LATEST MedicalSurgical RN A Prophecy Relias Test, Answered 2023

LATEST MedicalSurgical RN A
Prophecy Relias Test,
Answered 2023



1.2 milligrams is equal to how many micrograms? -
CORRECT ANSWER-1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in
place. How do you ensure effective drain function? -
CORRECT ANSWER-Compress 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? - CORRECT ANSWER-Deflate the
balloon, advance the catheter further, then reinflate
the balloon
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? -
CORRECT ANSWER-Enoxaparin (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? - CORRECT ANSWER-Clarify the order with the
provider.
When would sucralfate (Carafate) 4 times daily be
scheduled for? - CORRECT ANSWER-1 hour before
meals and at bedtime
Your patient has symptomatic anemia but is refusing a
blood transfusion for religious reason. What is an
appropriate response? - CORRECT ANSWER-Respect 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? -
CORRECT ANSWER-broth, jello, soft fruit no skin,
What is a proton pump inhibitor, such as pantoprazole
(Protonix) used for? - CORRECT ANSWER-Acid
Reduction
Which adaptive equipment would be MOST
appropriate to use for a severely contracted patient
who is unable to bear weight when transferring from
the bed to the chair? - CORRECT ANSWER-Patient lift
(e.g., Hoyer)
Your new patient understands very limited English.
How should you communicate with them when
completing the admission assessment? - CORRECT
ANSWER-Use the organization's interpreter services.
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? - CORRECT
ANSWER-Report to the post-surgical unit.
Which tool should you use to assess pain in you 80-
year-old patient with severe dementia? - CORRECT
ANSWER-PAINAD 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? - CORRECT
ANSWER-Notify the charge nurse and social worker of
your concerns