MEDICAL-SURGICAL RN A PROPHECY RELIAS
EXAM QUESTIONS AND ANSWERS UPDATED
(2024/2025) (VERIFIED ANSWERS)
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? -
ANS ✓Notify 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? - ANS ✓Stat 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. - ANS ✓Sepsis
What type of personal protective equipment (PPE) is applied prior to
entering a room for a patient with C. diff? - ANS ✓Gown 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
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recommends using soft mitt restraints on the patient. What is your
recommendation? - ANS ✓Request 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? - ANS ✓Ask the
patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - ANS
✓Change in level of consciousness
While in a supine position your patient states, "I'm tired and cannot catch
my breath." Physical assessment reveals jugular vein distention and a third
heart sound (S3). These symptoms are indicative of what condition? - ANS
✓Heart failure
Your new admission presents with a cough, unintentional weight loss,
frequent night sweats, and bloody sputum. What type of isolation
precautions should you initiate, if any? - ANS ✓Airborne precautions
Patients with diabetes are at high risk for complications from damage to
what body areas? - ANS ✓Nerve and kidney damage
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If your patient with a known history of diabetes is displaying symptoms of
diaphoresis, cool skin, lethargy, and shakiness. What is your first action? -
ANS ✓Check the patient's blood glucose level.
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? - ANS ✓Discuss code
status with the patient and follow up with provider to ensure the medical record
reflects her wishes.
Your coworker posted photos on social media from a birthday party they
had for her in the unit breakroom. What should be your NEXT course of
action? - ANS ✓No action is necessary because no PHI was displayed.
Your new patient understands very limited English. How should you
communicate with them when completing the admission assessment? - ANS
✓Use the organization's interpreter services.
You are caring for a patient with a history of diabetes mellitus. You walk
into the room and find the patient lethargic and diaphoretic. What is your
first action? - ANS ✓Obtain capillary blood glucose level.
Your patient is 4 hours post open appendectomy and has not voided yet.
You note his lower abdomen is distended. What should you do NEXT? - ANS
✓Perform a bladder scan
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