Relias Medical Surgical RN A Exam Questions and Answers, Exams of Nursing

Download Relias Medical Surgical RN A Exam Questions and Answers and more Exams Nursing in PDF only on Docsity! Relias Medical Surgical Rn A Exam Questions And Answers Newest Update 2024/2025 A Complete Solution Best Graded A+ For Success Which adaptive equipment would be most appropriate to use for a severely contracted patient who What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - CORRECT ANSWERS 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? - CORRECT ANSWERS Hyperoxygenate patient dietary teaching for a patient with chronic renal failure should include choices that are: - CORRECT ANSWERS Low potassium, low protein, moderate fat Which of the following nursing diagnosis is most important for a patient with chronic obstructive pulmonary disease(COPD) - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS LISINOPRIL(PRINIVIL) What is the best indication of an acute neurological problem? - CORRECT ANSWERS Change in level of consciousness Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the patient? - CORRECT ANSWERS Clear liquids Which tool should you use to assess pain in your 80 year old patient with severe dementia? - CORRECT ANSWERS ? Relias Medical Surgical Rn A Exam Questions And Answers Newest Update 2024/2025 A Complete Solution Best Graded A+ For Success Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective drain function? - CORRECT ANSWERS Compress the drain, then plug the bulb to establish suction. Is a patient with peritonitis Presents with tachycardia, hypotension , and dehydration. What other assessment finding would you anticipate as part of your physical assessment? - CORRECT ANSWERS Severe abdominal pain or rebound tenderness Your patient with a known history of diabetes is displaying symptoms of diaphoresis, Cool skin, lethargy, And shakiness. What is your 1st action? - CORRECT ANSWERS Check the patient's blood glucose level a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you anticipate administering? - CORRECT ANSWERS Vitamin K While in a supine position your patient States" I'm tired and cannot catch my breath". Physical assessment reveals juggler vein distention and a 3rd heart sound(S3). These symptoms are indicative of what condition? - CORRECT ANSWERS Heart failure 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/minute And 02 sat is 84%. Which mode of oxygen delivery would most likely reverse the symptoms? - CORRECT ANSWERS Non rebreather mask is unable to bear weight when transferring from bed to chair - CORRECT ANSWERS Patient Lift example hoyer What lab values are expected to be in a patient with end stage renal disease on hemodialysis - CORRECT ANSWERS 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 Relias Medical Surgical Rn A Exam Questions And Answers Newest Update 2024/2025 A Complete Solution Best Graded A+ For Success Your new patient understands very limited English. How should you communicate with them when completing the admission assessment? - CORRECT ANSWERS Use the organizations interpreter services You are ordered to give Digoxin(lanoxin). Your patience vital signs are BP 130/75, temp 97.9F, HR 52, RR 16, o2 sat 100% on room air. What should you do next? - CORRECT ANSWERS HOLD DIGOXIN AND CALL PROVIDER 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 ANSWERS Discuss code status with the patient and follow up with the provider to ensure the medical record reflects her wishes What are the most common causes of acute onset pancreatitis? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS ? 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. - CORRECT ANSWERS 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? - CORRECT ANSWERS Ask the patient when his last drink of alcohol was Relias Medical Surgical Rn A Exam Questions And Answers Newest Update 2024/2025 A Complete Solution Best Graded A+ For Success Black and tarry Colored stools are classic symptoms of what condition? - CORRECT ANSWERS Bleeding gastric ulcer In addition to pain, pallor, and pulselssness, a neurovascular assessment Also includes checking for - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS PRBCs What medication is contraindicated In a patient with A hemorrhagic CVA? - CORRECT ANSWERS Heparin Your patient appears dusky colored and you cannot palpate a pulse. What is the 1st thing you should do? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS The patient with chest pain Relias Medical Surgical Rn A Exam Questions And Answers Newest Update 2024/2025 A Complete Solution Best Graded A+ For Success 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS Enoxaparin(Lovenox) once daily and intermittent pneumatic compressions(IPC) 1.2 Milligrams is equal to how many micrograms - CORRECT ANSWERS 1200 mcg Your patient is on contact precautions for active MRSA. What proper PPE should you use before entering the room? - CORRECT ANSWERS 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? - CORRECT ANSWERS Obtain capillary blood glucose level Your patient has symptomatic anemia but is refusing a blood transfusion for religious reasons. What is an appropriate response? - CORRECT ANSWERS 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? - CORRECT ANSWERS ?