RELIAS PROPHECY TEST QUESTIONS WITH ACCURATE
ANSWERS
1.2 milligrams is equal to how many micrograms? Accurate Answer -
1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you
ensure effective drain function? Accurate Answer - 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 urinary catheter. What would be the MOST
appropriate action? Accurate Answer - 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 appropriate response? Accurate Answer -
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? Accurate Answer - 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? Accurate Answer
- Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
Accurate Answer - 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? Accurate Answer - Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with
severe dementia? Accurate Answer - PAINAD scale
, 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?
Accurate Answer - 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
anticipate from the provider? Accurate Answer - 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 catheter in the last 2 hours. What is your patient MOST
likely experiencing. Accurate Answer - Sepsis
What type of personal protective equipment (PPE) is applied prior to entering
a room for a patient with C. diff? Accurate Answer - 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? Accurate Answer - 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, 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? Accurate Answer - Ask the patient
when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem?
Accurate Answer - 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?
Accurate Answer - Heart failure
ANSWERS
1.2 milligrams is equal to how many micrograms? Accurate Answer -
1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you
ensure effective drain function? Accurate Answer - 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 urinary catheter. What would be the MOST
appropriate action? Accurate Answer - 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 appropriate response? Accurate Answer -
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? Accurate Answer - 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? Accurate Answer
- Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
Accurate Answer - 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? Accurate Answer - Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with
severe dementia? Accurate Answer - PAINAD scale
, 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?
Accurate Answer - 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
anticipate from the provider? Accurate Answer - 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 catheter in the last 2 hours. What is your patient MOST
likely experiencing. Accurate Answer - Sepsis
What type of personal protective equipment (PPE) is applied prior to entering
a room for a patient with C. diff? Accurate Answer - 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? Accurate Answer - 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, 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? Accurate Answer - Ask the patient
when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem?
Accurate Answer - 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?
Accurate Answer - Heart failure
