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MEDICAL SURGICAL RN PROPHECY RELIAS EXAM | NEWEST ACTUAL EXAM COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS GRADED A+ | 100% PASS | 2025 UPDATE!

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MEDICAL SURGICAL RN PROPHECY RELIAS EXAM | NEWEST ACTUAL EXAM COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS GRADED A+ | 100% PASS | 2025 UPDATE! The patient has diltiazem HCl (Cardizem CD) ordered and is requesting the capsule be mixed into her morning yogurt. How should you respond? - Correct Answer "Sorry, it is a slow-release medication that cannot be opened or crushed." Your patient is a 40-year-old female with a recent history of hair loss, extremely dry skin, a nd a 20-point weight loss in the last 3 weeks. She also exhibits occasional episodes of tremors in her upper extremities. What condition do these symptoms MOST likely indicate? - Correct Answer Hyperthyroidism Insulin lispro (Humalog) is orders via sliding scale a.c. for your patient with diabetes. When is the best time to administer insulin lispro (Humalog)? - Correct Answer 15 min before the meal arrives Your 72-year-old male patient is admitted for colon cancer related complications and has a history of CHF, stroke, and a recent kneereplacement. Based on your patient's risk assessment, you determine he is at risk for venous thromboembolism (VTE). What is an appropriate VTE prophylaxis order for this patient? - Correct Answer Enoxaparin (Lovenox) once daily and intermittent pneumatic compressions (IPC) You receive a provider's order that is not consistent with evidencebased practice. What is your FIRST step? - Correct Answer Clarify the order with the provider. An older adult patient arrives

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MEDICAL SURGICAL RN PROPHECY
RELIAS EXAM | NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+ | 100%
PASS | 2025 UPDATE!

The patient has diltiazem HCl (Cardizem CD) ordered and is requesting
the capsule be mixed into her morning yogurt. How should you
respond? - ✔✔✔ Correct Answer > "Sorry, it is a slow-release
medication that cannot be opened or crushed."


Your patient is a 40-year-old female with a recent history of hair loss,
extremely dry skin, a nd a 20-point weight loss in the last 3 weeks. She
also exhibits occasional episodes of tremors in her upper extremities.
What condition do these symptoms MOST likely indicate? - ✔✔✔
Correct Answer > Hyperthyroidism


Insulin lispro (Humalog) is orders via sliding scale a.c. for your patient
with diabetes. When is the best time to administer insulin lispro
(Humalog)? - ✔✔✔ Correct Answer > 15 min before the meal arrives


Your 72-year-old male patient is admitted for colon cancer related
complications and has a history of CHF, stroke, and a recent knee

,replacement. Based on your patient's risk assessment, you determine
he is at risk for venous thromboembolism (VTE). What is an appropriate
VTE prophylaxis order for this patient? - ✔✔✔ Correct Answer >
Enoxaparin (Lovenox) once daily and intermittent pneumatic
compressions (IPC)


You receive a provider's order that is not consistent with evidence-
based practice. What is your FIRST step? - ✔✔✔ Correct Answer >
Clarify the order with the provider.


An older adult patient arrives on the unit looking emaciated,
disheveled, and with soiled clothes. The patient claims that his
daughter cares for him at home. What would you suspect? - ✔✔✔
Correct Answer > Neglect


You just left your patient's room with her husband at bedside. You then
receive a phone call from someone states that she is your patient's
mother and demands updates about your patient. What should you do
NEXT? - ✔✔✔ Correct Answer > Verify your patient's consent to
release information to her mother.


When would sucralfate (Carafate) 4 times daily be scheduled for? -
✔✔✔ Correct Answer > 1 hour before meals and at bedtime

, Your patient's morning labs revealed a hemoglobin level of 6.3 and
hematocrit of 18. What blood product do you expect to administer? -
✔✔✔ Correct Answer > PRBCs


Your 68-year-old patient is a Type 1 diabetic with a history of
schizophrenia and exhibits signs and symptoms of tardive dyskinesia.
What long-term medication is associated with signs and symptoms of
tardive dyskinesia? - ✔✔✔ Correct Answer > risperidone, olanzapine,
quetiapine, ziprasidone, aripiprazole, paliperidone, lurasidone,
chlorpromazine, fluphenazine, haloperidol, perphenazine


Your 80-year-old patient is being discharged home post CVA. She lives
alone, yet still requires assistance with ADLs. What referral is MOST
appropriate to ensure her needs are met? - ✔✔✔ Correct Answer >
Case Manager


Central Telemetry calls and tells you your patient is experiencing
bradycardia. What is the first thing you should do after entering the
room? - ✔✔✔ Correct Answer > Assess the patient and take vital
signs.


Your patient is currently under 1:1 observation for suicide precautions.
He states he needs to have a bowel movement and would like some
privacy to use the bathroom. What is the MOST appropriate response?
- ✔✔✔ Correct Answer > "I must be within an arms' length view of
you at all times for your safety, including while using the bathroom."

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