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PROPHECY HEALTH MEDICAL SURGICAL RN 2024/100% VERIFIED (HIGHLY RECOMMENDED) LATEST UPDATE-, Exams of Nursing

PROPHECY HEALTH MEDICAL SURGICAL RN 2024/100% VERIFIED (HIGHLY RECOMMENDED) LATEST UPDATE-2025

Typology: Exams

2024/2025

Available from 01/27/2025

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PROPHECY HEALTH MEDICAL SURGICAL RN 2024/100%
VERIFIED (HIGHLY RECOMMENDED) LATEST UPDATE-
2025
1. 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
Correct answer- Patient Lift example hoyer
2. What lab values are expected to be in a patient with end stage renal disease on
hemodialysis
Correct answer- BUN 32, CREATNINE 8.32
3. 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?
Correct answer- Hold wayfaring (coumadin) for the next 48 hours
4. 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?
Correct answer- Airborne precautions
5. Upon entering your patient's room you note that they are having a seizure. What is
your 1st action?
Correct answer- Position the patient on their side to maintain the airway
6. 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?
Correct answer- Tell her you cannot give her information and report her actions to
your manager.
7. Your male patient complaints of discomfort while inflating the balloon during
insertion of a endwelling urinary catheter. What would be the most appropriate
action?
Correct answer- Deflate the balloon, advance the catheter further, then reinflate the
balloon.
8. 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? Correct
answer- Is late afternoon and early morning
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PROPHECY HEALTH MEDICAL SURGICAL RN 2024/100%

VERIFIED (HIGHLY RECOMMENDED) LATEST UPDATE-

  1. 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 Correct answer- Patient Lift example hoyer
  2. What lab values are expected to be in a patient with end stage renal disease on hemodialysis Correct answer- BUN 32, CREATNINE 8.
  3. 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 toyour unit. What is the most important order you should anticipate from the provider? You're? Correct answer- Hold wayfaring (coumadin) for the next 48 hours
  4. 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? Correct answer- Airborne precautions
  5. Upon entering your patient's room you note that they are having a seizure. Whatis your 1st action? Correct answer- Position the patient on their side to maintain the airway
  6. 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? Correct answer- Tell her you cannot give her information and report her actions to your manager.
  7. Your male patient complaints of discomfort while inflating the balloon during insertion of a endwelling urinary catheter. What would be the most appropriate action? Correct answer- Deflate the balloon, advance the catheter further, then reinflatethe balloon.
  8. 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? Correct answer- Is late afternoon and early morning
  1. What is a proton pump inhibitor, such as pantoprazole (protonix) used for? Correct answer- Reduce gastric acid secretion
  2. Your patient has a non productive cough and presence of secretions in his tracheostomy. Prior to sectioning the patient, what should you do 1st? Correct answer- Hyperoxygenate patient
  3. dietary teaching for a patient with chronic renal failure should include choices that are: Correct answer- Low potassium, low protein, moderate fat
  4. Which of the following nursing diagnosis is most important for a patient with chronic obstructive pulmonary disease(COPD) Correct answer- Impaired gas exchange
  5. 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 thathe lives at home with family members. What should you do? Correct answer- Notify the charge nurse and social worker of your concerns.
  6. 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? Correct answer- LISINOPRIL(PRINIVIL)
  7. What is the best indication of an acute neurological problem? Correct answer- Change in level of consciousness
  8. Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the patient? Correct answer- Clear liquids
  9. Which tool should you use to assess pain in your 80 year old patient with severe dementia? Correct answer-?
  10. Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective drain function? Correct answer- Compress the drain, then plug the bulb to establish suction.
  1. Your new patient was admitted with Blunt force trauma to the abdomen Followinga motor vehicle accident. A NG Tube is in place for decompression, however, younote during the assessment that the stomach is rigid and hard during palpation. What condition do you suspect. Correct answer- Hemorrhage
  2. What is clubbing of the fingers most likely associated with? Correct answer- Chronic oxygen deficiency
  3. Is your patient with hepatitis C Exhibits signs of jaundice and a distended abdomen. What procedure would you anticipate being performed by the providerat the bedside for this patient? Correct answer- Paracentesis
  4. Is the provider gives you a telephone order to explain a surgical procedure to your patient and obtain surgical consent. How should you respond? Correct answer- Inform the provider that explaining the procedure is outside the nurse's scope of practice.
  5. You're patient Recently had a G Tube Placed and interminent enteral Feedings have been initiated. What symptoms may indicate intolerance to the feedings? Correct answer- Vomiting and diarrhea
  6. 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? Correct answer- Encourage the patient to cough and deep breathe.
  7. Your new patient understands very limited English. How should you communicate with them when completing the admission assessment? Correct answer- Use the organizations interpreter services
  8. 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 youdo next? Correct answer- HOLD DIGOXIN AND CALL PROVIDER
  9. 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? Correct answer- Discuss code status with the patient and follow up with the provider to ensure the medical record reflects her wishes
  10. What are the most common causes of acute onset pancreatitis? Correct answer- Alcoholism and gallstones
  1. 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? Correct answer- Stay with the patient and ask if she has a plan to carry out thiswish
  2. A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the following? Correct answer-?
  3. 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. Correct answer- 72 hours
  4. 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? Correct answer- Ask the patient when his last drink of alcohol was
  5. Black and tarry Colored stools are classic symptoms of what condition? Correct answer- Bleeding gastric ulcer
  6. In addition to pain, pallor, and pulselssness, a neurovascular assessment Also includes checking for Correct answer- Parasthesia and paralysis
  7. 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? Correct answer- Report the situation to the hospital compliance officer.
  8. Your patient's morning labs revealed a hemoglobin level of 6.3 and hematocrit of
    1. What blood product do you expect to administer? Correct answer- PRBCs
  9. What medication is contraindicated In a patient with A hemorrhagic CVA? Correct answer- Heparin
  10. Your patient appears dusky colored and you cannot palpate a pulse. What is the1st thing you should do? Correct answer- Initiate a code per facility protocol and begin CPR
  1. Your patient has a temp of 102.3 F, HR 122, and has had 15ml of urine from the indwelling urinary catheter in the last 2 hours. What is your patient most likely experiencing? Correct answer-?
  2. Patients with diabetes are at a high risk for complications for damage in what body areas? Correct answer- Nerve and kidney damage
  3. Your patient is 4 hours post open appendectomy Anne has not voided yet. You note his lower abdomen is distended. What should you do next? Correct answer- Perform a bladder scan
  4. You receive a provider's order that is not consistent with evidence based practice.What is your 1st step? Correct answer- Clarify the order with the provider
  5. Is what is the earliest sign indicating increased intracranial pressure(ICP)? Correct answer- Level of consciousness
  6. What patient population is the pneumococcal vaccine PPSV23 indicated for? Correct answer- Adults aged 65 years and older
  7. Your patient takes 5 mg of warfarin(coumadin) day and reports having black cored stool today. What do you most likely suspect? Correct answer- Gastrointestinal bleeding
  8. Failed to capture question Correct answer- Failed to capture answer
  9. Failed to capture question Correct answer- Failed to capture answer