Medical-Surgical RN A Prophecy Relias 100 Q&As Latest 2023, Exams of Nursing

Download Medical-Surgical RN A Prophecy Relias 100 Q&As Latest 2023 and more Exams Nursing in PDF only on Docsity! Medical-Surgical RN A Prophecy Relias 100 Q&As Latest 2023 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 ✅broth, jello, soft fruit no skin, Medical-Surgical RN A Prophecy Relias 100 Q&As Latest 2023 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 ✅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. Medical-Surgical RN A Prophecy Relias 100 Q&As Latest 2023 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. Medical-Surgical RN A Prophecy Relias 100 Q&As Latest 2023 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 Medical-Surgical RN A Prophecy Relias 100 Q&As Latest 2023 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 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 Medical-Surgical RN A Prophecy Relias 100 Q&As Latest 2023 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 Medical-Surgical RN A Prophecy Relias 100 Q&As Latest 2023 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 ✅Inform the provider that explaining the procedure is outside the nurse's scope of practice. The patient has diltiazem HCl (Cardizem CD) ordered and is requesting the capsule be mixed into her morning yogurt. How should you respond? - correct answer ✅"Sorry, it is a slow-release medication that cannot be opened or crushed." Medical-Surgical RN A Prophecy Relias 100 Q&As Latest 2023 Your 72-year-old male patient is admitted for colon cancer related complications and has a history of CHF, stroke, and a recent knee replacement. Based on your patient's risk assessment, you determine he is at risk for venous thromboembolism (VTE). What is an appropriate VTE prophylaxis order for this patient? - correct answer ✅Enoxaparin (Lovenox) once daily and intermittent pneumatic compressions (IPC) You receive a provider's order that is not consistent with evidence-based practice. What is your FIRST step? - correct answer ✅Clarify the order with the provider. When would sucralfate (Carafate) 4 times daily be scheduled for? - correct answer ✅1 hour before meals and at bedtime Your patient's morning labs revealed a hemoglobin level of 6.3 and hematocrit of 18. What blood product do you expect to administer? - correct answer ✅PRBCs Medical-Surgical RN A Prophecy Relias 100 Q&As Latest 2023 (Norvasc), alprazolam (Xanax), and carbidopa-levodopa (Sinemet). What condition do you MOST likely suspect? - correct answer ✅Delirium What is the proper technique when suctioning a tracheostomy? - correct answer ✅Suction in a circular motion while the catheter is being pulled out. Your new patient admitted for cholecystitis expresses she has a history of anxiety disorder. She is feeling panicked and does not think she can handle staying in the hospital for her surgery. What action is MOST appropriate for you to take? - correct answer ✅Sit calmly next to her and offer her compassion and a sense of security. The provider orders and IV infusion of D5W 1000 mL to infuse over the next 6 hours. How many mLs per hour should the IV pump be set to? - correct answer ✅167 mL/hr You are assigned a new admission and note a Braden score of 11 after completing your assessment. Which interventions would be MOST appropriate based on your assessment? - correct answer ✅Turn q 2hours, request nutrition consult, request low airloss mattress. Medical-Surgical RN A Prophecy Relias 100 Q&As Latest 2023 Your patient may have tuberculosis TB) and is placed in airborne precautions. What test would you expect to be ordered? - correct answer ✅Acid-fast bacilli sputum Your patient starts to complain of difficulty breathing while laying down, and states that he has been coughing up pink sputum. While performing your assessment, you notice jugular vein distention and coarse crackles in both lungs on auscultation. What diagnosis do you suspect? - correct answer ✅Congestive heart failure You received a patient post op transurethral resection of the prostate (TURP). Which of the following symptoms would cause you the MOST concern? - correct answer ✅Hemorrhage and hypotension Your patient with C. diff (Clostridioides difficile) has a family member about to leave the room. What education about performing hand hygiene should you give? - correct answer ✅Hand hygiene with soap and water Medical-Surgical RN A Prophecy Relias 100 Q&As Latest 2023 Your patient has a diagnosis of urinary tract infection (UTI) and is currently taking medication that has recently made her urine reddish-orange. Which of the following medications would cause this side effect? - correct answer ✅Phenazopyridine (Pyridium) Your patient is taking digoxin (Lanoxin) and has a potassium level of 3.0. How might this affect the patient? - correct answer ✅Increase risk of digoxin toxicity You are preparing to hang 1 unit PRBC's to administer to your patient. The patient states, "I don't take blood products." What is the MOST appropriate response? - correct answer ✅"You have the right to refuse the blood transfusion. I will inform the provider of your decision." An older adult patient arrives on the unit looking emaciated, disheveled, and with soiled clothes. The patient claims that his daughter cares for him at home. What would you suspect? - correct answer ✅Neglect You just left your patient's room with her husband at bedside. You then receive a phone call from someone states that she is your patient's mother and demands updates about your patient. What should you do NEXT? - Medical-Surgical RN A Prophecy Relias 100 Q&As Latest 2023 What medication would you anticipate to be ordered for a patient who has a LDL > 200 mg/dL? - correct answer ✅Statin Fifteen minutes after starting a blood transfusion, the patient complains of lower back pain, shortness of breath, and chills. What is your FIRST action? - correct answer ✅Stop the tranfusion. Your patient had a transurethral resection of the prostate (TURP) 24 hours ago. What signs require further intervention? - correct answer ✅Bright red urine What condition (not medication related) might cause an elevation in the patients PT/INR level? - correct answer ✅Liver disease Your patient admitted for small bowel obstruction has been vomiting for the last 3 days. What electrolyte imbalance would you expect to be associated with this patient? - correct answer ✅Hypokalemia Digoxin (Lanoxin) 125 mcg is equivalent to how many mg? - correct answer ✅0.125mg Medical-Surgical RN A Prophecy Relias 100 Q&As Latest 2023 As you are walking down the hallway you overhear your colleague discussing her personal family issues with a patient. What would be the MOST appropriate response? - correct answer ✅Remind her later of her responsibility for establishing and maintaining professional boundaries with patients. Your patient, who has soft wrist restraints for safety (non-violent), is working with the occupational therapist at the bedside. The nursing assistant enters and says, "The patient is not allowed to have his restraints untied." How do you respond? - correct answer ✅"Restraints can be temporarily off while directly working with staff. Let me know when the therapy session is finished and I will re-apply them." Your patient suddenly develops signs and symptoms of shortness of breath, restlessness, tachypnea, hemoptysis, and decreased oxygen saturations despite being on 2L/min of O2 by nasal cannula. What do you expect is happening? - correct answer ✅Pulmonary embolism The dosage of which drug must be tapered down slowly to prevent acute adrenal insufficiency? - correct answer ✅Prednisone Medical-Surgical RN A Prophecy Relias 100 Q&As Latest 2023 Your patient with CHF states, "I can still eat the same food, I just have to weight myself everyday." Based on this statement, which nursing diagnosis would be appropriate? - correct answer ✅Knowledge Deficit patient arrives on unit. you do an assessment and notice lice in her hair. what is your first action? - correct answer ✅Secure a private room Patient presents dusky pallor and pulseless. First action - correct answer ✅Initiate facility code procedure