Medical-Surgical RN A Prophecy Test / Relias Learning
Answered 2023.
1.2 milligrams is equal to how many micrograms?
1200 mcg
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
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 reinflate the balloon
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
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,
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?
Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
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?
Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with severe
dementia?
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?
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?
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.
Sepsis
, What type of personal protective equipment (PPE) is applied prior to entering a
room for a patient with C. diff?
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?
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?
Ask the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem?
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?
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?
Airborne precautions
Patients with diabetes are at high risk for complications from damage to what
body areas?
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?
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?
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?
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?
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?
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?
Perform a bladder scan
Answered 2023.
1.2 milligrams is equal to how many micrograms?
1200 mcg
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
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 reinflate the balloon
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
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,
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?
Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
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?
Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with severe
dementia?
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?
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?
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.
Sepsis
, What type of personal protective equipment (PPE) is applied prior to entering a
room for a patient with C. diff?
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?
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?
Ask the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem?
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?
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?
Airborne precautions
Patients with diabetes are at high risk for complications from damage to what
body areas?
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?
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?
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?
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?
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?
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?
Perform a bladder scan
