lOMoAR cPSD| 13904872
Medical-Surgical RN A Prophecy Relias Exam 2022 latest update
Medical-Surgical RN A Prophecy Relias Exam
SD| 139048
MEDICAL-SURGICAL-RN-A-PROPHECY-
RELIAS-EXAM-2022-2023 LATEST-UPDATE
1.2 milligrams is equal to how many micrograms? - answer1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure
effective drain function? - answerCompress 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? -
answerDeflate 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? - answerRespect 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? - answerbroth, 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? - answerReport to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? -
answerAcid Reduction
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, lOMoAR cPSD| 13904872
Medical-Surgical RN A Prophecy Relias Exam 2022 latest update
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? -
answerPatient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with severe
dementia? - answerPAINAD 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? - answerNotify 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? - answerStat 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. -
answerSepsis
What type of personal protective equipment (PPE) is applied prior to entering a room for a
patient with C. diff? - answerGown 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? - answerRequest 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
Downloaded by Amos Ndungu ()
, lOMoAR cPSD| 13904872
Medical-Surgical RN A Prophecy Relias Exam 2022 latest update
more anxious and restless than his baseline. What would be your FIRST nursing
intervention? - answerAsk the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - answerChange 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? - answerHeart 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?
- answerAirborne precautions
Patients with diabetes are at high risk for complications from damage to what body
areas? - answerNerve 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? - answerCheck 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? - answerDiscuss 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? - answerNo action is
necessary because no PHI was displayed.
Downloaded by Amos Ndungu ()
Medical-Surgical RN A Prophecy Relias Exam 2022 latest update
Medical-Surgical RN A Prophecy Relias Exam
SD| 139048
MEDICAL-SURGICAL-RN-A-PROPHECY-
RELIAS-EXAM-2022-2023 LATEST-UPDATE
1.2 milligrams is equal to how many micrograms? - answer1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure
effective drain function? - answerCompress 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? -
answerDeflate 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? - answerRespect 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? - answerbroth, 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? - answerReport to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? -
answerAcid Reduction
Downloaded by Amos Ndungu ()
, lOMoAR cPSD| 13904872
Medical-Surgical RN A Prophecy Relias Exam 2022 latest update
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? -
answerPatient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with severe
dementia? - answerPAINAD 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? - answerNotify 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? - answerStat 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. -
answerSepsis
What type of personal protective equipment (PPE) is applied prior to entering a room for a
patient with C. diff? - answerGown 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? - answerRequest 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
Downloaded by Amos Ndungu ()
, lOMoAR cPSD| 13904872
Medical-Surgical RN A Prophecy Relias Exam 2022 latest update
more anxious and restless than his baseline. What would be your FIRST nursing
intervention? - answerAsk the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - answerChange 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? - answerHeart 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?
- answerAirborne precautions
Patients with diabetes are at high risk for complications from damage to what body
areas? - answerNerve 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? - answerCheck 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? - answerDiscuss 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? - answerNo action is
necessary because no PHI was displayed.
Downloaded by Amos Ndungu ()
