RELIAS RN MEDICAL-SURGICAL PROPHECY FORM A 2023-
2024 EXAM NEWEST ACTUAL EXAM STUDY THIS ONE
1.2 milligrams is equal to how many micrograms? - CORRECT ANSWERS-1200 mcg
What is the proper technique when suctioning a tracheostomy? - CORRECT ANSWERS-Suction
in a circular motion while the catheter is being pulled out.
Your new patient admitted for cholecystitis expresses she has a history of anxiety disorder. She is feeling
panicked and does not think she can handle staying in the hospital for her surgery. What action is MOST
appropriate for you to take? - CORRECT ANSWERS-Sit calmly next to her and offer her
compassion and a sense of security.
The provider orders and IV infusion of D5W 1000 mL to infuse over the next 6 hours. How many mLs per
hour should the IV pump be set to? - CORRECT ANSWERS-167 mL/hr
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain function?
- CORRECT ANSWERS-Compress the drain, then plug the bulb to establish suction
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? - CORRECT ANSWERS-
Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with severe dementia? -
CORRECT ANSWERS-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? -
CORRECT ANSWERS-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? - CORRECT ANSWERS-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. - CORRECT
ANSWERS-Sepsis
What type of personal protective equipment (PPE) is applied prior to entering a room for a patient with
C. diff? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-Ask
the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-
Airborne precautions
Patients with diabetes are at high risk for complications from damage to what body areas? -
CORRECT ANSWERS-Nerve and kidney damage
2024 EXAM NEWEST ACTUAL EXAM STUDY THIS ONE
1.2 milligrams is equal to how many micrograms? - CORRECT ANSWERS-1200 mcg
What is the proper technique when suctioning a tracheostomy? - CORRECT ANSWERS-Suction
in a circular motion while the catheter is being pulled out.
Your new patient admitted for cholecystitis expresses she has a history of anxiety disorder. She is feeling
panicked and does not think she can handle staying in the hospital for her surgery. What action is MOST
appropriate for you to take? - CORRECT ANSWERS-Sit calmly next to her and offer her
compassion and a sense of security.
The provider orders and IV infusion of D5W 1000 mL to infuse over the next 6 hours. How many mLs per
hour should the IV pump be set to? - CORRECT ANSWERS-167 mL/hr
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain function?
- CORRECT ANSWERS-Compress the drain, then plug the bulb to establish suction
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? - CORRECT ANSWERS-
Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with severe dementia? -
CORRECT ANSWERS-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? -
CORRECT ANSWERS-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? - CORRECT ANSWERS-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. - CORRECT
ANSWERS-Sepsis
What type of personal protective equipment (PPE) is applied prior to entering a room for a patient with
C. diff? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-Ask
the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-
Airborne precautions
Patients with diabetes are at high risk for complications from damage to what body areas? -
CORRECT ANSWERS-Nerve and kidney damage
