Prophecy health medical surgical RN A Exam Questions and Answers Fully Solved Latest Version 2025
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 - Answers Patient Lift example hoyer
What lab values are expected to be in a patient with end stage renal disease on hemodialysis - Answers
BUN 32, CREATNINE 8.32
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? You're? - Answers Hold wayfaring (coumadin) for the next 48
hours
Your new admission presents with a cough, unintentional weight loss, frequent knot sweats, and bloody
sputum. What type of isolation precautions should you initiate, if any? - Answers Airborne precautions
Upon entering your patient's room you note that they are having a seizure. What is your 1st action? -
Answers Position the patient on their side to maintain the airway
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? -
Answers Tell her you cannot give her information and report her actions to your manager.
Your male patient complaints of discomfort while inflating the balloon during insertion of a endwelling
urinary catheter. What would be the most appropriate action? - Answers Deflate the balloon, advance
the catheter further, then reinflate the balloon.
Your patient takes regular insulin and NPH twice A-day for glucose control. What times should the
patient be taught to be alert for signs of hypoglycemia? - Answers Is late afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - Answers Reduce gastric
acid secretion
Your patient has a non productive cough and presence of secretions in his tracheostomy. Prior to
sectioning the patient, what should you do 1st? - Answers Hyperoxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that are: - Answers Low
potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with chronic obstructive
pulmonary disease(COPD) - Answers Impaired gas exchange
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? -
Answers Notify the charge nurse and social worker of your concerns.
, You have a patient going for dialysis. There are medications include Lisinopril(prinivil), ondansetron
(zofran), famotidine(pepcid) and atorvastatin(lipitor). Which medication would you possibly hold and
seek clarification? - Answers LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - Answers Change in level of
consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the
patient? - Answers Clear liquids
Which tool should you use to assess pain in your 80 year old patient with severe dementia? - Answers ?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective drain function? -
Answers Compress the drain, then plug the bulb to establish suction.
Is 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
Your patient with a known history of diabetes is displaying symptoms of diaphoresis, Cool skin, lethargy,
And shakiness. What is your 1st action? - Answers Check the patient's blood glucose level
a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you anticipate
administering? - Answers Vitamin K
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? - Answers Heart failure
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? - Answers Non rebreather mask
Your patient continues to pull at their iv 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? - Answers Request and order for soft mitts As they are the least
restrictive..
What is an early symptom that a patient is developing a complication of heart failure? - Answers Edema
in the legs and feet
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 under staffed. Which is the most appropriate action? - Answers
Report to the post surgical unit
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 - Answers Patient Lift example hoyer
What lab values are expected to be in a patient with end stage renal disease on hemodialysis - Answers
BUN 32, CREATNINE 8.32
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? You're? - Answers Hold wayfaring (coumadin) for the next 48
hours
Your new admission presents with a cough, unintentional weight loss, frequent knot sweats, and bloody
sputum. What type of isolation precautions should you initiate, if any? - Answers Airborne precautions
Upon entering your patient's room you note that they are having a seizure. What is your 1st action? -
Answers Position the patient on their side to maintain the airway
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? -
Answers Tell her you cannot give her information and report her actions to your manager.
Your male patient complaints of discomfort while inflating the balloon during insertion of a endwelling
urinary catheter. What would be the most appropriate action? - Answers Deflate the balloon, advance
the catheter further, then reinflate the balloon.
Your patient takes regular insulin and NPH twice A-day for glucose control. What times should the
patient be taught to be alert for signs of hypoglycemia? - Answers Is late afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - Answers Reduce gastric
acid secretion
Your patient has a non productive cough and presence of secretions in his tracheostomy. Prior to
sectioning the patient, what should you do 1st? - Answers Hyperoxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that are: - Answers Low
potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with chronic obstructive
pulmonary disease(COPD) - Answers Impaired gas exchange
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? -
Answers Notify the charge nurse and social worker of your concerns.
, You have a patient going for dialysis. There are medications include Lisinopril(prinivil), ondansetron
(zofran), famotidine(pepcid) and atorvastatin(lipitor). Which medication would you possibly hold and
seek clarification? - Answers LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - Answers Change in level of
consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the
patient? - Answers Clear liquids
Which tool should you use to assess pain in your 80 year old patient with severe dementia? - Answers ?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective drain function? -
Answers Compress the drain, then plug the bulb to establish suction.
Is 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
Your patient with a known history of diabetes is displaying symptoms of diaphoresis, Cool skin, lethargy,
And shakiness. What is your 1st action? - Answers Check the patient's blood glucose level
a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you anticipate
administering? - Answers Vitamin K
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? - Answers Heart failure
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? - Answers Non rebreather mask
Your patient continues to pull at their iv 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? - Answers Request and order for soft mitts As they are the least
restrictive..
What is an early symptom that a patient is developing a complication of heart failure? - Answers Edema
in the legs and feet
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 under staffed. Which is the most appropriate action? - Answers
Report to the post surgical unit
