MEDICAL-SURGICAL RN A PROPHECY RELIAS
QUESTIONS AND ANSWERS2022-
2023COMPLETE SOLVED 100%.
1.2 milligrams is equal to how many micrograms? - ANSWER 1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you
ensure effective drain function? - 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? - ANSWER 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? - 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? - ANSWER 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? - ANSWER Report to
the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? -
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? - ANSWER Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with
severe dementia? - ANSWER 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? -
ANSWER 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? - ANSWER 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. - ANSWER Sepsis
What type of personal protective equipment (PPE) is applied prior to entering
a room for a patient with C. diff? - ANSWER 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? - ANSWER 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? - ANSWER Ask the patient when
his last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - ANSWER
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? - ANSWER
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? - ANSWER Airborne precautions
Patients with diabetes are at high risk for complications from damage to
what body areas? - ANSWER 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? -
ANSWER 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? - ANSWER Discuss code status
QUESTIONS AND ANSWERS2022-
2023COMPLETE SOLVED 100%.
1.2 milligrams is equal to how many micrograms? - ANSWER 1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you
ensure effective drain function? - 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? - ANSWER 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? - 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? - ANSWER 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? - ANSWER Report to
the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? -
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? - ANSWER Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with
severe dementia? - ANSWER 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? -
ANSWER 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? - ANSWER 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. - ANSWER Sepsis
What type of personal protective equipment (PPE) is applied prior to entering
a room for a patient with C. diff? - ANSWER 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? - ANSWER 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? - ANSWER Ask the patient when
his last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - ANSWER
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? - ANSWER
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? - ANSWER Airborne precautions
Patients with diabetes are at high risk for complications from damage to
what body areas? - ANSWER 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? -
ANSWER 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? - ANSWER Discuss code status
