Medical-Surgical RN A
Prophecy Relias exam question
and answers graded a+
Patients with diabetes are at high risk for complications from
damage to what body areas? - ANSWERS>>>>>Nerve 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? - ANSWERS>>>>>Check 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? -
ANSWERS>>>>>Discuss 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? - ANSWERS>>>>>No 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? - ANSWERS>>>>>Use the organization's interpreter
services.
You are caring for a patient with a history of diabetes mellitus.
You walk into the room and find the patient lethargic and
diaphoretic. What is your first action? - ANSWERS>>>>>Obtain
capillary blood glucose level.
Your patient is 4 hours post open appendectomy and has not
voided yet. You note his lower abdomen is distended. What
should you do NEXT? - ANSWERS>>>>>Perform a bladder scan
A patient with peritonitis presents with tachycardia, hypotension,
and dehydration. What other assessment finding would you
anticipate as part of your physical assessment? -
ANSWERS>>>>>Severe abdominal pain or rebound tenderness
What is the EARLIEST sign indicating increased intracranial
pressure (ICP)? - ANSWERS>>>>>Level of consciousness
In addition to pain, pallor, and pulselessness, a neurovascular
assessment also includes checking for: -
ANSWERS>>>>>Paresthesia and paralysis
You received a report on a patient that sustained a right
hemisphere CVA 48 hours ago. What do you expect the patient to
exhibit? - ANSWERS>>>>>Left sided weakness of the leg, arm,
and face.
, You are ordered to give digoxin (Lanoxin). Your patients vital
signs are: BP 130/70, Temp 97.9F, HR 52, RR 16, O2 Sat 100% on
room air. What should you do NEXT? - ANSWERS>>>>>Hold
digoxin (Lanoxin) and call the provider
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/min and O2 sat is 84%. Which
mode of oxygen delivery would MOST likely reverse these
symptoms? - ANSWERS>>>>>Non-rebreather mask
Your patient is on contact precautions for active MRSA. What
proper PPE should you use before entering the room? -
ANSWERS>>>>>Gown and gloves
Your patient recently had a G-tube placed and intermittent
enteral feedings have been initiated. What symptoms may
indicate intolerance to the feedings? - ANSWERS>>>>>Vomiting
and diarrhea
Upon entering your patient's room, you note that they are having
a seizure. What is your FIRST action? - ANSWERS>>>>>Position
the patient on their side to maintain the airway.
Your 18-year-old female patient was admitted with dehydration
secondary to anorexia nervosa. During your assessment you
note she has a flat affect and says, "I just want to die. I'm tired of
my life." What should be your FIRST intervention? -
ANSWERS>>>>>Stay with the patient and ask fi she has a plan to
carry out this wish.
Prophecy Relias exam question
and answers graded a+
Patients with diabetes are at high risk for complications from
damage to what body areas? - ANSWERS>>>>>Nerve 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? - ANSWERS>>>>>Check 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? -
ANSWERS>>>>>Discuss 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? - ANSWERS>>>>>No 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? - ANSWERS>>>>>Use the organization's interpreter
services.
You are caring for a patient with a history of diabetes mellitus.
You walk into the room and find the patient lethargic and
diaphoretic. What is your first action? - ANSWERS>>>>>Obtain
capillary blood glucose level.
Your patient is 4 hours post open appendectomy and has not
voided yet. You note his lower abdomen is distended. What
should you do NEXT? - ANSWERS>>>>>Perform a bladder scan
A patient with peritonitis presents with tachycardia, hypotension,
and dehydration. What other assessment finding would you
anticipate as part of your physical assessment? -
ANSWERS>>>>>Severe abdominal pain or rebound tenderness
What is the EARLIEST sign indicating increased intracranial
pressure (ICP)? - ANSWERS>>>>>Level of consciousness
In addition to pain, pallor, and pulselessness, a neurovascular
assessment also includes checking for: -
ANSWERS>>>>>Paresthesia and paralysis
You received a report on a patient that sustained a right
hemisphere CVA 48 hours ago. What do you expect the patient to
exhibit? - ANSWERS>>>>>Left sided weakness of the leg, arm,
and face.
, You are ordered to give digoxin (Lanoxin). Your patients vital
signs are: BP 130/70, Temp 97.9F, HR 52, RR 16, O2 Sat 100% on
room air. What should you do NEXT? - ANSWERS>>>>>Hold
digoxin (Lanoxin) and call the provider
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/min and O2 sat is 84%. Which
mode of oxygen delivery would MOST likely reverse these
symptoms? - ANSWERS>>>>>Non-rebreather mask
Your patient is on contact precautions for active MRSA. What
proper PPE should you use before entering the room? -
ANSWERS>>>>>Gown and gloves
Your patient recently had a G-tube placed and intermittent
enteral feedings have been initiated. What symptoms may
indicate intolerance to the feedings? - ANSWERS>>>>>Vomiting
and diarrhea
Upon entering your patient's room, you note that they are having
a seizure. What is your FIRST action? - ANSWERS>>>>>Position
the patient on their side to maintain the airway.
Your 18-year-old female patient was admitted with dehydration
secondary to anorexia nervosa. During your assessment you
note she has a flat affect and says, "I just want to die. I'm tired of
my life." What should be your FIRST intervention? -
ANSWERS>>>>>Stay with the patient and ask fi she has a plan to
carry out this wish.
