MEDICAL-SURGICAL RN A PROPHECY RELIAS
QUESTIONS & ANSWERS 2024 - 2025
1.2,milligrams,is,equal,to,how,many,micrograms?,,ANS,,-,1200,mcg
Your,post-op,patient,has,a,Jackson-
Pratt,(JP),drain,in,place.,How,do,you,ensure,effective,drain,function?,,ANS,,-
,Compress,the,drain,,then,plug,the,bulb,to,establish,suction
Your,male,patient,complains,of,discomfort,while,inflating,the,balloon,during,insertion,of,an,indwelling,uri
nary,catheter.,What,would,be,the,MOST,appropriate,action?,,ANS,,-
,Deflate,the,balloon,,advance,the,catheter,further,,then,reinflate,the,balloon
Your,patient,has,symptomatic,anemia,but,is,refusing,a,blood,transfusion,for,religious,reason.,What,is,an,a
ppropriate,response?,,ANS,,-,Respect,his,wishes,and,notify,the,provider
Your,patient,is,admitted,with,diverticulitis.,What,type,of,diet,do,you,expect,to,be,ordered,for,the,patient?,
,ANS,,-,broth,,jello,,soft,fruit,no,skin,
You,were,hired,to,work,the,medical,unit,and,when,you,arrive,at,work,the,charge,nurse,has,assigned,you,t
o,the,post-surgical,unit,since,they,are,understaffed.,Which,is,the,MOST,appropriate,action?,,ANS,,-
,Report,to,the,post-surgical,unit.
What,is,a,proton,pump,inhibitor,,such,as,pantoprazole,(Protonix),used,for?,,ANS,,-,Acid,Reduction
Which,adaptive,equipment,would,be,MOST,appropriate,to,use,for,a,severely,contracted,patient,who,is,un
able,to,bear,weight,when,transferring,from,the,bed,to,the,chair?,,ANS,,-,Patient,lift,(e.g.,,Hoyer)
Which,tool,should,you,use,to,assess,pain,in,you,80-year-old,patient,with,severe,dementia?,,ANS,,-
,PAINAD,scale
Your,patient,is,admitted,from,the,ED,with,failure,to,thrive,and,advanced,dementia.,You,note,he,is,extrem
ely,underweight,,appears,unbathed,for,some,time,,and,has,a,stage,4,pressure,injury,to,his,coccyx.,You,we
, re,told,in,report,that,he,lives,at,home,with,family,members.,What,should,you,do?,,ANS,,-
,Notify,the,charge,nurse,and,social,worker,of,your,concerns.
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,antici
pate,from,the,provider?,,ANS,,-,Stat,CT,of,head
Your,patient,has,a,temp,of,102.3,F,,HR,122,,and,has,had,15,mL,of,urine,from,the,indwelling,urinary,cathet
er,in,the,last,2,hours.,What,is,your,patient,MOST,likely,experiencing.,,ANS,,-,Sepsis
What,type,of,personal,protective,equipment,(PPE),is,applied,prior,to,entering,a,room,for,a,patient,with,C.,
diff?,,ANS,,-,Gown,and,gloves
Your,patient,continues,to,pull,at,their,IV,site,located,in,their,left,forearm,despite,verbal,reminders,and,inc
reased,observation.,The,nursing,assistant,recommends,using,soft,mitt,restraints,on,the,patient.,What,is,y
our,recommendation?,,ANS,,-,Request,an,order,for,soft,mitts,as,they,are,the,least,restrictive
Your,patient,was,admitted,for,a,hypertensive,crisis,and,has,a,history,of,HTN,,Parkinson's,disease,,depressi
on,,and,alcohol,use.,On,his,second,hospitalized,day,,you,notice,he,is,more,anxious,and,restless,than,his,ba
seline.,What,would,be,your,FIRST,nursing,intervention?,,ANS,,-
,Ask,the,patient,when,his,last,drink,of,alcohol,was.
