Prophecy health medical surgical RN A
Which adaptive equipment would be most appropriate to use for a severely contracted
patient who is unable to bear weight when transferring from bed to chair - ANSWER
Patient Lift example hoyer
What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - ANSWER BUN 32, CREATNINE 8.32
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? You're? -
ANSWER Hold wayfaring (coumadin) for the next 48 hours
Your new admission presents with a cough, unintentional weight loss, frequent knot
sweats, and bloody sputum. What type of isolation precautions should you initiate, if
any? - ANSWER Airborne precautions
Upon entering your patient's room, you note that they are having a seizure. What is your
1st action? - ANSWER Position the patient on their side to maintain the airway
You find your coworker looking through your patient's medical record. She States how is
Mr. Smith doing? He is my best friend's dad. We are so worried about him. What is the
best course of action? - ANSWER Tell her you cannot give her information and report
her actions to your manager.
Your male patient complaints of discomfort while inflating the balloon during insertion of
a indwelling urinary catheter. What would be the most appropriate action? - ANSWER
Deflate the balloon, advance the catheter further, then rein late the balloon.
Your patient takes regular insulin and NPH twice A-day for glucose control. What times
should the patient be taught to be alert for signs of hypoglycemia? - ANSWER Is late
afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - ANSWER
Reduce gastric acid secretion
Your patient has a nonproductive cough and presence of secretions in his
tracheostomy. Prior to sectioning the patient, what should you do 1st? - ANSWER
Hyper oxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that are: -
ANSWER Low potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with chronic
obstructive pulmonary disease (COPD) - ANSWER Impaired gas exchange
, Prophecy health medical surgical RN A
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.
You have a patient going for dialysis. There are medications include Lisinopril(Prinivil),
ondansetron (Zofran), famotidine(Pepcid) and atorvastatin(Lipitor). Which medication
would you possibly hold and seek clarification? - ANSWER LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - ANSWER Change in
level of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered
for the patient? - ANSWER Clear liquids
Which tool should you use to assess pain in your 80-year-old patient with severe
dementia? - ANSWER?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective
drain function? - ANSWER Compress the drain, then plug the bulb to establish suction.
Is a patient with peritonitis Presents with tachycardia, hypotension, and dehydration.
What other assessment finding would you anticipate as part of your physical
assessment? - ANSWER Severe abdominal pain or rebound tenderness
Your patient with a known history of diabetes is displaying symptoms of diaphoresis,
Cool skin, lethargy, And shakiness. What is your 1st action? - ANSWER Check the
patient's blood glucose level
a patient on warfarin (Coumadin/jantoven) has an INR of 6. Which medication would
you anticipate administering? - ANSWER Vitamin K
While in a supine position your patient States" I'm tired and cannot catch my breath".
Physical assessment reveals juggler vein distention and a 3rd heart sound(S3). These
symptoms are indicative of what condition? - ANSWER Heart failure
Upon entry to your patient's room, you find her sitting in high Fowler's Position and
complaining of shortness of breath. Her respiratory rate is 34 breaths/minute and 02 sat
is 84%. Which mode of oxygen delivery would most likely reverse the symptoms? -
ANSWER Non-rebreather mask
Your patient continues to pull at their iv located in their left forearm despite verbal
reminders and increased observation. The nursing assistant recommends using soft
Which adaptive equipment would be most appropriate to use for a severely contracted
patient who is unable to bear weight when transferring from bed to chair - ANSWER
Patient Lift example hoyer
What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - ANSWER BUN 32, CREATNINE 8.32
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? You're? -
ANSWER Hold wayfaring (coumadin) for the next 48 hours
Your new admission presents with a cough, unintentional weight loss, frequent knot
sweats, and bloody sputum. What type of isolation precautions should you initiate, if
any? - ANSWER Airborne precautions
Upon entering your patient's room, you note that they are having a seizure. What is your
1st action? - ANSWER Position the patient on their side to maintain the airway
You find your coworker looking through your patient's medical record. She States how is
Mr. Smith doing? He is my best friend's dad. We are so worried about him. What is the
best course of action? - ANSWER Tell her you cannot give her information and report
her actions to your manager.
Your male patient complaints of discomfort while inflating the balloon during insertion of
a indwelling urinary catheter. What would be the most appropriate action? - ANSWER
Deflate the balloon, advance the catheter further, then rein late the balloon.
Your patient takes regular insulin and NPH twice A-day for glucose control. What times
should the patient be taught to be alert for signs of hypoglycemia? - ANSWER Is late
afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - ANSWER
Reduce gastric acid secretion
Your patient has a nonproductive cough and presence of secretions in his
tracheostomy. Prior to sectioning the patient, what should you do 1st? - ANSWER
Hyper oxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that are: -
ANSWER Low potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with chronic
obstructive pulmonary disease (COPD) - ANSWER Impaired gas exchange
, Prophecy health medical surgical RN A
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.
You have a patient going for dialysis. There are medications include Lisinopril(Prinivil),
ondansetron (Zofran), famotidine(Pepcid) and atorvastatin(Lipitor). Which medication
would you possibly hold and seek clarification? - ANSWER LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - ANSWER Change in
level of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered
for the patient? - ANSWER Clear liquids
Which tool should you use to assess pain in your 80-year-old patient with severe
dementia? - ANSWER?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective
drain function? - ANSWER Compress the drain, then plug the bulb to establish suction.
Is a patient with peritonitis Presents with tachycardia, hypotension, and dehydration.
What other assessment finding would you anticipate as part of your physical
assessment? - ANSWER Severe abdominal pain or rebound tenderness
Your patient with a known history of diabetes is displaying symptoms of diaphoresis,
Cool skin, lethargy, And shakiness. What is your 1st action? - ANSWER Check the
patient's blood glucose level
a patient on warfarin (Coumadin/jantoven) has an INR of 6. Which medication would
you anticipate administering? - ANSWER Vitamin K
While in a supine position your patient States" I'm tired and cannot catch my breath".
Physical assessment reveals juggler vein distention and a 3rd heart sound(S3). These
symptoms are indicative of what condition? - ANSWER Heart failure
Upon entry to your patient's room, you find her sitting in high Fowler's Position and
complaining of shortness of breath. Her respiratory rate is 34 breaths/minute and 02 sat
is 84%. Which mode of oxygen delivery would most likely reverse the symptoms? -
ANSWER Non-rebreather mask
Your patient continues to pull at their iv located in their left forearm despite verbal
reminders and increased observation. The nursing assistant recommends using soft
