Medical-Surgical RN A Prophecy Relias
Questions and Correct Answers
Your patient has a non-productive cough and presence of secretions in his tracheostomy. Prior to
suctioning the patient, what should you do FIRST? Correct answer
Hyperoxygenate the patient.
.
Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and reports having black colored stool
today. What do you most likely suspect? Correct 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? Correct answer
Hemorrhage
.
Which of the following nursing diagnoses is MOST important for a patient with chronic obstructive
pulmonary disease (COPD)? Correct 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? Correct answer
,famotidine (Pepcid)
.
What is an early symptom that the patient is developing a complication of heart failure? Correct 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? Correct 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? Correct answer
Paracentesis
.
What is clubbing of the fingers MOST likely associated with? Correct answer
Chronic oxygen deficiency
, A patient on warfarin (Coumadin/Jantoven) has an INR of 6. Which medication would you anticipate
administering? Correct 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? Correct 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? Correct answer
Encourage the patient to cough and deep breathe.
.
What patient population is the pneumococcal vaccine, PPSV23 indicated for? Correct answer
Adults aged 65 years and older
Your patient with stave IV terminal lung cancer continues to experience increasing pain as each day
passes. What would you anticipate the provider ordering for this patient? Correct answer
Palliative care consult
.
The provider gives you a telephone order to explain a surgical procedure to your patient and obtain
surgical consent. How should you respond? Correct answer
Questions and Correct Answers
Your patient has a non-productive cough and presence of secretions in his tracheostomy. Prior to
suctioning the patient, what should you do FIRST? Correct answer
Hyperoxygenate the patient.
.
Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and reports having black colored stool
today. What do you most likely suspect? Correct 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? Correct answer
Hemorrhage
.
Which of the following nursing diagnoses is MOST important for a patient with chronic obstructive
pulmonary disease (COPD)? Correct 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? Correct answer
,famotidine (Pepcid)
.
What is an early symptom that the patient is developing a complication of heart failure? Correct 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? Correct 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? Correct answer
Paracentesis
.
What is clubbing of the fingers MOST likely associated with? Correct answer
Chronic oxygen deficiency
, A patient on warfarin (Coumadin/Jantoven) has an INR of 6. Which medication would you anticipate
administering? Correct 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? Correct 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? Correct answer
Encourage the patient to cough and deep breathe.
.
What patient population is the pneumococcal vaccine, PPSV23 indicated for? Correct answer
Adults aged 65 years and older
Your patient with stave IV terminal lung cancer continues to experience increasing pain as each day
passes. What would you anticipate the provider ordering for this patient? Correct answer
Palliative care consult
.
The provider gives you a telephone order to explain a surgical procedure to your patient and obtain
surgical consent. How should you respond? Correct answer
