Medical-Surgical RN A Prophecy
RELIAS Questions with Complete
Solution Rated A+
1.2 milligrams is equal to how many micrograms? - ANSWER-1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you
ensure effective drain function? - 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? - 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? - 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? - 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? - ANSWER-Report to the
post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? -
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? - ANSWER-Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with
severe dementia? - 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? -
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? -
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. - ANSWER-Sepsis
What type of personal protective equipment (PPE) is applied prior to entering
a room for a patient with C. diff? - 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? - 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? - ANSWER-Ask the patient when
his last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - 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? -
ANSWER-Heart failure
Your new admission presents with a cough, unintentional weight loss,
frequent night sweats, and bloody sputum. What type of isolation
precautions should you initiate, if any? - ANSWER-Airborne precautions
Patients with diabetes are at high risk for complications from damage to
what body areas? - ANSWER-Nerve and kidney damage
If your patient with a known history of diabetes is displaying symptoms of
diaphoresis, cool skin, lethargy, and shakiness. What is your first action? -
ANSWER-Check the patient's blood glucose level.
Your patient tells you, "I hope I don't die, but if I do I don't want to be
brought back.? You notice on her chart and wrist band that she is a full code.
What would be the MOST appropriate action? - ANSWER-Discuss code status
with the patient and follow up with provider to ensure the medical record
reflects her wishes.
RELIAS Questions with Complete
Solution Rated A+
1.2 milligrams is equal to how many micrograms? - ANSWER-1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you
ensure effective drain function? - 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? - 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? - 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? - 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? - ANSWER-Report to the
post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? -
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? - ANSWER-Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with
severe dementia? - 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? -
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? -
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. - ANSWER-Sepsis
What type of personal protective equipment (PPE) is applied prior to entering
a room for a patient with C. diff? - 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? - 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? - ANSWER-Ask the patient when
his last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - 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? -
ANSWER-Heart failure
Your new admission presents with a cough, unintentional weight loss,
frequent night sweats, and bloody sputum. What type of isolation
precautions should you initiate, if any? - ANSWER-Airborne precautions
Patients with diabetes are at high risk for complications from damage to
what body areas? - ANSWER-Nerve and kidney damage
If your patient with a known history of diabetes is displaying symptoms of
diaphoresis, cool skin, lethargy, and shakiness. What is your first action? -
ANSWER-Check the patient's blood glucose level.
Your patient tells you, "I hope I don't die, but if I do I don't want to be
brought back.? You notice on her chart and wrist band that she is a full code.
What would be the MOST appropriate action? - ANSWER-Discuss code status
with the patient and follow up with provider to ensure the medical record
reflects her wishes.
