Medical-Surgical RN A Prophecy Relias
questions and answers 2026\2027 A+ Grade
1.2 milligrams is equal to how many micrograms?
- correct answer 1200 mcg
What lab values are expected to be in a patient with end stage renal disease on hemodialysis
- correct answer BUN 32, CREATNINE 8.32
dietary teaching for a patient with chronic renal failure should include choices that are:
- correct answer Low potassium, low protein, moderate fat
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain function?
- correct 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?
- correct answer Deflate the balloon, advance the catheter further, then reinflate the balloon
What are the most common causes of acute onset pancreatitis?
- correct answer Alcoholism and gallstones
What medication is contraindicated In a patient with A hemorrhagic CVA?
- correct answer heparin
Your patient appears dusky colored and you cannot palpate a pulse. What is the 1st thing you should
do?
- correct answer Initiate a code per facility protocol and begin CPR
, A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the following?
- correct answer hyperglycemia
Your patient has symptomatic anemia but is refusing a blood transfusion for religious reason. What is an
appropriate response?
- correct 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?
- correct answer broth, jello, soft fruit no skin,
clear liquids
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?
- correct answer Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
- correct 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?
- correct answer Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with severe dementia?
- correct answer PAINAD scale
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 answer Hold wayfaring (coumadin) for the next 48 hours
Stat CT of head
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
questions and answers 2026\2027 A+ Grade
1.2 milligrams is equal to how many micrograms?
- correct answer 1200 mcg
What lab values are expected to be in a patient with end stage renal disease on hemodialysis
- correct answer BUN 32, CREATNINE 8.32
dietary teaching for a patient with chronic renal failure should include choices that are:
- correct answer Low potassium, low protein, moderate fat
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain function?
- correct 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?
- correct answer Deflate the balloon, advance the catheter further, then reinflate the balloon
What are the most common causes of acute onset pancreatitis?
- correct answer Alcoholism and gallstones
What medication is contraindicated In a patient with A hemorrhagic CVA?
- correct answer heparin
Your patient appears dusky colored and you cannot palpate a pulse. What is the 1st thing you should
do?
- correct answer Initiate a code per facility protocol and begin CPR
, A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the following?
- correct answer hyperglycemia
Your patient has symptomatic anemia but is refusing a blood transfusion for religious reason. What is an
appropriate response?
- correct 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?
- correct answer broth, jello, soft fruit no skin,
clear liquids
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?
- correct answer Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
- correct 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?
- correct answer Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with severe dementia?
- correct answer PAINAD scale
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 answer Hold wayfaring (coumadin) for the next 48 hours
Stat CT of head
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
