Relias Medical Surgical RN A Questions with Correct Answers 2024, Exams of Nursing

Download Relias Medical Surgical RN A Questions with Correct Answers 2024 and more Exams Nursing in PDF only on Docsity! 1 Relias Medical Surgical RN A Questions with Correct Answers 2024 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 Correct Answer Patient Lift example hoyer What lab values are expected to be in a patient with end stage renal disease on hemodialysis Correct Answer 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? Correct Answer 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? Correct Answer Airborne precautions Upon entering your patient's room you note that they are having a seizure. What is your 1st action? Correct Answer 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? Correct Answer 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? Correct Answer 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? Correct Answer Is late afternoon and early morning What is a proton pump inhibitor, such as pantoprazole (protonix) used for? Correct Answer 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 Answer Hyperoxygenate patient dietary teaching for a patient with chronic renal failure should include choices that are: Correct Answer Low potassium, low protein, moderate fat 2 Which of the following nursing diagnosis is most important for a patient with chronic obstructive pulmonary disease(COPD) Correct Answer 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 Answer 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 Answer LISINOPRIL(PRINIVIL) What is the best indication of an acute neurological problem? Correct Answer 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 Answer Clear liquids Which tool should you use to assess pain in your 80 year old patient with severe dementia? Correct Answer ? Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective drain function? Correct Answer 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 Answer 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 Answer 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 Answer 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 Answer 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 Answer Non rebreather mask 5 Your patient appears dusky colored and you cannot palpate a pulse. What is the 1st thing you should do? Correct Answer 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 Answer 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 Answer 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 Answer 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? Correct Answer 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 Answer 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 Answer Enoxaparin(Lovenox) once daily and intermittent pneumatic compressions(IPC) 1.2 Milligrams is equal to how many micrograms Correct Answer 1200 mcg Your patient is on contact precautions for active MRSA. What proper PPE should you use before entering the room? Correct Answer 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 Answer 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 Answer Respect his wishes and notify the provider 6 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 Answer ? Patients with diabetes are at a high risk for complications for damage in what body areas? Correct Answer 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? Correct Answer Perform a bladder scan You receive a provider's order that is not consistent with evidence based practice.What is your 1st step? Correct Answer Clarify the order with the provider Is what is the earliest sign indicating increased intracranial pressure(ICP)? Correct Answer Level of consciousness What patient population is the pneumococcal vaccine PPSV23 indicated for? Correct Answer 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? Correct Answer Gastrointestinal bleeding Failed to capture question Correct Answer Failed to capture answer Failed to capture question Correct Answer Failed to capture answer 7 Relias Medical Surgical RN A Questions with Correct Answers 2024 GOODLUCK