Relias Medical Surgical RN: Important Questions and Answers for Nursing Students | Exams Medicine | Docsity (2024)

Download Relias Medical Surgical RN: Important Questions and Answers for Nursing Students and more Exams Medicine in PDF only on Docsity! Relias medical surgical RN A Questions And Answers 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 Relias medical surgical RN A Questions And Answers 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 Relias medical surgical RN A Questions And Answers would most likely reverse the symptoms? - correct answer Non rebreather mask Your patient continues to pull at their iv 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? - correct answer Request and order for soft mitts As they are the least restrictive.. What is an early symptom that a patient is developing a complication of heart failure? - correct answer Edema in the legs and feet 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 under staffed. Which is the most appropriate action? - correct answer Report to the post surgical unit What type of personal protective equipment(Ppe) Is applied prior to entering a room for a patient with with C diff? - correct answer Gown and gloves When would sucralfate(Carafate) 4 times daily be scheduled for? - correct answer 1 hour before meals and at bedtime Relias medical surgical RN A Questions And Answers Your new patient was admitted with Blunt force trauma to the abdomen Following a motor vehicle accident. 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. - correct answer Hemorrhage What is clubbing of the fingers most likely associated with? - correct answer Chronic oxygen deficiency Is 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? - correct answer Paracentesis Is the provider gives you a telephone order to explain a surgical procedure to your patient and obtain surgical consent. How should you respond? - correct answer Inform the provider that explaining the procedure is outside the nurse's scope of practice. You're patient Recently had a G Tube Placed and interminent enteral Feedings have been initiated. What symptoms may indicate intolerance to the feedings? - correct answer Vomiting and diarrhea Relias medical surgical RN A Questions And Answers You are caring for a patient post lobotomy With a chest tube in place for drainage. What is a priority in caring for this patient? - correct answer Encourage the patient to cough and deep breathe. Your new patient understands very limited English. How should you communicate with them when completing the admission assessment? - correct answer 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 answer 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 answer 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 answer 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 Relias medical surgical RN A Questions And Answers 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 Relias medical surgical RN A Questions And Answers 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 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 Relias medical surgical RN A Questions And Answers 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