RELIAS MEDICAL SURGICAL RN A EXAM QUESTIONS AND ANSWERS 2023- 2024 UPDATE A GRADED 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? - ANSWER- Report to the post surgical unit What type of personal protective equipment(Ppe) Is applied prior to entering a room for a patient with with C diff? - ANSWER- Gown and gloves When would sucralfate(Carafate) 4 times daily be scheduled for? - ANSWER- 1 hour before meals and at bedtime 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. - ANSWER- Hemorrhage What is clubbing of the fingers most likely associated with? - ANSWER- Chronic oxygen deficiency 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? - ANSWER- Paracentesis Is the provider gives you a telephone order to explain a surgical procedure to your patient and obtain surgical consent. How should you respond? - ANSWER- Inform the provider that explaining the procedure is outside the nurse's scope of practice. You're patient Recently had a G Tube Placed and interminent enteral Feedings have been initiated. What symptoms may indicate intolerance to the feedings? - ANSWERVomiting and diarrhea 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? - ANSWER- Encourage the patient to cough and deep breathe. Your new patient understands very limited English. How should you communicate with them when completing the admission assessment? - ANSWER- Use the organizations interpreter services 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? - ANSWERHOLD DIGOXIN AND CALL PROVIDER 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? - ANSWER- Discuss code status with the patient and follow up with the provider to ensure the medical record reflects her wishes What are the most common causes of acute onset pancreatitis? - ANSWER- Alcoholism and gallstones 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? - ANSWER- Stay with the patient and ask if she has a plan to carry out this wish A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the following? - ANSWER- ? 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. - ANSWER- 72 hours 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? - ANSWER- Ask the patient when his last drink of alcohol was Black and tarry Colored stools are classic symptoms of what condition? - ANSWERBleeding gastric ulcer In addition to pain, pallor, and pulselssness, a neurovascular assessment Also includes checking for - ANSWER- Parasthesia and paralysis 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 - ANSWERPatient Lift example hoyer What lab values are expected to be in a patient with end stage renal disease on hemodialysis - ANSWER- 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.