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answers with complete top solutions | score 100% (A+) MEDICAL-SURGICAL RN A PROPHECY RELI, Exams of Medicine

University of Chicago (UC)Medicine

answers with complete top solutions | score 100% (A+) MEDICAL-SURGICAL RN A PROPHECY RELIAS questions and MEDICAL-SURGICAL RN A PROPHECY RELIAS 2025 Exam questions and answers with complete top solutions | score 100% (A+)

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2024/2025

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MEDICAL-SURGICAL RN A PROPHECY RELIAS questions and
answers with complete top solutions | score 100% (A+)
MEDICAL-SURGICAL RN A PROPHECY RELIAS 2025 Exam questions
and answers with complete top solutions | score 100% (A+)
s
1.
1.2 milligrams is equal to how many micrograms? 1200 mcg
2.
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do youensure
effective drain function? Compress the drain, then plug the bulb to establish suction
3.
Your male patient complains of discomfort while inflating the balloon during
insertion of an indwelling urinary catheter. What would be the MOSTappropriate
action?: Deflate the balloon, advance the catheter further, then rein-flate the balloon
4.
Your patient has symptomatic anemia but is refusing a blood transfusionfor
religious reason. What is an appropriate response?: Respect his wishes and notify the
provider
5.
Your patient is admitted with diverticulitis.What type of diet do you expectto be
ordered for the patient?: broth, jello, soft fruit no skin,
6.
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 un- derstaffed.Which
is the MOST appropriate action?: Report to the post-surgicalunit.
7.
What is a proton pump inhibitor, such as pantoprazole (Protonix) usedfor?:
Acid Reduction
8.
Which adaptive equipment would be MOST appropriate to use for a severe- ly
contracted patient who is unable to bear weight when transferring from thebed to the
chair?: Patient lift (e.g., Hoyer)
9.
Which tool should you use to assess pain in you 80-year-old patient withsevere
dementia?: PAINAD scale
10.
Your patient is admitted from the ED with failure to thrive and advanced
dementia.You note he is extremely underweight, appears unbathed for sometime, and
has a stage 4 pressure injury to his coccyx.You were told in reportthat he lives at
1 / 9
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Download answers with complete top solutions | score 100% (A+) MEDICAL-SURGICAL RN A PROPHECY RELI and more Exams Medicine in PDF only on Docsity!

MEDICALanswersMEDICAL^ with--SURGICALSURGICAL^ complete top RNRN^ solutions | AA PROPHECY PROPHECY^ score^ 100% RELIAS RELIAS^ (A+) questions 2025 Exam and questions

and answers with complete top solutions | score 100% (A+)

s

  1. 1.2 milligrams is equal to how many micrograms? 1200 mcg
  2. Your post-op patient has a Jackson-Pratt (JP) drain in place. How do youensure effective drain function? Compress the drain, then plug the bulb to establish suction
  3. Your male patient complains of discomfort while inflating the balloon during insertion of an indwelling urinary catheter. What would be the MOSTappropriate action?: Deflate the balloon, advance the catheter further, then rein-flate the balloon
  4. Your patient has symptomatic anemia but is refusing a blood transfusionfor religious reason. What is an appropriate response?: Respect his wishes and notify the provider
  5. Your patient is admitted with diverticulitis.What type of diet do you expectto be ordered for the patient?: broth, jello, soft fruit no skin,
  6. 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 un- derstaffed.Which is the MOST appropriate action?: Report to the post-surgicalunit.
  7. What is a proton pump inhibitor, such as pantoprazole (Protonix) usedfor?: Acid Reduction
  8. Which adaptive equipment would be MOST appropriate to use for a severe- ly contracted patient who is unable to bear weight when transferring from thebed to the chair?: Patient lift (e.g., Hoyer)
  9. Which tool should you use to assess pain in you 80-year-old patient withsevere dementia?: PAINAD scale
  10. Your patient is admitted from the ED with failure to thrive and advanced dementia.You note he is extremely underweight, appears unbathed for sometime, and has a stage 4 pressure injury to his coccyx.You were told in reportthat he lives at 1 / 9 1

answers with complete top solutions | score 100% (A+)

home with family members. What should you do?: Notify thecharge nurse and social worker of your concerns.

  1. 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 sincebeing admitted to your unit. What is the MOST important order you shouldanticipate from the provider?: Stat CT of head 2 2 /^9

answers with complete top solutions | score 100% (A+)

20. 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.

