MEDICAL-SURGICAL RN A PROPHECY RELIAS
1. 1.2 milligrams is equal to how many micrograms?: 1200 mcg
2. Your post-op patient has a Jackson-Pratt (JP) drain in place. How do
you ensure effective drain function?: Compress the drain, then plug the
bulb to establish suction
3. Your male patient complains of discomfort while inflating the balloon
during insertion of an indwelling urinary catheter. What would be the
MOST appropriate action?: Deflate the balloon, advance the catheter
further, then rein- flate the balloon
4. Your patient has symptomatic anemia but is refusing a blood
transfusion for religious reason. What is an appropriate response?:
Respect his wishes and notify the provider
5. Your patient is admitted with diverticulitis. What type of diet do you
expect to be ordered for the patient?: broth, jello, soft fruit no skin,
6. 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 un-
derstaffed. Which is the MOST appropriate action?: Report to the post-
surgical unit.
7. What is a proton pump inhibitor, such as pantoprazole (Protonix)
used for?: Acid Reduction
8.Which adaptive equipment would be MOST appropriate to use for a
severe- ly contracted patient who is unable to bear weight when
transferring from the bed to the chair?: Patient lift (e.g., Hoyer)
1/9
,9. Which tool should you use to assess pain in you 80-year-old patient
with severe dementia?: PAINAD scale
10.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?:
Notify the charge nurse and social worker of your concerns.
11.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?: Stat CT of head
2/9
, 12.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.: Sepsis
13.What type of personal protective equipment (PPE) is applied prior
to entering a room for a patient with C. diff?: Gown and gloves
14.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 recom- mendation?: Request an order for soft mitts as they are
the least restrictive
15.Your patient was admitted for a hypertensive crisis and has a history of
HTN, Parkinson's disease, depression, and alcohol use. On his second
hos- pitalized day, you notice he is more anxious and restless than his
baseline. What would be your FIRST nursing intervention?: Ask the
patient when his last drink of alcohol was.
16.What is the BEST indication of an acute neurological problem?:
Change in level of consciousness
17.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?: Heart failure
18.Your new admission presents with a cough, unintentional weight
loss, frequent night sweats, and bloody sputum. What type of isolation
precau- tions should you initiate, if any?: Airborne precautions
3/9
1. 1.2 milligrams is equal to how many micrograms?: 1200 mcg
2. Your post-op patient has a Jackson-Pratt (JP) drain in place. How do
you ensure effective drain function?: Compress the drain, then plug the
bulb to establish suction
3. Your male patient complains of discomfort while inflating the balloon
during insertion of an indwelling urinary catheter. What would be the
MOST appropriate action?: Deflate the balloon, advance the catheter
further, then rein- flate the balloon
4. Your patient has symptomatic anemia but is refusing a blood
transfusion for religious reason. What is an appropriate response?:
Respect his wishes and notify the provider
5. Your patient is admitted with diverticulitis. What type of diet do you
expect to be ordered for the patient?: broth, jello, soft fruit no skin,
6. 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 un-
derstaffed. Which is the MOST appropriate action?: Report to the post-
surgical unit.
7. What is a proton pump inhibitor, such as pantoprazole (Protonix)
used for?: Acid Reduction
8.Which adaptive equipment would be MOST appropriate to use for a
severe- ly contracted patient who is unable to bear weight when
transferring from the bed to the chair?: Patient lift (e.g., Hoyer)
1/9
,9. Which tool should you use to assess pain in you 80-year-old patient
with severe dementia?: PAINAD scale
10.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?:
Notify the charge nurse and social worker of your concerns.
11.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?: Stat CT of head
2/9
, 12.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.: Sepsis
13.What type of personal protective equipment (PPE) is applied prior
to entering a room for a patient with C. diff?: Gown and gloves
14.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 recom- mendation?: Request an order for soft mitts as they are
the least restrictive
15.Your patient was admitted for a hypertensive crisis and has a history of
HTN, Parkinson's disease, depression, and alcohol use. On his second
hos- pitalized day, you notice he is more anxious and restless than his
baseline. What would be your FIRST nursing intervention?: Ask the
patient when his last drink of alcohol was.
16.What is the BEST indication of an acute neurological problem?:
Change in level of consciousness
17.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?: Heart failure
18.Your new admission presents with a cough, unintentional weight
loss, frequent night sweats, and bloody sputum. What type of isolation
precau- tions should you initiate, if any?: Airborne precautions
3/9
