MEDICAL SURGICAL RN PROPHECY P P P
RELIAS EXAM | NEWEST ACTUAL EXAMC P P P P P P
OMPREHENSIVE QUESTIONS AND VERIFI P P P
ED ANSWERS GRADED A+ | 100%PASS | 2
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025 UPDATE! P
The patient has diltiazem HCl (Cardizem CD) ordered and is requestingthe
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capsule be mixed into her morning yogurt. How should you respond? -
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P✔✔✔ Correct Answer > "Sorry, it is a slow-
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release medication that cannot be opened or crushed."
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Your patient is a 40-year-
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old female with a recent history of hair loss, extremely dry skin, a nd a 20-
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point weight loss in the last 3 weeks. Shealso exhibits occasional episodes
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of tremors in her upper extremities. What condition do these symptoms
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MOST likely indicate? - ✔✔✔ Correct Answer > Hyperthyroidism
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Insulin lispro (Humalog) is orders via sliding scale a.c. for your patient wit
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h diabetes. When is the best time to administer insulin lispro (Humalog)?
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- ✔✔✔ Correct Answer > 15 min before the meal arrives
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Your 72-year- P
old male patient is admitted for colon cancer relatedcomplications and h
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as a history of CHF, stroke, and a recent knee
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,replacement. Based on your patient's risk assessment, you determine he
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is at risk for venous thromboembolism (VTE). What is an appropriateVTE
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prophylaxis order for this patient? - P P P P P
P✔✔✔ Correct Answer > Enoxaparin (Lovenox) once daily and intermitt
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ent pneumatic compressions (IPC)
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You receive a provider's order that is not consistent with evidence-
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based practice. What is your FIRST step? -
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✔✔✔ Correct Answer >Clarify the order with the provider.
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An older adult patient arrives on the unit looking emaciated, disheve
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led, and with soiled clothes. The patient claims that his daughter car
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es for him at home. What would you suspect? -
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P✔✔✔Correct Answer > Neglect P P P P
You just left your patient's room with her husband at bedside. You thenre
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ceive a phone call from someone states that she is your patient's mother
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and demands updates about your patient. What should you do NEXT? -
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✔✔✔ Correct Answer > Verify your patient's consent to release inform
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ation to her mother. P P P
When would sucralfate (Carafate) 4 times daily be scheduled for? -
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✔✔✔ Correct Answer > 1 hour before meals and at bedtime
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, Your patient's morning labs revealed a hemoglobin level of 6.3 and hema
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tocrit of 18. What blood product do you expect to administer? -
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✔✔✔ Correct Answer > PRBCs P P P P
Your 68-year- P
old patient is a Type 1 diabetic with a history of schizophrenia and exhibits
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signs and symptoms of tardive dyskinesia. What long-
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term medication is associated with signs and symptoms of tardive dyskine
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sia? - P
P✔✔✔ Correct Answer > risperidone, olanzapine,quetiapine, ziprasidon
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e, aripiprazole, paliperidone, lurasidone, chlorpromazine, fluphenazine, h
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aloperidol, perphenazine P
Your 80-year- P
old patient is being discharged home post CVA. She livesalone, yet still re
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quires assistance with ADLs. What referral is MOST appropriate to ensure
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her needs are met? - ✔✔✔ Correct Answer >Case Manager
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Central Telemetry calls and tells you your patient is experiencing bra
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dycardia. What is the first thing you should do after entering theroom
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? - ✔✔✔ Correct Answer > Assess the patient and take vitalsigns.
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Your patient is currently under 1:1 observation for suicide precautions.H
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e states he needs to have a bowel movement and would like some priva
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cy to use the bathroom. What is the MOST appropriate response?
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-
✔✔✔ Correct Answer > "I must be within an arms' length view ofyou at
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all times for your safety, including while using the bathroom."
P P P P P P P P P P
RELIAS EXAM | NEWEST ACTUAL EXAMC P P P P P P
OMPREHENSIVE QUESTIONS AND VERIFI P P P
ED ANSWERS GRADED A+ | 100%PASS | 2
P P P P P P P P
025 UPDATE! P
The patient has diltiazem HCl (Cardizem CD) ordered and is requestingthe
P P P P P P P P P P P
capsule be mixed into her morning yogurt. How should you respond? -
P P P P P P P P P P P P
P✔✔✔ Correct Answer > "Sorry, it is a slow-
P P P P P P P P
release medication that cannot be opened or crushed."
