MEDICAL-SURGICAL RN B
PROPHECY RELIAS 2025
QUESTIONS WITH CORRECT
DETAILED ANSWERS || ALREADY
GRADED A+
1. 1.2 milligrams is equal to how many micrograms? - ANSWER 🗸 1200
mcg
2. 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
3. Your male patient complains of discomfort while inflating the balloon
during insertion of an indwelling urinary catheter. What would be the
MOST appropriate action? - ANSWER 🗸 Deflate the balloon, advance
the catheter further, then reinflate the balloon
4. 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
,5. 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,
6. 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.
7. What is a proton pump inhibitor, such as pantoprazole (Protonix) used
for? - ANSWER 🗸 Acid Reduction
8. 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)
9. Which tool should you use to assess pain in you 80-year-old patient with
severe dementia? - ANSWER 🗸 PAINAD scale
10.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.
11.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
12.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
13.What type of personal protective equipment (PPE) is applied prior to
entering a room for a patient with C. Diff? - ANSWER 🗸 Gown and
gloves
14.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? - ANSWER 🗸 Request an order for soft mitts as they
are the least restrictive
15.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? - ANSWER
🗸 Ask the patient when his last drink of alcohol was.
16.What is the BEST indication of an acute neurological problem? -
ANSWER 🗸 Change in level of consciousness
17.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?
- ANSWER 🗸 Heart failure
, 18.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? - ANSWER 🗸 Airborne
precautions
19.Patients with diabetes are at high risk for complications from damage to
what body areas? - ANSWER 🗸 Nerve and kidney damage
20.If your patient with a known history of diabetes is displaying symptoms
of diaphoresis, cool skin, lethargy, and shakiness. What is your first
action? - ANSWER 🗸 Check the patient's blood glucose level.
21.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? - ANSWER 🗸
Discuss code status with the patient and follow up with provider to
ensure the medical record reflects her wishes.
22.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? - ANSWER 🗸 No action is necessary because no PHI was
displayed.
23.Your new patient understands very limited English. How should you
communicate with them when completing the admission assessment? -
ANSWER 🗸 Use the organization's interpreter services.
PROPHECY RELIAS 2025
QUESTIONS WITH CORRECT
DETAILED ANSWERS || ALREADY
GRADED A+
1. 1.2 milligrams is equal to how many micrograms? - ANSWER 🗸 1200
mcg
2. 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
3. Your male patient complains of discomfort while inflating the balloon
during insertion of an indwelling urinary catheter. What would be the
MOST appropriate action? - ANSWER 🗸 Deflate the balloon, advance
the catheter further, then reinflate the balloon
4. 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
,5. 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,
6. 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.
7. What is a proton pump inhibitor, such as pantoprazole (Protonix) used
for? - ANSWER 🗸 Acid Reduction
8. 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)
9. Which tool should you use to assess pain in you 80-year-old patient with
severe dementia? - ANSWER 🗸 PAINAD scale
10.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.
11.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
12.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
13.What type of personal protective equipment (PPE) is applied prior to
entering a room for a patient with C. Diff? - ANSWER 🗸 Gown and
gloves
14.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? - ANSWER 🗸 Request an order for soft mitts as they
are the least restrictive
15.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? - ANSWER
🗸 Ask the patient when his last drink of alcohol was.
16.What is the BEST indication of an acute neurological problem? -
ANSWER 🗸 Change in level of consciousness
17.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?
- ANSWER 🗸 Heart failure
, 18.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? - ANSWER 🗸 Airborne
precautions
19.Patients with diabetes are at high risk for complications from damage to
what body areas? - ANSWER 🗸 Nerve and kidney damage
20.If your patient with a known history of diabetes is displaying symptoms
of diaphoresis, cool skin, lethargy, and shakiness. What is your first
action? - ANSWER 🗸 Check the patient's blood glucose level.
21.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? - ANSWER 🗸
Discuss code status with the patient and follow up with provider to
ensure the medical record reflects her wishes.
22.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? - ANSWER 🗸 No action is necessary because no PHI was
displayed.
23.Your new patient understands very limited English. How should you
communicate with them when completing the admission assessment? -
ANSWER 🗸 Use the organization's interpreter services.