  1. 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.
  2. Your coworker posted photos on social media from a birthday party theyhad for her in the unit breakroom. What should be your NEXT course of action?: No action is necessary because no PHI was displayed. 4 4 /^9

answers with complete top solutions | score 100% (A+)

  1. Your new patient understands very limited English. How should you communicate with them when completing the admission assessment?: Usethe organization's interpreter services.
  2. 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 firstaction?: Obtain capillary blood glucose level.
  3. 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?: Per- form a bladder scan
  4. A patient with peritonitis presents with tachycardia, hypotension, and dehydration. What other assessment finding would you anticipate as part ofyour physical assessment?: Severe abdominal pain or rebound tenderness
  5. What is the EARLIEST sign indicating increased intracranial pressure (ICP)?: Level of consciousness
  6. In addition to pain, pallor, and pulselessness, a neurovascular assess-ment also includes checking for:: Paresthesia and paralysis
  7. You received a report on a patient that sustained a right hemisphere CVA 48 hours ago. What do you expect the patient to exhibit?: Left sided weaknessof the leg, arm, and face.
  8. You are ordered to give digoxin (Lanoxin). Your patients vital signs are: BP 130/70, Temp 97.9F, HR 52, RR 16, O2 Sat 100% on room air. What shouldyou do NEXT?: Hold digoxin (Lanoxin) and call the provider 5 / 9 5

answers with complete top solutions | score 100% (A+)

  1. Your 18 - year-old female patient was admitted with dehydration sec- ondary to anorexia nervosa. During your assessment you note she has a flataffect and says, "I just want to die. I'm tired of my life." What should be yourFIRST intervention?: Stay with the patient and ask fi she has a plan to carry outthis wish.
  2. Your patient has a non-productive cough and presence of secretions in his tracheostomy. Prior to suctioning the patient, what should you do FIRST?: Hyperoxygenate patient.
  3. Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and re- ports having black colored stool today. What do you most likely suspect?: - Gastrointestinal bleeding
  4. Your new patient was admitted with blunt force trauma to the abdomen following a motor vehicle accident (MVA). A NG tube is in place for decom- pression; however, you note during the assessment that the stomach is rigidand hard during palpation. What condition do you suspect?: Hemorrhage
  5. Which of the following nursing diagnoses is MOST important for a patientwith chronic obstructive pulmonary disease (COPD)?: Impaired gas exchange
  6. You have a patient going for dialysis.Their medications include lisinopril (Prinivil), ondansetron (Zofran), famotidine (Pepcid), and atorvastatin (Lip- itor). Which medication would you possibly hold and seek clarification?: - famotidine (Pepcid)
  7. What is an early symptom that the patient is developing a complicationof heart failure?: Edema in the legs and feet 7 / 9 7

answers with complete top solutions | score 100% (A+)

  1. Black and tarry colored stools are CLASSIC symptoms of what condi-tion?: Bleeding gastric ulcer
  2. You have 4 patients who have high priority needs. One needs to go to surgery, one needs STAT lab draws from a PICC line, another has chest painrated 8/10, and another needs toileting. Which patient should you tend to FIRST?: The patient with chest pain
  3. 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
  4. What is clubbing of the fingers MOST likely associated with?: Chronicoxygen deficiency 8 8 /^9

answers with complete top solutions | score 100% (A+)

thromboembolism (VTE).What is an appropriate VTE prophylaxis orderfor this patient?: Enoxaparin (Lovenox) once daily and intermittent pneumatic compressions (IPC)

  1. You receive a provider's order that is not consistent with evidence-basedpractice. What is your FIRST step?: Clarify the order with the provider.
  2. When would sucralfate (Carafate) 4 times daily be scheduled for?: 1 hourbefore meals and at bedtime
  3. Your patient's morning labs revealed a hemoglobin level of 6.3 and hema-tocrit of
  4. What blood product do you expect to administer?: PRBCs 57. Your 68 - year-old patient is a Type 1 diabetic with a history of schizophre-nia and exhibits signs and symptoms of tardive dyskinesia. What long-term medication is associated with signs and symptoms of tardive dyskinesia?: - 10 / 10

answers with complete top solutions | score 100% (A+)

risperidone, olanzapine, quetiapine, ziprasidone, aripiprazole, paliperidone, lurasi-done, chlorpromazine, fluphenazine, haloperidol, perphenazine

