Medical-Surgical RN A
1.2 milligrams is equal to how many 1200 mcg
micrograms?
Your post-op patient has a Jackson-Pratt Compress the drain, then plug the bulb to establish suction
(JP) drain in place. How do you ensure
effective drain function?
Your male patient complains of discomfort Deflate the balloon, advance the catheter further, then reinflate the balloon
while inflating the balloon during insertion
of an indwelling urinary catheter. What
would be the MOST appropriate action?
Your patient has symptomatic anemia but is Respect his wishes and notify the provider
refusing a blood transfusion for religious
reason. What is an appropriate
response?
Your patient is admitted with diverticulitis. broth, jello, soft fruit no skin,
What type of diet do you expect to be
ordered for the patient?
You were hired to work the medical unit Report to the post-surgical 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?
What is a proton pump inhibitor, such as Acid Reduction
pantoprazole (Protonix) used for?
Which adaptive equipment would be Patient lift (e.g., Hoyer)
MOST appropriate to use for a severely
contracted patient who is unable to bear
weight when transferring from the bed to
the chair?
, Which tool should you use to assess pain in PAINAD scale
you 80-year-old patient with severe
dementia?
Your patient is admitted from the ED Notify the charge nurse and social worker of your concerns.
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?
Your 85-year-old patient with atrial Stat CT of head
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?
Your patient has a temp of 102.3 F, HR 122, Sepsis
and has had 15 mL of urine from the
indwelling urinary catheter in the last 2
hours. What is your patient MOST likely
experiencing.
What type of personal protective Gown and gloves
equipment (PPE) is applied prior to
entering a room for a patient with C.
diff?
Your patient continues to pull at their IV Request an order for soft mitts as they are the least restrictive
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?
Your patient was admitted for a Ask the patient when his last drink of alcohol was.
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?
What is the BEST indication of an acute Change in level of consciousness
neurological problem?
While in a supine position your patient Heart failure
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?
Your new admission presents with a cough, Airborne precautions
unintentional weight loss, frequent night
sweats, and bloody sputum. What type
of isolation precautions should you initiate,
if any?
1.2 milligrams is equal to how many 1200 mcg
micrograms?
Your post-op patient has a Jackson-Pratt Compress the drain, then plug the bulb to establish suction
(JP) drain in place. How do you ensure
effective drain function?
Your male patient complains of discomfort Deflate the balloon, advance the catheter further, then reinflate the balloon
while inflating the balloon during insertion
of an indwelling urinary catheter. What
would be the MOST appropriate action?
Your patient has symptomatic anemia but is Respect his wishes and notify the provider
refusing a blood transfusion for religious
reason. What is an appropriate
response?
Your patient is admitted with diverticulitis. broth, jello, soft fruit no skin,
What type of diet do you expect to be
ordered for the patient?
You were hired to work the medical unit Report to the post-surgical 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?
What is a proton pump inhibitor, such as Acid Reduction
pantoprazole (Protonix) used for?
Which adaptive equipment would be Patient lift (e.g., Hoyer)
MOST appropriate to use for a severely
contracted patient who is unable to bear
weight when transferring from the bed to
the chair?
, Which tool should you use to assess pain in PAINAD scale
you 80-year-old patient with severe
dementia?
Your patient is admitted from the ED Notify the charge nurse and social worker of your concerns.
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?
Your 85-year-old patient with atrial Stat CT of head
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?
Your patient has a temp of 102.3 F, HR 122, Sepsis
and has had 15 mL of urine from the
indwelling urinary catheter in the last 2
hours. What is your patient MOST likely
experiencing.
What type of personal protective Gown and gloves
equipment (PPE) is applied prior to
entering a room for a patient with C.
diff?
Your patient continues to pull at their IV Request an order for soft mitts as they are the least restrictive
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?
Your patient was admitted for a Ask the patient when his last drink of alcohol was.
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?
What is the BEST indication of an acute Change in level of consciousness
neurological problem?
While in a supine position your patient Heart failure
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?
Your new admission presents with a cough, Airborne precautions
unintentional weight loss, frequent night
sweats, and bloody sputum. What type
of isolation precautions should you initiate,
if any?
