Medical-Surgical RN A Prophecy Relias
Study online at https://quizlet.com/_a1efmw
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 appro-
priate 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 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 under-
staffed. 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 severely
contracted patient 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
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
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
1/8
, Medical-Surgical RN A Prophecy Relias
Study online at https://quizlet.com/_a1efmw
recommends using soft mitt restraints on the patient. What is your recommen-
dation?: 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, 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 precautions
should you initiate, if any?: Airborne precautions
19. Patients with diabetes are at high risk for complications from damage to
what body areas?: Nerve and kidney damage
20. 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.
21. 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.
22. 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.
23. Your new patient understands very limited English. How should you com-
municate with them when completing the admission assessment?: Use the
organization's interpreter services.
24. 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.
25. 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
2/8
Study online at https://quizlet.com/_a1efmw
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 appro-
priate 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 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 under-
staffed. 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 severely
contracted patient 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
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
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
1/8
, Medical-Surgical RN A Prophecy Relias
Study online at https://quizlet.com/_a1efmw
recommends using soft mitt restraints on the patient. What is your recommen-
dation?: 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, 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 precautions
should you initiate, if any?: Airborne precautions
19. Patients with diabetes are at high risk for complications from damage to
what body areas?: Nerve and kidney damage
20. 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.
21. 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.
22. 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.
23. Your new patient understands very limited English. How should you com-
municate with them when completing the admission assessment?: Use the
organization's interpreter services.
24. 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.
25. 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
2/8
