7 1
Medical-Surgical RN A Prophecy Relias Exam
2023 latest update
1.271milligrams71is71equal71to71how71many71micrograms?71-71answer120071mcg
Your71post-op71patient71has71a71Jackson-
Pratt71(JP)71drain71in71place.71How71do71you71ensure71effective71drainfuncti
on?71-
71 answerCompress71the71drain,71then71plug71the71bulb71to71establish71sucti
on
Your71male71patient71complains71of71discomfort71while71inflating71the71ba
lloon71during71insertion71of71an71indwelling71urinary71catheter.71What71w
ould71be71the71MOST71appropriate71action?71-
answerDeflate71theballoon,71advance71the71catheter71further,71then71rei
71
nflate71the71balloon
Medical-Surgical71RN71A71Prophecy71Relias Exam
202271latest71update7 1
, 7 1
Your71patient71has71symptomatic71anemia71but71is71refusing71a71blood71tra
nsfusion71for71religious71reason.What71is71an71appropriate71response?71-
71 answerRespect71his71wishes71and71notify71the71provider
Medical-Surgical71RN71A71Prophecy71Relias Exam
202271latest71update7 1
, 7 1
Your71patient71is71admitted71with71diverticulitis.71What71type71of71diet71do7
1 you71expect71to71be71ordered71for71thepatient?71-
71 answerbroth,71jello,71soft71fruit71no71skin,
You71were71hired71to71work71the71medical71unit71and71when71you71arrive71at71w
ork71the71charge71nurse71has71assigned71you71to71the71post-
surgical71unit71since71they71are71understaffed.71Which71is71the71MOST71appro
priateaction?71-71answerReport71to71the71post-surgical71unit.
What71is71a71proton71pump71inhibitor,71such71as71pantoprazole71(Prot
onix)71used71for?71-71answerAcidReduction
Which71adaptive71equipment71would71be71MOST71appropriate71to71use71for71
a71severely71contracted71patientwho71is71unable71to71bear71weight71when71tra
nsferring71from71the71bed71to71the71chair?71-
71 answerPatient71lift71(e.g.,71Hoyer)
Which71tool71should71you71use71to71assess71pain71in71you7180-year-
old71patient71with71severe71dementia?71-answerPAINAD71scale
Medical-Surgical71RN71A71Prophecy71Relias Exam
202271latest71update7 1
, 7 1
Your71patient71is71admitted71from71the71ED71with71failure71to71thrive71and71adv
anced71dementia.71You71note71he71isextremely71underweight,71appears71unb
athed71for71some71time,71and71has71a71stage71471pressure71injury71to71his71coccyx
.71You71were71told71in71report71that71he71lives71at71home71with71family71membe
rs.
What71should71you71do?71-
answerNotify71the71charge71nurse71and71social71worker71of71your71concerns.
Your7185-year-
old71patient71with71atrial71fibrillation71fell71at71home71371days71ago.71You71notic
e71she71has71been71having71several71episodes71of71acute71confusion71since71bei
ng71admitted71to71your71unit.71What71is71the71MOSTimportant71order71you71s
hould71anticipate71from71the71provider?71-71answerStat71CT71of71head
Your71patient71has71a71temp71of71102.371F,71HR71122,71and71has71had711571mL71of71uri
ne71from71the71indwelling71urinarycatheter71in71the71last71271hours.71What71is71
your71patient71MOST71likely71experiencing.71-71answerSepsis
Medical-Surgical71RN71A71Prophecy71Relias Exam
202271latest71update7 1
Medical-Surgical RN A Prophecy Relias Exam
2023 latest update
1.271milligrams71is71equal71to71how71many71micrograms?71-71answer120071mcg
Your71post-op71patient71has71a71Jackson-
Pratt71(JP)71drain71in71place.71How71do71you71ensure71effective71drainfuncti
on?71-
71 answerCompress71the71drain,71then71plug71the71bulb71to71establish71sucti
on
Your71male71patient71complains71of71discomfort71while71inflating71the71ba
lloon71during71insertion71of71an71indwelling71urinary71catheter.71What71w
ould71be71the71MOST71appropriate71action?71-
answerDeflate71theballoon,71advance71the71catheter71further,71then71rei
71
nflate71the71balloon
Medical-Surgical71RN71A71Prophecy71Relias Exam
202271latest71update7 1
, 7 1
Your71patient71has71symptomatic71anemia71but71is71refusing71a71blood71tra
nsfusion71for71religious71reason.What71is71an71appropriate71response?71-
71 answerRespect71his71wishes71and71notify71the71provider
Medical-Surgical71RN71A71Prophecy71Relias Exam
202271latest71update7 1
, 7 1
Your71patient71is71admitted71with71diverticulitis.71What71type71of71diet71do7
1 you71expect71to71be71ordered71for71thepatient?71-
71 answerbroth,71jello,71soft71fruit71no71skin,
You71were71hired71to71work71the71medical71unit71and71when71you71arrive71at71w
ork71the71charge71nurse71has71assigned71you71to71the71post-
surgical71unit71since71they71are71understaffed.71Which71is71the71MOST71appro
priateaction?71-71answerReport71to71the71post-surgical71unit.
What71is71a71proton71pump71inhibitor,71such71as71pantoprazole71(Prot
onix)71used71for?71-71answerAcidReduction
Which71adaptive71equipment71would71be71MOST71appropriate71to71use71for71
a71severely71contracted71patientwho71is71unable71to71bear71weight71when71tra
nsferring71from71the71bed71to71the71chair?71-
71 answerPatient71lift71(e.g.,71Hoyer)
Which71tool71should71you71use71to71assess71pain71in71you7180-year-
old71patient71with71severe71dementia?71-answerPAINAD71scale
Medical-Surgical71RN71A71Prophecy71Relias Exam
202271latest71update7 1
, 7 1
Your71patient71is71admitted71from71the71ED71with71failure71to71thrive71and71adv
anced71dementia.71You71note71he71isextremely71underweight,71appears71unb
athed71for71some71time,71and71has71a71stage71471pressure71injury71to71his71coccyx
.71You71were71told71in71report71that71he71lives71at71home71with71family71membe
rs.
What71should71you71do?71-
answerNotify71the71charge71nurse71and71social71worker71of71your71concerns.
Your7185-year-
old71patient71with71atrial71fibrillation71fell71at71home71371days71ago.71You71notic
e71she71has71been71having71several71episodes71of71acute71confusion71since71bei
ng71admitted71to71your71unit.71What71is71the71MOSTimportant71order71you71s
hould71anticipate71from71the71provider?71-71answerStat71CT71of71head
Your71patient71has71a71temp71of71102.371F,71HR71122,71and71has71had711571mL71of71uri
ne71from71the71indwelling71urinarycatheter71in71the71last71271hours.71What71is71
your71patient71MOST71likely71experiencing.71-71answerSepsis
Medical-Surgical71RN71A71Prophecy71Relias Exam
202271latest71update7 1