What,is,the,BEST,indication,of,an,acute,neurological,problem?,,ANS,,-,Change,in,level,of,consciousness
While,in,a,supine,position,your,patient,states,,"I'm,tired,and,cannot,catch,my,breath.",Physical,assessmen
t,reveals,jugular,vein,distention,and,a,third,heart,sound,(S3).,These,symptoms,are,indicative,of,what,condi
tion?,,ANS,,-,Heart,failure
Your,new,admission,presents,with,a,cough,,unintentional,weight,loss,,frequent,night,sweats,,and,bloody,s
putum.,What,type,of,isolation,precautions,should,you,initiate,,if,any?,,ANS,,-,Airborne,precautions
Patients,with,diabetes,are,at,high,risk,for,complications,from,damage,to,what,body,areas?,,ANS,,-
,Nerve,and,kidney,damage
QUESTIONS & ANSWERS 2024 - 2025
1.2,milligrams,is,equal,to,how,many,micrograms?,,ANS,,-,1200,mcg
Your,post-op,patient,has,a,Jackson-
Pratt,(JP),drain,in,place.,How,do,you,ensure,effective,drain,function?,,ANS,,-
,Compress,the,drain,,then,plug,the,bulb,to,establish,suction
Your,male,patient,complains,of,discomfort,while,inflating,the,balloon,during,insertion,of,an,indwelling,uri
nary,catheter.,What,would,be,the,MOST,appropriate,action?,,ANS,,-
,Deflate,the,balloon,,advance,the,catheter,further,,then,reinflate,the,balloon
Your,patient,has,symptomatic,anemia,but,is,refusing,a,blood,transfusion,for,religious,reason.,What,is,an,a
ppropriate,response?,,ANS,,-,Respect,his,wishes,and,notify,the,provider
Your,patient,is,admitted,with,diverticulitis.,What,type,of,diet,do,you,expect,to,be,ordered,for,the,patient?,
,ANS,,-,broth,,jello,,soft,fruit,no,skin,
You,were,hired,to,work,the,medical,unit,and,when,you,arrive,at,work,the,charge,nurse,has,assigned,you,t
o,the,post-surgical,unit,since,they,are,understaffed.,Which,is,the,MOST,appropriate,action?,,ANS,,-
,Report,to,the,post-surgical,unit.
What,is,a,proton,pump,inhibitor,,such,as,pantoprazole,(Protonix),used,for?,,ANS,,-,Acid,Reduction
Which,adaptive,equipment,would,be,MOST,appropriate,to,use,for,a,severely,contracted,patient,who,is,un
able,to,bear,weight,when,transferring,from,the,bed,to,the,chair?,,ANS,,-,Patient,lift,(e.g.,,Hoyer)
Which,tool,should,you,use,to,assess,pain,in,you,80-year-old,patient,with,severe,dementia?,,ANS,,-
,PAINAD,scale
Your,patient,is,admitted,from,the,ED,with,failure,to,thrive,and,advanced,dementia.,You,note,he,is,extrem
ely,underweight,,appears,unbathed,for,some,time,,and,has,a,stage,4,pressure,injury,to,his,coccyx.,You,we
, re,told,in,report,that,he,lives,at,home,with,family,members.,What,should,you,do?,,ANS,,-
,Notify,the,charge,nurse,and,social,worker,of,your,concerns.
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,antici
pate,from,the,provider?,,ANS,,-,Stat,CT,of,head
Your,patient,has,a,temp,of,102.3,F,,HR,122,,and,has,had,15,mL,of,urine,from,the,indwelling,urinary,cathet
er,in,the,last,2,hours.,What,is,your,patient,MOST,likely,experiencing.,,ANS,,-,Sepsis
What,type,of,personal,protective,equipment,(PPE),is,applied,prior,to,entering,a,room,for,a,patient,with,C.,
diff?,,ANS,,-,Gown,and,gloves
Your,patient,continues,to,pull,at,their,IV,site,located,in,their,left,forearm,despite,verbal,reminders,and,inc
reased,observation.,The,nursing,assistant,recommends,using,soft,mitt,restraints,on,the,patient.,What,is,y
our,recommendation?,,ANS,,-,Request,an,order,for,soft,mitts,as,they,are,the,least,restrictive
Your,patient,was,admitted,for,a,hypertensive,crisis,and,has,a,history,of,HTN,,Parkinson's,disease,,depressi
on,,and,alcohol,use.,On,his,second,hospitalized,day,,you,notice,he,is,more,anxious,and,restless,than,his,ba
seline.,What,would,be,your,FIRST,nursing,intervention?,,ANS,,-
,Ask,the,patient,when,his,last,drink,of,alcohol,was.
What,is,the,BEST,indication,of,an,acute,neurological,problem?,,ANS,,-,Change,in,level,of,consciousness
While,in,a,supine,position,your,patient,states,,"I'm,tired,and,cannot,catch,my,breath.",Physical,assessmen
t,reveals,jugular,vein,distention,and,a,third,heart,sound,(S3).,These,symptoms,are,indicative,of,what,condi
tion?,,ANS,,-,Heart,failure
Your,new,admission,presents,with,a,cough,,unintentional,weight,loss,,frequent,night,sweats,,and,bloody,s
putum.,What,type,of,isolation,precautions,should,you,initiate,,if,any?,,ANS,,-,Airborne,precautions
Patients,with,diabetes,are,at,high,risk,for,complications,from,damage,to,what,body,areas?,,ANS,,-
,Nerve,and,kidney,damage
