2023-2024 RN Medical Surgical Nursing A Prophecy Relias Test With Answers (100 Solved Questions)
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RN MEDICAL-SURGICAL A PROPHECY RELIAS TEST
2023-2024 WITH VERIFIED ANSWERS GRADED A+
What type of personal protective equipment (PPE) is applied
prior to entering a room for a patient with C. diff? - 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 recommends using soft
mitt restraints on the patient. What is your
recommendation? - 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? - Ask the patient when his
last drink of alcohol was.
What is the BEST indication of an acute neurological
problem? - 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? - Heart failure
Your new admission presents with a cough, unintentional
weight loss, frequent night sweats, and bloody sputum. What
2023-2024 WITH VERIFIED ANSWERS GRADED A+
What type of personal protective equipment (PPE) is applied
prior to entering a room for a patient with C. diff? - 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 recommends using soft
mitt restraints on the patient. What is your
recommendation? - 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? - Ask the patient when his
last drink of alcohol was.
What is the BEST indication of an acute neurological
problem? - 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? - 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? -
Airborne precautions
Patients with diabetes are at high risk for complications
from damage to what body areas? - Nerve and kidney
damage
If your patient with a known history of diabetes is displaying
symptoms of diaphoresis, cool skin, lethargy, and shakiness.
What is your first action? - 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? - 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? - 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? - 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
Airborne precautions
Patients with diabetes are at high risk for complications
from damage to what body areas? - Nerve and kidney
damage
If your patient with a known history of diabetes is displaying
symptoms of diaphoresis, cool skin, lethargy, and shakiness.
What is your first action? - 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? - 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? - 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? - 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
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