Prophecy / Relias Medical Surgical RN A 2024 Questions & Answers, Exams of Nursing

Download Prophecy / Relias Medical Surgical RN A 2024 Questions & Answers and more Exams Nursing in PDF only on Docsity! Prophecy / Relias medical surgical RN A | 2024 Questions & Answers | 100% Correct | Verified Which adaptive equipment would be most appropriate to use for a severely contracted patient who is unable to bear weight when transferring from bed to chair - ✔✔Patient Lift example hoyer What lab values are expected to be in a patient with end stage renal disease on hemodialysis - ✔✔BUN 32, CREATNINE 8.32 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? You're? - ✔✔Hold wayfaring (coumadin) for the next 48 hours Your new admission presents with a cough, unintentional weight loss, frequent knot sweats, and bloody sputum. What type of isolation precautions should you initiate, if any? - ✔✔Airborne precautions Upon entering your patient's room you note that they are having a seizure. What is your 1st action? - ✔✔Position the patient on their side to maintain the airway You find your coworker looking through your patient's medical record.. She States how is Mr. Smith doing? He is my best friend's dad. We are so worried about him. What is the best course of action? - ✔✔Tell her you cannot give her information and report her actions to your manager. Your male patient complaints of discomfort while inflating the balloon during insertion of a endwelling urinary catheter. What would be the most appropriate action? - ✔✔Deflate the balloon, advance the catheter further, then reinflate the balloon. Your patient takes regular insulin and NPH twice A-day for glucose control. What times should the patient be taught to be alert for signs of hypoglycemia? - ✔✔Is late afternoon and early morning What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - ✔✔Reduce gastric acid secretion Your patient has a non productive cough and presence of secretions in his tracheostomy. Prior to sectioning the patient, what should you do 1st? - ✔✔Hyperoxygenate patient dietary teaching for a patient with chronic renal failure should include choices that are: - ✔✔Low potassium, low protein, moderate fat Which of the following nursing diagnosis is most important for a patient with chronic obstructive pulmonary disease(COPD) - ✔✔Impaired gas exchange 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? - ✔✔Notify the charge nurse and social worker of your concerns. You have a patient going for dialysis. There are medications include Lisinopril(prinivil), ondansetron (zofran), famotidine(pepcid) and atorvastatin(lipitor). Which medication would you possibly hold and seek clarification? - ✔✔LISINOPRIL(PRINIVIL) What is the best indication of an acute neurological problem? - ✔✔Change in level of consciousness Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the patient? - ✔✔Clear liquids Which tool should you use to assess pain in your 80 year old patient with severe dementia? - ✔✔? Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective drain function? - ✔✔Compress the drain, then plug the bulb to establish suction. What are the most common causes of acute onset pancreatitis? - ✔✔Alcoholism and gallstones Your 18 year old female patient was admitted with dehydration secondary to anorexia nervosa. During your assessment you note she has a flat effect and says" I just want to die, I'm tired of my life ". What should be your 1st intervention? - ✔✔Stay with the patient and ask if she has a plan to carry out this wish A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the following? - ✔✔? To reduce the risk of infection and phlebotomy in an adult patient with a peripherL IV, What is the minimum duration the catheter should remain in place before routine replacement. - ✔✔72 hours Your patient was admitted for a hypertensive crisis and has a history of HTN. Parkinson disease, depression and alcohol use. On his 2nd hospitalized day, you notice he is more anxious and restless than his baseline. What would be your 1st nursing intervention? - ✔✔Ask the patient when his last drink of alcohol was Black and tarry Colored stools are classic symptoms of what condition? - ✔✔Bleeding gastric ulcer In addition to pain, pallor, and pulselssness, a neurovascular assessment Also includes checking for - ✔✔Parasthesia and paralysis After scrolling through your social media, you notice a coworker posted a photo with a patient from your unit. What is the most appropriate action to take? - ✔✔Report the situation to the hospital compliance officer. Your patient's morning labs revealed a hemoglobin level of 6.3 and hematocrit of 18. What blood product do you expect to administer? - ✔✔PRBCs What medication is contraindicated In a patient with A hemorrhagic CVA? - ✔✔Heparin Your patient appears dusky colored and you cannot palpate a pulse. What is the 1st thing you should do? - ✔✔Initiate a code per facility protocol and begin CPR Your 68 year old patient is a is a Type one diabetic with a history of schizophrenia And exhibit signs and symptoms of tardiness dyskinesia. Is what long term medication is associated with signs and symptoms of tardive dyskinesia? - ✔✔Chlorpromazine(thorazine) You received a report on a patient that sustained a right hemisphere CVA 48 hours ago. What do you expect the patient to exhibit? - ✔✔Lift sided weakness of the leg, arm, and face and face You have 4 patients who have high priority needs. One needs to go to surgery, 1 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 1st? - ✔✔The patient with chest pain Your coworker posted photos on social media from a birthday party they had for her in the unit break room. What should be your next course of action? - ✔✔No action is necessary because no PHI was displayed. Is your patient with stage IV Terminal lung cancer continues to experience increasing pain as each day passes. What would you anticipate the provider ordering for this patient? - ✔✔Palliative care consult 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 prophylaxis order for this patient? - ✔✔Enoxaparin(Lovenox) once daily and intermittent pneumatic compressions(IPC) 1.2 Milligrams is equal to how many micrograms - ✔✔1200 mcg Your patient is on contact precautions for active MRSA. What proper PPE should you use before entering the room? - ✔✔Gown and gloves You are caring for a patient with history of diabetes mellitus. You walk into the room and find the patient lethargic and diaphoretic. What is your 1st action? - ✔✔Obtain capillary blood glucose level Your patient has symptomatic anemia but is refusing a blood transfusion for religious reasons. What is an appropriate response? - ✔✔Respect his wishes and notify the provider Your patient has a temp of 102.3 F, HR 122, and has had 15ml of urine from the indwelling urinary catheter in the last 2 hours. What is your patient most likely experiencing? - ✔✔? Patients with diabetes are at a high risk for complications for damage in what body areas? - ✔✔Nerve and kidney damage Your patient is 4 hours post open appendectomy Anne has not voided yet. You note his lower abdomen is distended. What should you do next? - ✔✔Perform a bladder scan You receive a provider's order that is not consistent with evidence based practice.What is your 1st step? - ✔✔Clarify the order with the provider Is what is the earliest sign indicating increased intracranial pressure(ICP)? - ✔✔Level of consciousness What patient population is the pneumococcal vaccine PPSV23 indicated for? - ✔✔Adults aged 65 years and older Your patient takes 5 mg of warfarin(coumadin) day and reports having black cored stool today. What do you most likely suspect? - ✔✔Gastrointestinal bleeding Failed to capture question - ✔✔Failed to capture answer Failed to capture question - ✔✔Failed to capture answer