Medical-Surgical RN A Prophecy Relias Graded A 2025

1. 1.2 milligrams is equal to how many micrograms? - 1200 mcg 2. What lab values are expected to be in a patient with end stage renal disease on hemodialysis - BUN 32, CREATNINE 8.32 3. dietary teaching for a patient with chronic renal failure should include choices that are: - Low potassium, low protein, moderate fat 4. Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain function? - Compress the drain, then plug the bulb to establish suction 5. Your male patient complains of discomfort while inflating the balloon during insertion of an indwelling urinary catheter. What would be the MOST appropriate action? - Deflate the balloon, advance the catheter further, then reinflate the balloon 6. What are the most common causes of acute onset pancreatitis? - Alcoholism and gallstones 7. What medication is contraindicated In a patient with A hemorrhagic CVA? - heparin 8. Your patient appears dusky colored and you cannot palpate a pulse. What is the 1st thing you should do? - Initiate a code per facility protocol and begin CPR 9. A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the following? - hyperglycemia 10. Your patient has symptomatic anemia but is refusing a blood transfusion for religious reason. What is an appropriate response? - Respect his wishes and notify the provider 11. Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the patient? - broth, jello, soft fruit no skin, clear liquids 12. 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? - Report to the post-surgical unit. 13. What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? - Acid Reduction 14. 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? - Patient lift (e.g., Hoyer) 15. Which tool should you use to assess pain in you 80-year-old patient with severe dementia? - PAINAD scale 16. 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? - Hold wayfaring (coumadin) for the next 48 hours Stat CT of head 17. 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? - Notify the charge nurse and social worker of your concerns. 18. 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. - Sepsis 19. What type of personal protective equipment (PPE) is applied prior to entering a room for a patient with C. diff? - Gown and gloves 20. 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? - Request an order for soft mitts as they are the least restrictive