Medical-Surgical RN A Prophecy Relias Exam 2022, Exams of Nursing

Download Medical-Surgical RN A Prophecy Relias Exam 2022 and more Exams Nursing in PDF only on Docsity! Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 1.2 milligrams is equal to how many micrograms? - answer1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain function? - answerCompress 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? - answerDeflate 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? - answerRespect 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? - answerbroth, jello, soft fruit no skin, Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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? - answerReport to the post-surgical unit. What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? - answerAcid 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? - answerPatient lift (e.g., Hoyer) Which tool should you use to assess pain in you 80-year-old patient with severe dementia? - answerPAINAD 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? - answerNotify the charge nurse and social worker Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update assessment reveals jugular vein distention and a third heart sound (S3). These symptoms are indicative of what condition? - answerHeart failure 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? - answerAirborne precautions Patients with diabetes are at high risk for complications from damage to what body areas? - answerNerve 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? - answerCheck 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 Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update brought back.? You notice on her chart and wrist band that she is a full code. What would be the MOST appropriate action? - answerDiscuss 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? - answerNo 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? - answerUse 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? - answerObtain capillary blood glucose Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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? - answerPerform a bladder scan Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update intolerance to the feedings? - answerVomiting and diarrhea Upon entering your patient's room, you note that they are having a seizure. What is your FIRST action? - answerPosition the patient on their side to maintain the airway. Your 18-year-old female patient was admitted with dehydration secondary to anorexia nervosa. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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? - answerStay 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? - answerHyperoxygenate patient. Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and reports having black colored stool today. What do you most likely suspect? - answerGastrointestinal 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 Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update suspect? - answerHemorrhage Which of the following nursing diagnoses is MOST important for a patient with chronic obstructive pulmonary disease (COPD)? - answerImpaired 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? - answerfamotidine (Pepcid) What is an early symptom that the patient is developing a complication of heart failure? - answerEdema in the legs and feet Black and tarry colored stools are CLASSIC symptoms of what condition? - answerBleeding gastric ulcer Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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? - answerEncourage the patient to cough and deep breathe. What patient population is the pneumococcal vaccine, PPSV23 indicated for? - answerAdults 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? - answerPalliative 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? - answerInform the provider that explaining the procedure is outside the nurse's scope of practice. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update The patient has diltiazem HCl (Cardizem CD) ordered and is requesting the capsule be mixed into her morning yogurt. How should you respond? - answer"Sorry, it is a slow-release medication that cannot be opened or crushed." Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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? - answerEnoxaparin (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? - answerClarify the order with the provider. When would sucralfate (Carafate) 4 times daily be scheduled for? - answer1 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? - answerPRBCs Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update A female patient requests a female nurse to provide care for her based on her religious beliefs. What is the MOST appropriate action to take? - answerAccommodate her request if possible. Your patient is a 40-year-old female with a recent history of hair loss, extremely dry skin, a nd a 20-point weight loss in the last 3 weeks. She also exhibits occasional episodes of tremors in her upper extremities. What condition do these symptoms MOST likely indicate? - answerHyperthyroidism Insulin lispro (Humalog) is orders via sliding scale a.c. for your patient with diabetes. When is the best time to administer insulin lispro (Humalog)? - answer15 min before the meal arrives Which of the following would be used as part of the preop procedure to prevent infection? - answerProphylactic antibiotics Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Two days after surgery, your 72-year-old patient is showing signs of agitation and confusion, which is not his baseline. The severity fluctuates throughout the day. His medications include hydromorphone (Dilaudid), amlodipine (Norvasc), alprazolam (Xanax), and carbidopa-levodopa (Sinemet). What condition do you MOST likely suspect? - answerDelirium What is the proper technique when suctioning a tracheostomy? - answerSuction 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? - answerSit calmly next to her and offer her compassion and a sense of security. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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? - answer167 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? - answerTurn q Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update appropriate response? - 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? - answerNeglect Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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? - answerVerify your patient's consent to release information to her mother. The provider orders Heparin 4 units/kg SQ. Your patient weighs 176 pounds. How many units should you administer? - answer320 units What diagnostic finding would support a diagnosis of deep vein thrombosis? - answerPositive D-dimer You are caring for a combative 85-year-old male with a history of dementia, CHF, UTI, and anemia. The family states he appears to be more confused than his baseline. What tests do you expect the provider to order? - answerUrinalysis with cultures, CBC Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update A patient has recently been diagnosed with terminal cancer. Her responses are caustic and abrasive. What is the BEST way to respond? - answerAcknowledge her feelings, understanding this is expected in the grieving process. You notice your patient who recently had a stroke is coughing intermittently during meals. What is the MOST likely cause of this? - answerHe could be aspirating. A patient with acute diverticulitis is MOST likely to complain of abdominal pain with what quadrant? - answerLeft lower quadrant Which of the following is MOST important in preventing a catheter associated urinary tract infection (CAUTI)? - answerUsing sterile technique when inserting the catheter Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update the patients PT/INR level? - answerLiver 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? - answerHypokalemia Digoxin (Lanoxin) 125 mcg is equivalent to how many mg? - answer0.125mg 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? - answerRemind her later of her responsibility for establishing and maintaining professional boundaries with patients. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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? - 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 Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update cannula. What do you expect is happening? - answerPulmonary embolism The dosage of which drug must be tapered down slowly to prevent acute adrenal insufficiency? - answerPrednisone 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? - answerKnowledge Deficit patient arrives on unit. you do an assessment and notice lice in her hair. what is your first action? - answerSecure a private room - answer