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Prophecy Health Medical Surgical RN A 2025 Exam- Questions And Answers 100% Solved
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1.2 Milligrams is equal to how many micrograms - 1200 mcg a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you anticipate administering? - Vitamin K A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the following? -? After scrolling through your social media, you notice a coworker posted a photo with a patient from your unit. What is the most appropriate action to take? - Report the situation to the hospital compliance officer. Black and tarry Colored stools are classic symptoms of what condition? - Bleeding gastric ulcer dietary teaching for a patient with chronic renal failure should include choices that are: - Low potassium, low protein, moderate fat Failed to capture question - Failed to capture answer Failed to capture question - Failed to capture answer In addition to pain, pallor, and pulselssness, a neurovascular assessment Also includes checking for - Parasthesia and paralysis Is a patient with peritonitis Presents with tachycardia, hypotension , and dehydration. What other assessment finding would you anticipate as part of your physical assessment? - Severe abdominal pain or rebound tenderness Is the provider gives you a telephone order to explain a surgical procedure to your patient and obtain surgical consent. How should you respond? - Inform the provider that explaining the procedure is outside the nurse's scope of practice. Is what is the earliest sign indicating increased intracranial pressure(ICP)? - Level of consciousness
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? - Paracentesis
When would sucralfate(Carafate) 4 times daily be scheduled for? - 1 hour before meals and at bedtime 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 - Patient Lift example hoyer Which of the following nursing diagnosis is most important for a patient with chronic obstructive pulmonary disease(COPD) - Impaired gas exchange Which tool should you use to assess pain in your 80 year old patient with severe dementia? -? While in a supine position your patient States" I'm tired and cannot catch my breath". Physical assessment reveals juggler vein distention and a 3rd heart sound(S3). These symptoms are indicative of what condition? - Heart failure 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? - Encourage the patient to cough and deep breathe. You are caring for a patient with history of diabetes mellitus. You walk into the room and find the patient lethargic and diaphoretic. What is your 1st action? - Obtain capillary blood glucose level 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? - HOLD DIGOXIN AND CALL PROVIDER You find your coworker looking through your patient's medical record.. She States how is Mr. Smith doing? He is my best friend's dad. We are so worried about him. What is the best course of action? - Tell her you cannot give her information and report her actions to your manager. You have 4 patients who have high priority needs. One needs to go to surgery, 1 needs stat lab draws From a PICC line, Another has chest pain rated 8/10 And another needs toileting. Which patient should you tend to 1st? - The patient with chest pain You have a patient going for dialysis. There are medications include Lisinopril(prinivil), ondansetron (zofran), famotidine(pepcid) and atorvastatin(lipitor). Which medication would you possibly hold and seek clarification? - LISINOPRIL(PRINIVIL) You receive a provider's order that is not consistent with evidence based practice.What is your 1st step? - Clarify the order with the provider
You received a report on a patient that sustained a right hemisphere CVA 48 hours ago. What do you expect the patient to exhibit? - Lift sided weakness of the leg, arm, and face and face 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? - Report to the post surgical unit You're patient Recently had a G Tube Placed and interminent enteral Feedings have been initiated. What symptoms may indicate intolerance to the feedings? - Vomiting and diarrhea 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? - Stay with the patient and ask if she has a plan to carry out this wish Your 68 year old patient is a is a Type one diabetic with a history of schizophrenia And exhibit signs and symptoms of tardiness dyskinesia. Is what long term medication is associated with signs and symptoms of tardive dyskinesia? - Chlorpromazine(thorazine) Your 72 Year old male patient is admitted for colon cancer Related complications and has a history of CHF, stroke and a recent Knee replacement.Based on your patient's risk assessment,You determine he is at risk for Venous thromboembolism (VTE) What is an appropriate VTE prophylaxis prophylaxis order for this patient? - Enoxaparin(Lovenox) once daily and intermittent pneumatic compressions(IPC) 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? You're? - Hold wayfaring (coumadin) for the next 48 hours Your coworker posted photos on social media from a birthday party they had for her in the unit break room. What should be your next course of action? - No action is necessary because no PHI was displayed. Your male patient complaints of discomfort while inflating the balloon during insertion of a endwelling urinary catheter. What would be the most appropriate action? - Deflate the balloon, advance the catheter further, then reinflate the balloon. Your new admission presents with a cough, unintentional weight loss, frequent knot sweats, and bloody sputum. What type of isolation precautions should you initiate, if any? - Airborne precautions
Your patient takes regular insulin and NPH twice A-day for glucose control. What times should the patient be taught to be alert for signs of hypoglycemia? - Is late afternoon and early morning 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?