Medical-Surgical RN A Prophecy Relias Exam
Questions And Answers Verified 100% Correct
Upon entry to your patient's room, you find her sitting in High Fowler's position and
complaining of shortness of breath. Her respiratory rate is 34 breaths/min and O2 sat is 84%.
Which mode of oxygen delivery would MOST likely reverse these symptoms? - answer
Nonrebreather mask
Your patient is on contact precautions for active MRSA. What proper PPE should you use
before entering the room? - answer Gown and gloves
Your patient recently had a G-tube placed and intermittent enteral feedings have been initiated.
What symptoms may indicate intolerance to the feedings? - answer Vomiting and diarrhea
Upon entering your patient's room, you note that they are having a seizure. What is your FIRST
action? - answer Position the patient on their side to maintain the airway.
Your 18-year-old female patient was admitted with dehydration secondary to anorexia nervosa.
During your assessment you note she has a flat affect and says, "I just want to die. I'm tired of
my life." What should be your FIRST intervention? - answer Stay with the patient and ask fi she
has a plan to carry out this wish.
Your patient has a non-productive cough and presence of secretions in his tracheostomy. Prior to
suctioning the patient, what should you do FIRST? - answer Hyperoxygenate patient.
Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and reports having black colored
stool today. What do you most likely suspect? - answer Gastrointestinal bleeding
Your new patient was admitted with blunt force trauma to the abdomen following a motor
vehicle accident (MVA). A NG tube is in place for decompression; however, you note during the
, assessment that the stomach is rigid and hard during palpation. What condition do you suspect? -
answer Hemorrhage
Which of the following nursing diagnoses is MOST important for a patient with chronic
obstructive pulmonary disease (COPD)? - answer Impaired gas exchange
You have a patient going for dialysis. Their medications include lisinopril (Prinivil),
ondansetron (Zofran), famotidine (Pepcid), and atorvastatin (Lipitor). Which medication would
you possibly hold and seek clarification? - answer famotidine (Pepcid)
What is an early symptom that the patient is developing a complication of heart failure? -
answer Edema in the legs and feet
Black and tarry colored stools are CLASSIC symptoms of what condition? - answer Bleeding
gastric ulcer
You have 4 patients who have high priority needs. One needs to go to surgery, one needs STAT
lab draws from a PICC line, another has chest pain rated 8/10, and another needs toileting.
Which patient should you tend to FIRST? - answer The patient with chest pain
Your patient with Hepatitis C exhibits signs of jaundice and a distended abdomen. What
procedure would you anticipate being performed by the provider at the bedside for this patient? -
answer Paracentesis
What is clubbing of the fingers MOST likely associated with? - answer Chronic oxygen
deficiency
A patient on warfarin (Coumadin/Jantoven) has an INR of 6. Which medication would you
anticipate administering? - answer Vitamin K
Questions And Answers Verified 100% Correct
Upon entry to your patient's room, you find her sitting in High Fowler's position and
complaining of shortness of breath. Her respiratory rate is 34 breaths/min and O2 sat is 84%.
Which mode of oxygen delivery would MOST likely reverse these symptoms? - answer
Nonrebreather mask
Your patient is on contact precautions for active MRSA. What proper PPE should you use
before entering the room? - answer Gown and gloves
Your patient recently had a G-tube placed and intermittent enteral feedings have been initiated.
What symptoms may indicate intolerance to the feedings? - answer Vomiting and diarrhea
Upon entering your patient's room, you note that they are having a seizure. What is your FIRST
action? - answer Position the patient on their side to maintain the airway.
Your 18-year-old female patient was admitted with dehydration secondary to anorexia nervosa.
During your assessment you note she has a flat affect and says, "I just want to die. I'm tired of
my life." What should be your FIRST intervention? - answer Stay with the patient and ask fi she
has a plan to carry out this wish.
Your patient has a non-productive cough and presence of secretions in his tracheostomy. Prior to
suctioning the patient, what should you do FIRST? - answer Hyperoxygenate patient.
Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and reports having black colored
stool today. What do you most likely suspect? - answer Gastrointestinal bleeding
Your new patient was admitted with blunt force trauma to the abdomen following a motor
vehicle accident (MVA). A NG tube is in place for decompression; however, you note during the
, assessment that the stomach is rigid and hard during palpation. What condition do you suspect? -
answer Hemorrhage
Which of the following nursing diagnoses is MOST important for a patient with chronic
obstructive pulmonary disease (COPD)? - answer Impaired gas exchange
You have a patient going for dialysis. Their medications include lisinopril (Prinivil),
ondansetron (Zofran), famotidine (Pepcid), and atorvastatin (Lipitor). Which medication would
you possibly hold and seek clarification? - answer famotidine (Pepcid)
What is an early symptom that the patient is developing a complication of heart failure? -
answer Edema in the legs and feet
Black and tarry colored stools are CLASSIC symptoms of what condition? - answer Bleeding
gastric ulcer
You have 4 patients who have high priority needs. One needs to go to surgery, one needs STAT
lab draws from a PICC line, another has chest pain rated 8/10, and another needs toileting.
Which patient should you tend to FIRST? - answer The patient with chest pain
Your patient with Hepatitis C exhibits signs of jaundice and a distended abdomen. What
procedure would you anticipate being performed by the provider at the bedside for this patient? -
answer Paracentesis
What is clubbing of the fingers MOST likely associated with? - answer Chronic oxygen
deficiency
A patient on warfarin (Coumadin/Jantoven) has an INR of 6. Which medication would you
anticipate administering? - answer Vitamin K
