PROPHECY HEALTH MEDICAL SURGICAL RN A REAL QUESTIONS WITH VERIFIED SOLUTIONS/A+ GRADE/2023

PART I
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 Ans:- Patient Lift example hoyer
What lab values are expected to be in a patient with end stage renal disease on
hemodialysis
Correct Ans:- 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 Ans:- 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 Ans:- Airborne precautions
Upon entering your patient's room you note that they are having a seizure. What is
your 1st action?
Correct Ans:- 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 Ans:- 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 Ans:- 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 Ans:- Is late afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix) used for?
Correct Ans:- 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?
PROPHECY HEALTH MEDICAL SURGICAL RN A REAL
QUESTIONS WITH VERIFIED SOLUTIONS/A+ GRADE/2023
Correct Ans:- Hyperoxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that are:
Correct Ans:- 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 Ans:- 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 Ans:- 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 Ans:- LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem?
Correct Ans:- 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 Ans:- Clear liquids
Which tool should you use to assess pain in your 80 year old patient with severe
dementia?
Correct Ans:- ?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective
drain function?
Correct Ans:- 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 Ans:- Severe abdominal pain or rebound tenderness