P P P P P P P
Your patient is a 40-year-
P P P P
old female with a recent history of hair loss, extremely dry skin, a nd a 20-
P P P P P P P P P P P P P P P
point weight loss in the last 3 weeks. Shealso exhibits occasional episodes
P P P P P P P P P P P P
of tremors in her upper extremities. What condition do these symptoms
P P P P P P P P P P P P
MOST likely indicate? - ✔✔✔ Correct Answer > Hyperthyroidism
P P P P P P P P
Insulin lispro (Humalog) is orders via sliding scale a.c. for your patient wit
P P P P P P P P P P P P
h diabetes. When is the best time to administer insulin lispro (Humalog)?
P P P P P P P P P P P P
- ✔✔✔ Correct Answer > 15 min before the meal arrives
P P P P P P P P P P
Your 72-year- P
old male patient is admitted for colon cancer relatedcomplications and h
P P P P P P P P P P P
as a history of CHF, stroke, and a recent knee
P P P P P P P P P
,replacement. Based on your patient's risk assessment, you determine he
P P P P P P P P P P
is at risk for venous thromboembolism (VTE). What is an appropriateVTE
P P P P P P P P P P P P
prophylaxis order for this patient? - P P P P P
P✔✔✔ Correct Answer > Enoxaparin (Lovenox) once daily and intermitt
P P P P P P P P P
ent pneumatic compressions (IPC)
P P P
You receive a provider's order that is not consistent with evidence-
P P P P P P P P P P
based practice. What is your FIRST step? -
P P P P P P P P
✔✔✔ Correct Answer >Clarify the order with the provider.
P P P P P P P P P P
An older adult patient arrives on the unit looking emaciated, disheve
P P P P P P P P P P
led, and with soiled clothes. The patient claims that his daughter car
P P P P P P P P P P P
es for him at home. What would you suspect? -
P P P P P P P P P
P✔✔✔Correct Answer > Neglect P P P P
You just left your patient's room with her husband at bedside. You thenre
P P P P P P P P P P P P P
ceive a phone call from someone states that she is your patient's mother
P P P P P P P P P P P P P
and demands updates about your patient. What should you do NEXT? -
P P P P P P P P P P P
✔✔✔ Correct Answer > Verify your patient's consent to release inform
P P P P P P P P P P P
ation to her mother. P P P
When would sucralfate (Carafate) 4 times daily be scheduled for? -
P P P P P P P P P P
✔✔✔ Correct Answer > 1 hour before meals and at bedtime
P P P P P P P P P P
, Your patient's morning labs revealed a hemoglobin level of 6.3 and hema
P P P P P P P P P P P
tocrit of 18. What blood product do you expect to administer? -
P P P P P P P P P P P
✔✔✔ Correct Answer > PRBCs P P P P
Your 68-year- P
old patient is a Type 1 diabetic with a history of schizophrenia and exhibits
P P P P P P P P P P P P P P
signs and symptoms of tardive dyskinesia. What long-
P P P P P P P
term medication is associated with signs and symptoms of tardive dyskine
P P P P P P P P P P
sia? - P
P✔✔✔ Correct Answer > risperidone, olanzapine,quetiapine, ziprasidon
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e, aripiprazole, paliperidone, lurasidone, chlorpromazine, fluphenazine, h
P P P P P P
aloperidol, perphenazine P
Your 80-year- P
old patient is being discharged home post CVA. She livesalone, yet still re
P P P P P P P P P P P P P
quires assistance with ADLs. What referral is MOST appropriate to ensure
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her needs are met? - ✔✔✔ Correct Answer >Case Manager
P P P P P P P P P P P
Central Telemetry calls and tells you your patient is experiencing bra
P P P P P P P P P P
dycardia. What is the first thing you should do after entering theroom
P P P P P P P P P P P P
? - ✔✔✔ Correct Answer > Assess the patient and take vitalsigns.
P P P P P P P P P P P P
Your patient is currently under 1:1 observation for suicide precautions.H
P P P P P P P P P P
e states he needs to have a bowel movement and would like some priva
P P P P P P P P P P P P P
cy to use the bathroom. What is the MOST appropriate response?
P P P P P P P P P P
-
✔✔✔ Correct Answer > "I must be within an arms' length view ofyou at
P P P P P P P P P P P P P P P
all times for your safety, including while using the bathroom."
P P P P P P P P P P
