Relias medical surgical RN A
1. 1.2 Milligrams is equal to how many micrograms - ANS-1200 mcg
2. a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you
anticipate administering? - ANS-Vitamin K
3. A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the
following? - ANS-?
4. After scrolling through your social media, you notice a coworker posted a photo with a
patient from your unit. What is the most appropriate action to take? - ANS-Report the
situation to the hospital compliance officer.
5. Black and tarry Colored stools are classic symptoms of what condition? - ANS-Bleeding
gastric ulcer
6. dietary teaching for a patient with chronic renal failure should include choices that are: -
ANS-Low potassium, low protein, moderate fat
7. Failed to capture question - ANS-Failed to capture answer
8. Failed to capture question - ANS-Failed to capture answer
9. In addition to pain, pallor, and pulselssness, a neurovascular assessment Also includes
checking for - ANS-Parasthesia and paralysis
10. Is a patient with peritonitis Presents with tachycardia, hypotension , and dehydration.
What other assessment finding would you anticipate as part of your physical
assessment? - ANS-Severe abdominal pain or rebound tenderness
11. Is the provider gives you a telephone order to explain a surgical procedure to your
patient and obtain surgical consent. How should you respond? - ANS-Inform the provider
that explaining the procedure is outside the nurse's scope of practice.
12. Is what is the earliest sign indicating increased intracranial pressure(ICP)? - ANS-Level
of consciousness
13. Is your patient with hepatitis C Exhibits signs of jaundice and a distended abdomen.
What procedure would you anticipate being performed by the provider at the bedside for
this patient? - ANS-Paracentesis
14. Is your patient with stage IV Terminal lung cancer continues to experience increasing
pain as each day passes. What would you anticipate the provider ordering for this
patient? - ANS-Palliative care consult
15. Patients with diabetes are at a high risk for complications for damage in what body
areas? - ANS-Nerve and kidney damage
16. To reduce the risk of infection and phlebotomy in an adult patient with a peripherL IV,
What is the minimum duration the catheter should remain in place before routine
replacement. - ANS-72 hours
17. Upon entering your patient's room you note that they are having a seizure. What is your
1st action? - ANS-Position the patient on their side to maintain the airway
18. 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? -
ANS-Non rebreather mask
19. What are the most common causes of acute onset pancreatitis? - ANS-Alcoholism and
gallstones
20. What is a proton pump inhibitor, such as pantoprazole (protonix) used for? -
ANS-Reduce gastric acid secretion
21. What is an early symptom that a patient is developing a complication of heart failure? -
ANS-Edema in the legs and feet
22. What is clubbing of the fingers most likely associated with? - ANS-Chronic oxygen
deficiency
23. What is the best indication of an acute neurological problem? - ANS-Change in level of
consciousness
24. What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - ANS-BUN 32, CREATNINE 8.32
25. What medication is contraindicated In a patient with A hemorrhagic CVA? - ANS-Heparin
26. What patient population is the pneumococcal vaccine PPSV23 indicated for? -
ANS-Adults aged 65 years and older
27. What type of personal protective equipment(Ppe) Is applied prior to entering a room for a
patient with with C diff? - ANS-Gown and gloves
28. When would sucralfate(Carafate) 4 times daily be scheduled for? - ANS-1 hour before
meals and at bedtime
29. Which adaptive equipment would be most appropriate to use for a severely contracted
patient who is unable to bear weight when transferring from bed to chair - ANS-Patient
Lift example hoyer
30. Which of the following nursing diagnosis is most important for a patient with chronic
obstructive pulmonary disease(COPD) - ANS-Impaired gas exchange
31. Which tool should you use to assess pain in your 80 year old patient with severe
dementia? - ANS-?
32. 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? - ANS-Heart failure
33. You are caring for a patient post lobotomy With a chest tube in place for drainage. What
is a priority in caring for this patient? - ANS-Encourage the patient to cough and deep
breathe.
34. You are caring for a patient with history of diabetes mellitus. You walk into the room and
find the patient lethargic and diaphoretic. What is your 1st action? - ANS-Obtain capillary
blood glucose level
35. You are ordered to give Digoxin(lanoxin). Your patience vital signs are BP 130/75, temp
97.9F, HR 52, RR 16, o2 sat 100% on room air. What should you do next? - ANS-HOLD
DIGOXIN AND CALL PROVIDER
36. You find your coworker looking through your patient's medical record.. She States how is
Mr. Smith doing? He is my best friend's dad. We are so worried about him. What is the
best course of action? - ANS-Tell her you cannot give her information and report her
actions to your manager.
