MEDICAL -SURGICAL RN A PROPHECY RELIAS /100
ACTUAL(SOLVED) QUESTIONS AND ANSWERS/ GRADE
A+
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 ofan indwelling urinary catheter. What would be the MOST appropriate
action?
✓✓✓ Deflate the balloon, advance the catheter further, then reinflate the
balloon
4. Your patient has symptomatic anemia but is refusing a blood transfusion for
religiousreason. 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
orderedfor 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
nursehas assigned you to the post-surgical unit since they are understaffed. Which
is the MOST appropriate action?
Top-notch by NurseSusan
, ✓✓✓ 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 severely
contractedpatient who is unable to bear weight when transferring from the bed to
the chair?
✓✓✓ Patient lift (e.g., Hoyer)
9. Which tool should you use to assess pain in you 80-year-old patient with
severedementia?
✓✓✓ PAINAD scale
10. Your patient is admitted from the ED with failure to thrive and advanced dementia.
Younote he is extremely underweight, appears unbathed for some time, and has a
stage 4pressure 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
Top-notch by NurseSusan
, 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
fora patient with C. diff?
✓✓✓ Gown and gloves
14. Your patient continues to pull at their IV site located in their left forearm despite
verbalreminders 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
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 hospitalized day,
younotice 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
Top-notch by NurseSusan
ACTUAL(SOLVED) QUESTIONS AND ANSWERS/ GRADE
A+
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 ofan indwelling urinary catheter. What would be the MOST appropriate
action?
✓✓✓ Deflate the balloon, advance the catheter further, then reinflate the
balloon
4. Your patient has symptomatic anemia but is refusing a blood transfusion for
religiousreason. 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
orderedfor 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
nursehas assigned you to the post-surgical unit since they are understaffed. Which
is the MOST appropriate action?
Top-notch by NurseSusan
, ✓✓✓ 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 severely
contractedpatient who is unable to bear weight when transferring from the bed to
the chair?
✓✓✓ Patient lift (e.g., Hoyer)
9. Which tool should you use to assess pain in you 80-year-old patient with
severedementia?
✓✓✓ PAINAD scale
10. Your patient is admitted from the ED with failure to thrive and advanced dementia.
Younote he is extremely underweight, appears unbathed for some time, and has a
stage 4pressure 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
Top-notch by NurseSusan
, 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
fora patient with C. diff?
✓✓✓ Gown and gloves
14. Your patient continues to pull at their IV site located in their left forearm despite
verbalreminders 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
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 hospitalized day,
younotice 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
Top-notch by NurseSusan
