2024 RELIAS MEDICAL SURG RN A
FINAL AND REAL EXAM LATEST
WITH REAL QUESTIONS AND
CORRECT ANSWERS [ALREADY
GRADED A+] BRAND NEW!!!
Your patient is admitted with diverticulitis. What type of diet do you expect to be
ordered for the patient? - ANSWER-Clear liquids
Your post op patient has a Jackson - Pratt drain in place. how do you ensure
effective drain function? - ANSWER-Compress the drain, then plug the bulb to
establish suction.
Is a patient with peritonitis Presents with tachycardia, hypotension, and
dehydration What other assessment finding would you anticipate as part of your
physical assessment? - ANSWER-Severe abdominal pain or rebound tenderness
Your patient with a known history of diabetes is displaying symptoms of
diaphoresis, Cool skin, lethargy, And shakiness. What is your 1st action? -
ANSWER-Check the patient's blood glucose level
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. What is the most important order you should anticipate from the
provider? You're? - ANSWER-Hold wayfaring (coumadin) for the next 48 hours
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? - ANSWER-Airborne precautions
Upon entering your patient's room you note that they are having a seizure. What is
your 1st action? - ANSWER-Position the patient on their side to maintain the
airway
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? - ANSWER-Tell her you cannot give her
information and report her actions to your manager.
Your male patient complaints of discomfort while inflating the balloon during
insertion of an end welling urinary catheter. What would be the most appropriate
action? - ANSWER-Deflate the balloon, advance the catheter further, then re
inflate the balloon.
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? -
ANSWER-Is late afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole (pro to nix) used for? -
ANSWER-Reduce gastric acid secretion
Your patient has a non-productive cough and presence of secretions in his
tracheostomy. Prior to sectioning the patient, what should you do 1st? - ANSWERHyper oxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that
are: - ANSWER-Low potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with
chronic obstructive pulmonary disease (COPD) - ANSWER-Impaired gas
exchange
Your patient is admitted from the ED with failure to thrive and advanced dementia.
You note he is extremely underweight, appears unbathed for some time, and has a
stage 4 pressure injury to his coccyx. You were told in report that he lives at home
with family members. What should you do? - ANSWER-Notify the charge nurse
and social worker of your concerns.
Your patient is on contact precautions for active MRSA. What proper PPE should
you use before entering the room? - ANSWER-Gown and gloves
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