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MEDICAL SURGICAL RN A PROPHECY EXA M
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
- 1.2 milligrams is equal to how many micrograms?
- The ANSWER is: 1200 mcg
- Your post-op patient has a Jackson-Pratt (JP) drain in place.
How do you ensure effective drain function?
- The ANSWER is: 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?
- The ANSWER is: Deflate the balloon, advance the catheter
further, then reinflate the balloon
- Your patient has symptomatic anemia but is refusing a blood
transfusion for religious reasons. What is an appropriate response?
- The ANSWER is: Respect his wishes and notify the provider
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- Your patient is admitted with diverticulitis. What type of diet
do you expect to be ordered for the patient?
- The ANSWER is: broth, jello, soft fruit no skin
- 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?
- The ANSWER is: Report to the post-surgical unit
- What is a proton pump inhibitor, such as pantoprazole
(Protonix) used for?
- The ANSWER is: 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?
- The ANSWER is: Patient lift (e.g., Hoyer)
- Which tool should you use to assess pain in your 80-year-old
patient with severe dementia?
- The ANSWER is: PAINAD scale
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- 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?
- The ANSWER is: Notify the charge nurse and social worker
of your concerns
- Your 85-year-old patient with atrial fibrillation fell at home
- 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?
- The ANSWER is: 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?
- The ANSWER is: Sepsis
- What type of personal protective equipment (PPE) is applied
prior to entering a room for a patient with C. diff?
- The ANSWER is: Gown and gloves
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- Your patient continues to pull at their IV site 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?
- The ANSWER is: 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?
- The ANSWER is: Ask the patient when his last drink of
alcohol was
- What is the BEST indication of an acute neurological
problem?
- The ANSWER is: 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?