  1. Your 80 - year-old patient is being discharged home post CVA. She livesalone, yet still requires assistance with ADLs. What referral is MOST appro-priate to ensure her needs are met?: Case Manager
  2. Central Telemetry calls and tells you your patient is experiencing brady-cardia. What is the first thing you should do after entering the room?: Assessthe patient and take vital signs.
  3. Your patient is currently under 1:1 observation for suicide precautions. He states he needs to have a bowel movement and would like some privacyto use the bathroom. What is the MOST appropriate response?: "I must be within an arms' length view of you at all times for your safety, including while usingthe bathroom."
  4. A female patient requests a female nurse to provide care for her basedon her religious beliefs. What is the MOST appropriate action to take?: Ac- commodate her request if possible. 62. Your patient is a 40 - year-old female with a recent history of hair loss, extremely dry skin, a nd a 20-point weight loss in the last 3 weeks. She also exhibits occasional episodes of tremors in her upper extremities. Whatcondition do these symptoms MOST likely indicate?: Hyperthyroidism 63. Insulin lispro (Humalog) is orders via sliding scale a.c. for your patient with diabetes.When is the best time to administer insulin lispro (Humalog)?- : 15 min before the meal arrives 11 / 11

answers with complete top solutions | score 100% (A+)

you to take?: Sit calmly next to her and offer her compassion and a sense ofsecurity.

  1. The provider orders and IV infusion of D5W 1000 mL to infuse over thenext 6 hours. How many mLs per hour should the IV pump be set to?: 167mL/hr
  2. You are assigned a new admission and note a Braden score of 11 after completing your assessment. Which interventions would be MOST appro-priate based on your assessment?: Turn q 2hours, request nutrition consult, request low airloss mattress.
  3. Your patient may have tuberculosis TB) and is placed in airborne precau-tions. What test would you expect to be ordered?: Acid-fast bacilli sputum 71. Your patient starts to complain of difficulty breathing while laying down,and states that he has been coughing up pink sputum. While performing your assessment, you notice jugular vein distention and coarse crackles in both lungs on auscultation. What diagnosis do you suspect?: Congestiveheart failure
  4. You received a patient post op transurethral resection of the prostate (TURP). Which of the following symptoms would cause you the MOST con-cern?: Hemorrhage and hypotension
  5. Your patient with C. diff (Clostridioides difficile) has a family memberabout to leave the room. What education about performing hand hygiene should you give?: Hand hygiene with soap and water
  6. Your patient has a diagnosis of urinary tract infection (UTI) and is current- ly taking medication that has recently made her urine reddish-orange. Which of the following medications would cause this side effect?: Phenazopyridine(Pyridium) 13 / 13

answers with complete top solutions | score 100% (A+)

  1. Your patient is taking digoxin (Lanoxin) and has a potassium level of 3.0. How might this affect the patient?: Increase risk of digoxin toxicity
  2. You are preparing to hang 1 unit PRBC's to administer to your patient.Thepatient states, "I don't take blood products." What is the MOST appropriate response?: "You have the right to refuse the blood transfusion. I will inform the provider of your decision."
  3. An older adult patient arrives on the unit looking emaciated, disheveled, and with soiled clothes. The patient claims that his daughter cares for him athome. What would you suspect?: Neglect 14 14 /

answers with complete top solutions | score 100% (A+)

hand has 25,000 units of Heparin in 500 mL of D5W. How many mL/hr will you infuse?: 18 mL/hr

  1. Your patient has developed a productive cough and fever. The provider is suspecting influenza. Which actions should you take FIRST?: Initiate droplet precautions
  2. What medication would you anticipate to be ordered for a patient who hasa LDL

200 mg/dL?: Statin

  1. Fifteen minutes after starting a blood transfusion, the patient complainsof lower back pain, shortness of breath, and chills. What is your FIRST action?: Stop the tranfusion. 16 16 /

answers with complete top solutions | score 100% (A+)

  1. Your patient had a transurethral resection of the prostate (TURP) 24 hoursago. What signs require further intervention?: Bright red urine
  2. What condition (not medication related) might cause an elevation in thepatients PT/INR level?: Liver disease
  3. Your patient admitted for small bowel obstruction has been vomitingfor the last 3 days. What electrolyte imbalance would you expect to be associated with this patient?: Hypokalemia
  4. Digoxin (Lanoxin) 125 mcg is equivalent to how many mg?: 0.125mg
  5. As you are walking down the hallway you overhear your colleague dis- cussing her personal family issues with a patient. What would be the MOSTappropriate response?: Remind her later of her responsibility for establishing andmaintaining professional boundaries with patients.
  6. Your patient, who has soft wrist restraints for safety (non-violent), is working with the occupational therapist at the bedside.The nursing assistantenters and says, "The patient is not allowed to have his restraints untied." How do you respond?: "Restraints can be temporarily off while directly workingwith staff. Let me know when the therapy session is finished and I will re-apply them."
  7. Your patient suddenly develops signs and symptoms of shortness of breath, restlessness, tachypnea, hemoptysis, and decreased oxygen satu- rations despite being on 2L/min of O2 by nasal cannula. What do you expectis happening?: Pulmonary embolism
  8. The dosage of which drug must be tapered down slowly to prevent acuteadrenal 17 / 17