne
precautions
Patients with diabetes are at high risk for complications from damage to what body areas? -
ANSNerve and kidney damage
If your patient with a known history of diabetes is displaying symptoms of diaphoresis, cool skin,
lethargy, and shakiness. What is your first action? - ANSCheck the patient's blood glucose level.
Your patient tells you, "I hope I don't die, but if I do I don't want to be brought back.? You notice
on her chart and wrist band that she is a full code. What would be the MOST appropriate
action? - ANSDiscuss code status with the patient and follow up with provider to ensure the
medical record reflects her wishes.
Your coworker posted photos on social media from a birthday party they had for her in the unit
breakroom. What should be your NEXT course of action? - ANSNo action is necessary because
no PHI was displayed.
Your new patient understands very limited English. How should you communicate with them
when completing the admission assessment? - ANSUse the organization's interpreter services.
1.2 milligrams is equal to how many micrograms? - ANS1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain
function? - ANSCompress 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? - ANSDeflate 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? - ANSRespect 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? - ANSbroth, jello, soft fruit no skin,
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? - ANSReport to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? - ANSAcid
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? - ANSPatient lift (e.g.,
Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with severe dementia? -
ANSPAINAD scale
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? - ANSNotify 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? - ANSStat CT of head
, 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. - ANSSepsis
What type of personal protective equipment (PPE) is applied prior to entering a room for a
patient with C. diff? - ANSGown and gloves
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? - ANSRequest 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? -
ANSAsk the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - ANSChange in level of
consciousness
While in a supine position your patient states, "I'm tired and cannot catch my breath." Physical
assessment reveals jugular vein distention and a third heart sound (S3). These symptoms are
indicative of what condition? - ANSHeart failure
Your new admission presents with a cough, unintentional weight loss, frequent night sweats,
and bloody sputum. What type of isolation precautions should you initiate, if any? - ANSAirborne
precautions
Patients with diabetes are at high risk for complications from damage to what body areas? -
ANSNerve and kidney damage
If your patient with a known history of diabetes is displaying symptoms of diaphoresis, cool skin,
lethargy, and shakiness. What is your first action? - ANSCheck the patient's blood glucose level.
Your patient tells you, "I hope I don't die, but if I do I don't want to be brought back.? You notice
on her chart and wrist band that she is a full code. What would be the MOST appropriate
action? - ANSDiscuss code status with the patient and follow up with provider to ensure the
medical record reflects her wishes.
Your coworker posted photos on social media from a birthday party they had for her in the unit
breakroom. What should be your NEXT course of action? - ANSNo action is necessary because
no PHI was displayed.
Your new patient understands very limited English. How should you communicate with them
when completing the admission assessment? - ANSUse the organization's interpreter services.
