Medical-Surgical Rn A Prophecy Relias
2021/2022
1.2 milligrams is equal to how many micrograms? Correct Answers: 1200 mcg
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
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 Answers: Deflate the balloon,
advance the catheter further, then reinflate the balloon
Your patient has symptomatic anemia but is refusing a blood transfusion for religious reason. What is
an appropriate response? Correct Answers: 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 Answers: broth, jello, soft fruit no skin,
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 Answers: Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? Correct Answers: 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 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
If your patient with a known history of diabetes is displaying symptoms of diaphoresis, cool skin,
lethargy, and shakiness. What is your first action? Correct Answers: Check the patient's blood
glucose level.
Your patient tells you, "I hope I don't die, but if I do I don't want to be brought back.? You notice on
her chart and wrist band that she is a full code. What would be the MOST appropriate action? Correct
Answers: Discuss code status with the patient and follow up with provider to ensure the medical
record reflects her wishes.
Your coworker posted photos on social media from a birthday party they had for her in the unit
breakroom. What should be your NEXT course of action? Correct Answers: No action is necessary
because no PHI was displayed.
Your new patient understands very limited English. How should you communicate with them when
completing the admission assessment? Correct Answers: Use the organization's interpreter services.
You are caring for a patient with a history of diabetes mellitus. You walk into the room and find the
patient lethargic and diaphoretic. What is your first action? Correct Answers: Obtain capillary blood
glucose level.
Your patient is 4 hours post open appendectomy and has not voided yet. You note his lower
abdomen is distended. What should you do NEXT? Correct Answers: Perform a bladder scan
A patient with peritonitis presents with tachycardia, hypotension, and dehydration. What other
assessment finding would you anticipate as part of your physical assessment? Correct Answers:
Severe abdominal pain or rebound tenderness
2021/2022
1.2 milligrams is equal to how many micrograms? Correct Answers: 1200 mcg
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
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 Answers: Deflate the balloon,
advance the catheter further, then reinflate the balloon
Your patient has symptomatic anemia but is refusing a blood transfusion for religious reason. What is
an appropriate response? Correct Answers: 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 Answers: broth, jello, soft fruit no skin,
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 Answers: Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? Correct Answers: 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 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
If your patient with a known history of diabetes is displaying symptoms of diaphoresis, cool skin,
lethargy, and shakiness. What is your first action? Correct Answers: Check the patient's blood
glucose level.
Your patient tells you, "I hope I don't die, but if I do I don't want to be brought back.? You notice on
her chart and wrist band that she is a full code. What would be the MOST appropriate action? Correct
Answers: Discuss code status with the patient and follow up with provider to ensure the medical
record reflects her wishes.
Your coworker posted photos on social media from a birthday party they had for her in the unit
breakroom. What should be your NEXT course of action? Correct Answers: No action is necessary
because no PHI was displayed.
Your new patient understands very limited English. How should you communicate with them when
completing the admission assessment? Correct Answers: Use the organization's interpreter services.
You are caring for a patient with a history of diabetes mellitus. You walk into the room and find the
patient lethargic and diaphoretic. What is your first action? Correct Answers: Obtain capillary blood
glucose level.
Your patient is 4 hours post open appendectomy and has not voided yet. You note his lower
abdomen is distended. What should you do NEXT? Correct Answers: Perform a bladder scan
A patient with peritonitis presents with tachycardia, hypotension, and dehydration. What other
assessment finding would you anticipate as part of your physical assessment? Correct Answers:
Severe abdominal pain or rebound tenderness
