Medical-Surgical RN A Prophecy Relias Exam, Exams of Medicine

Download Medical-Surgical RN A Prophecy Relias Exam and more Exams Medicine in PDF only on Docsity! Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam Question with 100% Correct Answers Latest Updated 2024 GUARANTEED PASS 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 Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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, 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 Medical-Surgical RN A Prophecy Relias Exam 2022 latest update catch my breath." Physical 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 brought back.? You notice on her chart and wrist band that she is a full Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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 level. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update are: BP 130/70, Temp 97.9F, HR 52, RR 16, O2 Sat 100% on room air. What should you do NEXT? - answerHold 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? - answerNon-rebreather mask Your patient is on contact precautions for active MRSA. What proper PPE should you use before entering the room? - answerGown 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? - answerVomiting and diarrhea Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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 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 suspect? - answerHemorrhage Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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? - answerParacentesis What is clubbing of the fingers MOST likely associated with? - answerChronic oxygen deficiency A patient on warfarin (Coumadin/Jantoven) has an INR of 6. Which medication would you anticipate administering? - answerVitamin 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? - answer72 hours 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 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 He states he needs to have a bowel movement and would like some privacy to use the bathroom. What is the MOST appropriate response? - answer"I must be within an arms' length view of you at all times for your safety, including while using the bathroom." 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 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. The provider orders and IV infusion of D5W 1000 mL to infuse over Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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? - answerHand hygiene with soap and water 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? - answerPhenazopyridine (Pyridium) Your patient is taking digoxin (Lanoxin) and has a potassium level of 3.0. How might this affect the patient? - answerIncrease 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? - answer"You have the right to refuse the blood transfusion. I will inform the provider of your decision." Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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 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 Which actions should you take FIRST? - answerInitiate droplet precautions What medication would you anticipate to be ordered for a patient who has a LDL > 200 mg/dL? - answerStatin Fifteen minutes after starting a blood transfusion, the patient complains of lower back pain, shortness of breath, and chills. What is your FIRST action? - answerStop the tranfusion. Your patient had a transurethral resection of the prostate (TURP) 24 hours ago. What signs require further intervention? - answerBright red urine What condition (not medication related) might cause an elevation in the patients PT/INR level? - answerLiver disease Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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. Your patient, who has soft wrist restraints for safety (non-violent), is working with the occupational therapist at the bedside. The nursing Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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