Medical-Surgical RN A exam with verified | | | | | |
answers
1.2 |milligrams |is |equal |to |how |many |micrograms? |- |correct |answer |1200 |mcg
Your |post-op |patient |has |a |Jackson-Pratt |(JP) |drain |in |place. |How |do |you |ensure |effective |drain |
function? |- |correct |answer |Compress |the |drain, |then |plug |the |bulb |to |establish |suction
Your |male |patient |complains |of |discomfort |while |inflating |the |balloon |during |insertion |of |an |
indwelling |urinary |catheter. |What |would |be |the |MOST |appropriate |action? |- |correct |answer |Deflate |
the |balloon, |advance |the |catheter |further, |then |reinflate |the |balloon
Your |patient |has |symptomatic |anemia |but |is |refusing |a |blood |transfusion |for |religious |reason. |What |is
|an |appropriate |response? |- |correct |answer |Respect |his |wishes |and |notify |the |provider
Your |patient |is |admitted |with |diverticulitis. |What |type |of |diet |do |you |expect |to |be |ordered |for |the |
patient? |- |correct |answer |High |Fiber
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 |understaffed. |Which |is |the |MOST |appropriate |action? |- |
correct |answer |Report |to |the |post-surgical |unit.
What |is |a |proton |pump |inhibitor, |such |as |pantoprazole |(Protonix) |used |for? |- |correct |answer |Coat |the
|lining |of |the |stomach
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? |- |correct |answer |Patient |lift |
(e.g., |Hoyer)
Which |tool |should |you |use |to |assess |pain |in |you |80-year-old |patient |with |severe |dementia? |- |correct |
answer |PAINAD |scale
, 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? |- |
correct |answer |Notify |the |charge |nurse |and |social |worker |of |your |concerns.
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? |- |correct |answer |Stat |CT |of |head
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. |- |correct |answer |Sepsis
What |type |of |personal |protective |equipment |(PPE) |is |applied |prior |to |entering |a |room |for |a |patient |
with |C. |diff? |- |correct |answer |Gown |and |gloves
Your |patient |continues |to |pull |at |their |IV |site |located |in |their |left |forearm |despite |verbal |reminders |
and |increased |observation. |The |nursing |assistant |recommends |using |soft |mitt |restraints |on |the |
patient. |What |is |your |recommendation? |- |correct |answer |Request |an |order |for |soft |mitts |as |they |are |
the |least |restrictive
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? |- |correct |answer |Ask |the |
patient |when |his |last |drink |of |alcohol |was.
What |is |the |BEST |indication |of |an |acute |neurological |problem? |- |correct |answer |Change |in |level |of |
consciousness
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? |- |correct |answer |Heart |failure
answers
1.2 |milligrams |is |equal |to |how |many |micrograms? |- |correct |answer |1200 |mcg
Your |post-op |patient |has |a |Jackson-Pratt |(JP) |drain |in |place. |How |do |you |ensure |effective |drain |
function? |- |correct |answer |Compress |the |drain, |then |plug |the |bulb |to |establish |suction
Your |male |patient |complains |of |discomfort |while |inflating |the |balloon |during |insertion |of |an |
indwelling |urinary |catheter. |What |would |be |the |MOST |appropriate |action? |- |correct |answer |Deflate |
the |balloon, |advance |the |catheter |further, |then |reinflate |the |balloon
Your |patient |has |symptomatic |anemia |but |is |refusing |a |blood |transfusion |for |religious |reason. |What |is
|an |appropriate |response? |- |correct |answer |Respect |his |wishes |and |notify |the |provider
Your |patient |is |admitted |with |diverticulitis. |What |type |of |diet |do |you |expect |to |be |ordered |for |the |
patient? |- |correct |answer |High |Fiber
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 |understaffed. |Which |is |the |MOST |appropriate |action? |- |
correct |answer |Report |to |the |post-surgical |unit.
What |is |a |proton |pump |inhibitor, |such |as |pantoprazole |(Protonix) |used |for? |- |correct |answer |Coat |the
|lining |of |the |stomach
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? |- |correct |answer |Patient |lift |
(e.g., |Hoyer)
Which |tool |should |you |use |to |assess |pain |in |you |80-year-old |patient |with |severe |dementia? |- |correct |
answer |PAINAD |scale
, 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? |- |
correct |answer |Notify |the |charge |nurse |and |social |worker |of |your |concerns.
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? |- |correct |answer |Stat |CT |of |head
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. |- |correct |answer |Sepsis
What |type |of |personal |protective |equipment |(PPE) |is |applied |prior |to |entering |a |room |for |a |patient |
with |C. |diff? |- |correct |answer |Gown |and |gloves
Your |patient |continues |to |pull |at |their |IV |site |located |in |their |left |forearm |despite |verbal |reminders |
and |increased |observation. |The |nursing |assistant |recommends |using |soft |mitt |restraints |on |the |
patient. |What |is |your |recommendation? |- |correct |answer |Request |an |order |for |soft |mitts |as |they |are |
the |least |restrictive
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? |- |correct |answer |Ask |the |
patient |when |his |last |drink |of |alcohol |was.
What |is |the |BEST |indication |of |an |acute |neurological |problem? |- |correct |answer |Change |in |level |of |
consciousness
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? |- |correct |answer |Heart |failure
