Medical-Surgical RN A Prophecy
Relias
1.2 milligrams is equal to how many micrograms?
1200 mcg
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
We have an expert-written solution to this problem!
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
We have an expert-written solution to this problem!
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
We have an expert-written solution to this problem!
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,
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.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
Acid Reduction
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)
We have an expert-written solution to this problem!
Which tool should you use to assess pain in you 80-year-old patient with severe
dementia?
PAINAD scale
We have an expert-written solution to this problem!
, 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.
We have an expert-written solution to this problem!
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?
Stat CT of head
We have an expert-written solution to this problem!
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
What type of personal protective equipment (PPE) is applied prior to entering a room for
a patient with C. diff?
Gown and gloves
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
We have an expert-written solution to this problem!
Your patient was admitted for a hypertensive crisis and has a history of HTN,
Parkinson's disease, depression, and alcohol use. On his second hospitalized day, you
notice he is more anxious and restless than his baseline. What would be your FIRST
nursing intervention?
Ask the patient when his last drink of alcohol was.
We have an expert-written solution to this problem!
What is the BEST indication of an acute neurological problem?
Change in level of consciousness
While in a supine position your patient states, "I'm tired and cannot catch my breath."
Physical assessment reveals jugular vein distention and a third heart sound (S3). These
symptoms are indicative of what condition?
Heart failure
Relias
1.2 milligrams is equal to how many micrograms?
1200 mcg
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
We have an expert-written solution to this problem!
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
We have an expert-written solution to this problem!
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
We have an expert-written solution to this problem!
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,
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.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
Acid Reduction
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)
We have an expert-written solution to this problem!
Which tool should you use to assess pain in you 80-year-old patient with severe
dementia?
PAINAD scale
We have an expert-written solution to this problem!
, 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.
We have an expert-written solution to this problem!
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?
Stat CT of head
We have an expert-written solution to this problem!
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
What type of personal protective equipment (PPE) is applied prior to entering a room for
a patient with C. diff?
Gown and gloves
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
We have an expert-written solution to this problem!
Your patient was admitted for a hypertensive crisis and has a history of HTN,
Parkinson's disease, depression, and alcohol use. On his second hospitalized day, you
notice he is more anxious and restless than his baseline. What would be your FIRST
nursing intervention?
Ask the patient when his last drink of alcohol was.
We have an expert-written solution to this problem!
What is the BEST indication of an acute neurological problem?
Change in level of consciousness
While in a supine position your patient states, "I'm tired and cannot catch my breath."
Physical assessment reveals jugular vein distention and a third heart sound (S3). These
symptoms are indicative of what condition?
Heart failure
