Relias medical surgical RN A 2024
1) Which adaptive equipment would be most appropriate to use for a severely contracted patient who is unable to bear
... [Show More] weight when transferring from bed to chair - Patient Lift example hoyer
2) What lab values are expected to be in a patient with end stage renal disease on hemodialysis - BUN 32, CREATNINE 8.32
3) 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? - Hold wayfaring (coumadin) for the next 48 hours
4) 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? - Airborne precautions
5) Upon entering your patient's room you note that they are having a seizure. What is your 1st action? - Position the patient on their side to maintain the airway
6) 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? - Tell her you cannot give her information and report her actions to your manager.
7) Your male patient complaints of discomfort while inflating the balloon during insertion of a endwelling urinary catheter. What would be the most appropriate action? - Deflate the balloon, advance the catheter further, then reinflate the balloon.
8) 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? - Is late afternoon and early morning
9) What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - Reduce gastric acid secretion
10) Your patient has a non productive cough and presence of secretions in his tracheostomy. Prior to sectioning the patient, what should you do 1st? - Hyperoxygenate patient
11) dietary teaching for a patient with chronic renal failure should include choices that are: - Low potassium, low protein, moderate fat
12) Which of the following nursing diagnosis is most important for a patient with chronic obstructive pulmonary disease(COPD) - Impaired gas exchange
13) 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? - Notify the charge nurse and social worker of your concerns.
14) 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? - LISINOPRIL(PRINIVIL)
15) What is the best indication of an acute neurological problem? - Change in level of consciousness
16) Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the patient? - Clear liquids
17) Which tool should you use to assess pain in your 80 year old patient with severe dementia? - ?
18) Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective drain function? - Compress the drain, then plug the bulb to establish suction.
19) Is a patient with peritonitis Presents with tachycardia, hypotension , and dehydration. What other assessment finding would you anticipate as part of your physical assessment? - Severe abdominal pain or rebound tenderness
20) Your patient with a known history of diabetes is displaying symptoms of diaphoresis, Cool skin, lethargy, And shakiness. What is your 1st action? - Check the patient's blood glucose level
21) a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you anticipate administering? - Vitamin K
22) 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? - Heart failure
23) 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? - Non rebreather mask
24) 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? - Request and order for soft mitts As they are the least restrictive..
25) What is an early symptom that a patient is developing a complication of heart failure? - Edema in the legs and feet
26) 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? - Report to the post surgical unit
27) What type of personal protective equipment(Ppe) Is applied prior to entering a room for a patient with with C diff? - Gown and gloves
28) When would sucralfate(Carafate) 4 times daily be scheduled for? - 1 hour before meals and at bedtime
29) 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. - Hemorrhage
30) What is clubbing of the fingers most likely associated with? - Chronic oxygen deficiency
31) 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? - Paracentesis
32) Is the provider gives you a telephone order to explain a surgical procedure to your patient and obtain surgical consent. How should you respond? - Inform the provider that explaining the procedure is outside the nurse's scope of practice.
33) You're patient Recently had a G Tube Placed and interminent enteral Feedings have been initiated. What symptoms may indicate intolerance to the feedings? - Vomiting and diarrhea
34) 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? - Encourage the patient to cough and deep breathe.
35) Your new patient understands very limited English. How should you communicate with them when completing the admission assessment? - Use the organizations interpreter services
36) 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? - HOLD DIGOXIN AND CALL PROVIDER
37) 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? - Discuss code status with the patient and follow up with the provider to ensure the medical record reflects her wishes
38) What are the most common causes of acute onset pancreatitis? - Alcoholism and gallstones
39) 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 should be your 1st intervention? - Stay with the patient and ask if she has a plan to carry out this wish
40) A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the following? - ?
41) To reduce the risk of infection and phlebotomy in an adult patient with a peripherL IV, What is the minimum duration the catheter should remain in place before routine replacement. - 72 hours
42) Your patient was admitted for a hypertensive crisis and has a history of HTN. Parkinson disease, depression and alcohol use. On his 2nd hospitalized day, you notice he is more anxious and restless than his baseline. What would be your 1st nursing intervention? - Ask the patient when his last drink of alcohol was
43) Black and tarry Colored stools are classic symptoms of what condition? - Bleeding gastric ulcer
44) In addition to pain, pallor, and pulselssness, a neurovascular assessment Also includes checking for - Parasthesia and paralysis
45) After scrolling through your social media, you notice a coworker posted a photo with a patient from your unit. What is the most appropriate action to take? - Report the situation to the hospital compliance officer. [Show Less]