Medical-Surgical RN – Prophecy
Relias Study Guide with Verified
Answers
1. 1.2 milligrams is equal to how many micrograms?
1200 micrograms
2. What lab values are expected in a patient with end stage renal disease on
hemodialysis? BUN 32, CREATININE 8.32
Elevated BUN and creatinine
3. Dietary teaching for a patient with chronic renal failure should include choices that are:
Low potassium, low protein, moderate fat
4. 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
5. 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
6. What are the most common causes of acute onset pancreatitis?
Alcoholism and gallstones
7. Prophecy: Hemodialysis patient with Kt/V of 1.4. Is this adequate?
Yes, target >1.2
8. Prophecy telemetry: Sinus bradycardia at 48 bpm with stable BP. Action?
Continue monitoring
9. Prophecy pharm: Nitroglycerin SL for chest pain. Max dose before calling MD?
3 doses 5 min apart
10.Prophecy post-op: Penrose drain care priority?
Measure output daily
, 11.Prophecy lab: Therapeutic digoxin level?
0.5-2.0 ng/mL
12.Prophecy delegation: UAP can empty?
Urine drainage bag
13.Prophecy dialysis: AV fistula thrill assessment?
Palpate for bruit and thrill
14.Prophecy rhythm: 1st degree AV block treatment?
No treatment needed
15.Prophecy JP drain: Output 50mL in 8 hours post-cholecystectomy normal?
Yes
16.Prophecy pharm: Hold metformin before what procedure?
Contrast dye study
17.Prophecy prioritization: 4 patients, who first? Chest tube bubbling continuously.
Chest tube patient
18.Prophecy labs: Hypokalemia level requiring supplement?
<3.5 mEq/L
19.Prophecy telemetry: PVCs <6/min. Action?
Monitor
20.Prophecy post-op: NG tube to LIS. Position?
Low intermittent suction
21.Prophecy renal: Urine output goal HD patient interdialytic?
>400 mL/day
22.Prophecy pharm: Diltiazem for Afib RVR dose?
IV bolus then infusion
23.Prophecy drain: Hemovac reservoir emptied how?
Compress to reestablish suction
24.Prophecy labs: PT/INR goal mechanical valve mitral?
2.5-3.5
Relias Study Guide with Verified
Answers
1. 1.2 milligrams is equal to how many micrograms?
1200 micrograms
2. What lab values are expected in a patient with end stage renal disease on
hemodialysis? BUN 32, CREATININE 8.32
Elevated BUN and creatinine
3. Dietary teaching for a patient with chronic renal failure should include choices that are:
Low potassium, low protein, moderate fat
4. 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
5. 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
6. What are the most common causes of acute onset pancreatitis?
Alcoholism and gallstones
7. Prophecy: Hemodialysis patient with Kt/V of 1.4. Is this adequate?
Yes, target >1.2
8. Prophecy telemetry: Sinus bradycardia at 48 bpm with stable BP. Action?
Continue monitoring
9. Prophecy pharm: Nitroglycerin SL for chest pain. Max dose before calling MD?
3 doses 5 min apart
10.Prophecy post-op: Penrose drain care priority?
Measure output daily
, 11.Prophecy lab: Therapeutic digoxin level?
0.5-2.0 ng/mL
12.Prophecy delegation: UAP can empty?
Urine drainage bag
13.Prophecy dialysis: AV fistula thrill assessment?
Palpate for bruit and thrill
14.Prophecy rhythm: 1st degree AV block treatment?
No treatment needed
15.Prophecy JP drain: Output 50mL in 8 hours post-cholecystectomy normal?
Yes
16.Prophecy pharm: Hold metformin before what procedure?
Contrast dye study
17.Prophecy prioritization: 4 patients, who first? Chest tube bubbling continuously.
Chest tube patient
18.Prophecy labs: Hypokalemia level requiring supplement?
<3.5 mEq/L
19.Prophecy telemetry: PVCs <6/min. Action?
Monitor
20.Prophecy post-op: NG tube to LIS. Position?
Low intermittent suction
21.Prophecy renal: Urine output goal HD patient interdialytic?
>400 mL/day
22.Prophecy pharm: Diltiazem for Afib RVR dose?
IV bolus then infusion
23.Prophecy drain: Hemovac reservoir emptied how?
Compress to reestablish suction
24.Prophecy labs: PT/INR goal mechanical valve mitral?
2.5-3.5