1. 1.2 Milligrams is equal to how many micrograms - ANS-1200 mcg
2. a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you
anticipate administering? - ANS-Vitamin K
3. A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the
following? - ANS-?
4. After scrolling through your social media, you notice a coworker posted a photo with a
patient from your unit. What is the most appropriate action to take? - ANS-Report the
situation to the hospital compliance officer.
5. Black and tarry Colored stools are classic symptoms of what condition? - ANS-Bleeding
gastric ulcer
6. dietary teaching for a patient with chronic renal failure should include choices that are: -
ANS-Low potassium, low protein, moderate fat
7. Failed to capture question - ANS-Failed to capture answer
8. Failed to capture question - ANS-Failed to capture answer
9. In addition to pain, pallor, and pulselssness, a neurovascular assessment Also includes
checking for - ANS-Parasthesia and paralysis
10. Is a patient with peritonitis Presents with tachycardia, hypotension , and dehydration.
What other assessment finding would you anticipate as part of your physical
assessment? - ANS-Severe abdominal pain or rebound tenderness
11. Is the provider gives you a telephone order to explain a surgical procedure to your
patient and obtain surgical consent. How should you respond? - ANS-Inform the provider
that explaining the procedure is outside the nurse's scope of practice.
12. Is what is the earliest sign indicating increased intracranial pressure(ICP)? - ANS-Level
of consciousness
13. Is your patient with hepatitis C Exhibits signs of jaundice and a distended abdomen.
What procedure would you anticipate being performed by the provider at the bedside for
this patient? - ANS-Paracentesis
14. Is your patient with stage IV Terminal lung cancer continues to experience increasing
pain as each day passes. What would you anticipate the provider ordering for this
patient? - ANS-Palliative care consult
15. Patients with diabetes are at a high risk for complications for damage in what body
areas? - ANS-Nerve and kidney damage
16. To reduce the risk of infection and phlebotomy in an adult patient with a peripherL IV,
What is the minimum duration the catheter should remain in place before routine
replacement. - ANS-72 hours
17. Upon entering your patient's room you note that they are having a seizure. What is your
1st action? - ANS-Position the patient on their side to maintain the airway
18. 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? -
ANS-Non rebreather mask
19. What are the most common causes of acute onset pancreatitis? - ANS-Alcoholism and
gallstones
20. What is a proton pump inhibitor, such as pantoprazole (protonix) used for? -
ANS-Reduce gastric acid secretion
21. What is an early symptom that a patient is developing a complication of heart failure? -
ANS-Edema in the legs and feet
22. What is clubbing of the fingers most likely associated with? - ANS-Chronic oxygen
deficiency
23. What is the best indication of an acute neurological problem? - ANS-Change in level of
consciousness
24. What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - ANS-BUN 32, CREATNINE 8.32
25. What medication is contraindicated In a patient with A hemorrhagic CVA? - ANS-Heparin
26. What patient population is the pneumococcal vaccine PPSV23 indicated for? -
ANS-Adults aged 65 years and older
27. What type of personal protective equipment(Ppe) Is applied prior to entering a room for a
patient with with C diff? - ANS-Gown and gloves
28. When would sucralfate(Carafate) 4 times daily be scheduled for? - ANS-1 hour before
meals and at bedtime
29. Which adaptive equipment would be most appropriate to use for a severely contracted
patient who is unable to bear weight when transferring from bed to chair - ANS-Patient
Lift example hoyer
30. Which of the following nursing diagnosis is most important for a patient with chronic
obstructive pulmonary disease(COPD) - ANS-Impaired gas exchange
31. Which tool should you use to assess pain in your 80 year old patient with severe
dementia? - ANS-?
32. 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? - ANS-Heart failure
33. You are caring for a patient post lobotomy With a chest tube in place for drainage. What
is a priority in caring for this patient? - ANS-Encourage the patient to cough and deep
breathe.
34. You are caring for a patient with history of diabetes mellitus. You walk into the room and
find the patient lethargic and diaphoretic. What is your 1st action? - ANS-Obtain capillary
blood glucose level
35. You are ordered to give Digoxin(lanoxin). Your patience vital signs are BP 130/75, temp
97.9F, HR 52, RR 16, o2 sat 100% on room air. What should you do next? - ANS-HOLD
DIGOXIN AND CALL PROVIDER
36. You find your coworker looking through your patient's medical record.. She States how is
Mr. Smith doing? He is my best friend's dad. We are so worried about him. What is the
best course of action? - ANS-Tell her you cannot give her information and report her
actions to your manager.
