Medical-Surgical RN A Prophecy Relias Exam
2023 latest update.
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.
2023 latest update.
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.
