Medical-Surgical RN A Prophecy Relias Test 2023
2. Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure 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 MOST appropriate action?: Deflate the
balloon, advance the catheter further, then rein- flate the balloon
4. Your patient has symptomatic anemia but is refusing a blood transfusion for 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 expect to 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-surgical unit.
7. What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?: 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 the bed to the chair?: Patient lift
(e.g., Hoyer)
94. As you are walking down the hallway you overhear your colleague dis- cussing her
personal family issues with a patient. What would be the MOST appropriate response?:
Remind her later of her responsibility for establishing and maintaining professional boundaries
with patients.
95. Your patient, who has soft wrist restraints for safety (non-violent), is working with the
occupational therapist at the bedside. The nursing assistant enters and says, "The patient is
not allowed to have his restraints untied." How do you respond?: "Restraints can be
temporarily off while directly working with staff. Let me know when the therapy session is
finished and I will re-apply them."
96. 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 expect is happening?: Pulmonary embolism
97. The dosage of which drug must be tapered down slowly to prevent acute adrenal
insufficiency?: Prednisone
98. Your patient with CHF states, "I can still eat the same food, I just have to weight myself
everyday." Based on this statement, which nursing diagnosis would be appropriate?:
Knowledge Deficit
99. patient arrives on unit. you do an assessment and notice lice in her hair. what is your
first action?: Secure a private room
100. Patient presents dusky pallor and pulseless. First action: Initiate facility code procedure