Medical-Surgical RN A Prophecy Relias Exam
Questions And Answers Verified 100% Correct
What is the EARLIEST sign indicating increased intracranial pressure (ICP)? -
ANSWER Level of consciousness
In addition to pain, pallor, and pulselessness, a neurovascular assessment also
includes checking for: - ANSWER Paresthesia and paralysis
You received a report on a patient that sustained a right hemisphere CVA 48 hours ago.
What do you expect the patient to exhibit? - ANSWER Left sided weakness of the leg,
arm, and face.
You are ordered to give digoxin (Lanoxin). Your patients vital signs are: BP 130/70,
Temp 97.9F, HR 52, RR 16, O2 Sat 100% on room air. What should you do NEXT? -
ANSWER Hold digoxin (Lanoxin) and call the provider
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 Non-rebreather 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? - CORRECT
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? - CORRECT
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
To reduce the risk of infection and phlebitis in an adult patient with a peripheral IV, what
is the MINIMUM duration the catheter should remain in place before ROUTINE
replacement? - ANSWER 72 hours
You are caring for a patient post lobectomy with a chest tube in place for drainage.
What is a priority in care for this patient? - ANSWER Encourage the patient to cough
and deep breathe.
Questions And Answers Verified 100% Correct
What is the EARLIEST sign indicating increased intracranial pressure (ICP)? -
ANSWER Level of consciousness
In addition to pain, pallor, and pulselessness, a neurovascular assessment also
includes checking for: - ANSWER Paresthesia and paralysis
You received a report on a patient that sustained a right hemisphere CVA 48 hours ago.
What do you expect the patient to exhibit? - ANSWER Left sided weakness of the leg,
arm, and face.
You are ordered to give digoxin (Lanoxin). Your patients vital signs are: BP 130/70,
Temp 97.9F, HR 52, RR 16, O2 Sat 100% on room air. What should you do NEXT? -
ANSWER Hold digoxin (Lanoxin) and call the provider
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 Non-rebreather 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? - CORRECT
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? - CORRECT
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
To reduce the risk of infection and phlebitis in an adult patient with a peripheral IV, what
is the MINIMUM duration the catheter should remain in place before ROUTINE
replacement? - ANSWER 72 hours
You are caring for a patient post lobectomy with a chest tube in place for drainage.
What is a priority in care for this patient? - ANSWER Encourage the patient to cough
and deep breathe.
