Medical-Surgical RN A Prophecy Relias Exam
Questions and Answers Correctly Verified Latest
Update 2024 Graded A+
Your new admission presents with a cough, unintentional weight loss, frequent night sweats, and bloody
sputum. What type of isolation precautions should you initiate, if any? -correct answer Airborne
precautions
Patients with diabetes are at high risk for complications from damage to what body areas? -correct
answer Nerve and kidney damage
If your patient with a known history of diabetes is displaying symptoms of diaphoresis, cool skin,
lethargy, and shakiness. What is your first action? -correct answer Check the patient's blood glucose
level.
Your patient tells you, "I hope I don't die, but if I do I don't want to be brought back.? You notice on her
chart and wrist band that she is a full code. What would be the MOST appropriate action? -correct
answer Discuss code status with the patient and follow up with provider to ensure the medical record
reflects her wishes.
Your coworker posted photos on social media from a birthday party they had for her in the unit
breakroom. What should be your NEXT course of action? -correct answer No action is necessary because
no PHI was displayed.
Your new patient understands very limited English. How should you communicate with them when
completing the admission assessment? -correct answer Use the organization's interpreter services.
You are caring for a patient with a history of diabetes mellitus. You walk into the room and find the
patient lethargic and diaphoretic. What is your first action? -correct answer Obtain capillary blood
glucose level.
Your patient is 4 hours post open appendectomy and has not voided yet. You note his lower abdomen is
distended. What should you do NEXT? -correct answer Perform a bladder scan
A patient with peritonitis presents with tachycardia, hypotension, and dehydration. What other
assessment finding would you anticipate as part of your physical assessment? -correct answer Severe
abdominal pain or rebound tenderness
What is the EARLIEST sign indicating increased intracranial pressure (ICP)? -correct answer Level of
consciousness
In addition to pain, pallor, and pulselessness, a neurovascular assessment also includes checking for: -
correct 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? -correct 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? -correct 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? -correct answer Non-rebreather mask
Your patient is on contact precautions for active MRSA. What proper PPE should you use before entering
the room? -correct answer Gown and gloves
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
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? -correct answer Acid
Reduction
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
Questions and Answers Correctly Verified Latest
Update 2024 Graded A+
Your new admission presents with a cough, unintentional weight loss, frequent night sweats, and bloody
sputum. What type of isolation precautions should you initiate, if any? -correct answer Airborne
precautions
Patients with diabetes are at high risk for complications from damage to what body areas? -correct
answer Nerve and kidney damage
If your patient with a known history of diabetes is displaying symptoms of diaphoresis, cool skin,
lethargy, and shakiness. What is your first action? -correct answer Check the patient's blood glucose
level.
Your patient tells you, "I hope I don't die, but if I do I don't want to be brought back.? You notice on her
chart and wrist band that she is a full code. What would be the MOST appropriate action? -correct
answer Discuss code status with the patient and follow up with provider to ensure the medical record
reflects her wishes.
Your coworker posted photos on social media from a birthday party they had for her in the unit
breakroom. What should be your NEXT course of action? -correct answer No action is necessary because
no PHI was displayed.
Your new patient understands very limited English. How should you communicate with them when
completing the admission assessment? -correct answer Use the organization's interpreter services.
You are caring for a patient with a history of diabetes mellitus. You walk into the room and find the
patient lethargic and diaphoretic. What is your first action? -correct answer Obtain capillary blood
glucose level.
Your patient is 4 hours post open appendectomy and has not voided yet. You note his lower abdomen is
distended. What should you do NEXT? -correct answer Perform a bladder scan
A patient with peritonitis presents with tachycardia, hypotension, and dehydration. What other
assessment finding would you anticipate as part of your physical assessment? -correct answer Severe
abdominal pain or rebound tenderness
What is the EARLIEST sign indicating increased intracranial pressure (ICP)? -correct answer Level of
consciousness
In addition to pain, pallor, and pulselessness, a neurovascular assessment also includes checking for: -
correct 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? -correct 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? -correct 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? -correct answer Non-rebreather mask
Your patient is on contact precautions for active MRSA. What proper PPE should you use before entering
the room? -correct answer Gown and gloves
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
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? -correct answer Acid
Reduction
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
