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

Download Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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, 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 Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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 of your concerns. 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? - answerStat CT of head Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the indwelling urinary catheter in the last 2 hours. What is your patient MOST likely experiencing. - answerSepsis What type of personal protective equipment (PPE) is applied prior to entering a room for a patient with C. diff? - answerGown and gloves Your patient continues to pull at their IV site located in their left forearm despite verbal reminders and increased observation. The nursing assistant recommends using soft mitt restraints on the patient. What is your recommendation? - answerRequest an order for soft mitts as they are the least restrictive Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson's disease, depression, and alcohol use. On his second hospitalized day, you notice he is more anxious and restless than his baseline. What would be your FIRST nursing intervention? - answerAsk the Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update 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 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 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 Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Black and tarry colored stools are CLASSIC symptoms of what condition? - answerBleeding gastric ulcer You have 4 patients who have high priority needs. One needs to go to surgery, one 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 FIRST? - answerThe patient with chest pain 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 Your 68-year-old patient is a Type 1 diabetic with a history of schizophrenia and exhibits signs and symptoms of tardive dyskinesia. What long-term medication is associated with signs and symptoms of tardive dyskinesia? - answerrisperidone, olanzapine, quetiapine, ziprasidone, aripiprazole, paliperidone, lurasidone, chlorpromazine, fluphenazine, haloperidol, perphenazine Your 80-year-old patient is being discharged home post CVA. She lives alone, yet still requires assistance with ADLs. What referral is MOST appropriate to ensure her needs are met? - answerCase Manager Central Telemetry calls and tells you your patient is experiencing bradycardia. What is the first thing you should do after entering the room? - answerAssess the patient and take vital signs. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Medical-Surgical RN A Prophecy Relias Exam 2022 latest update Your patient is currently under 1:1 observation for suicide precautions. 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 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 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 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 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 provider orders a Heparin infusion of 900 units/hr. Your IV medication on hand has 25,000 units of Heparin in 500 mL of D5W. How many mL/hr will you infuse? - answer18 mL/hr Your patient has developed a productive cough and fever. The provider is suspecting influenza. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update