MEDICAL-SURGICAL-RN-A-PROPHECY-
RELIAS-EXAM-2023-2024 LATEST-UPDATE
1.2 milligrams is equal to how many micrograms? - answer1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you
ensure effective drain function? - answerCompress 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? - answerDeflate 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? -
answerRespect 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? - answerbroth, 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? - answerReport to
the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used
for? - answerAcid 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? - answerPatient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with
severe dementia? - answerPAINAD 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? -
answerNotify 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? - answerStat 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. - answerSepsis
What type of personal protective equipment (PPE) is applied prior to entering
a room for a patient with C. diff? - answerGown 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? - answerRequest 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? - answerAsk the patient when his last drink of alcohol
was.
What is the BEST indication of an acute neurological problem? -
answerChange 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? - answerHeart 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?
- answerAirborne precautions
Patients with diabetes are at high risk for complications from damage to
what body areas? - answerNerve 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? -
answerCheck 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? - answerDiscuss 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? - answerNo action is necessary because no PHI was displayed.
RELIAS-EXAM-2023-2024 LATEST-UPDATE
1.2 milligrams is equal to how many micrograms? - answer1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you
ensure effective drain function? - answerCompress 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? - answerDeflate 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? -
answerRespect 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? - answerbroth, 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? - answerReport to
the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used
for? - answerAcid 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? - answerPatient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with
severe dementia? - answerPAINAD 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? -
answerNotify 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? - answerStat 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. - answerSepsis
What type of personal protective equipment (PPE) is applied prior to entering
a room for a patient with C. diff? - answerGown 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? - answerRequest 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? - answerAsk the patient when his last drink of alcohol
was.
What is the BEST indication of an acute neurological problem? -
answerChange 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? - answerHeart 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?
- answerAirborne precautions
Patients with diabetes are at high risk for complications from damage to
what body areas? - answerNerve 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? -
answerCheck 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? - answerDiscuss 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? - answerNo action is necessary because no PHI was displayed.
