2024 RELIAS Medical Surgical � Telemetry Practice Exam with Answers (158 Solved Questions)

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2024 RELIAS Medical Surgical � Telemetry Practice Exam with Answers (158 Solved Questions) - Page 1 preview image

RELIAS MEDICAL SURGICAL–TELEMETRY 2024 EXAM QUESTIONSAND WELL ANSWERED ANSWERSGRADE A+

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Medical-Surgical RN A Prophecy Relias Test, Answered1.2 milligrams is equal to how many micrograms?- 1200 mcgYour post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensureeffective drain function?- Compress the drain, then plug the bulb to establish suctionYour male patient complains of discomfort while inflating the balloon during insertionof an indwelling urinary catheter. What would be the MOST appropriate action?- Deflate the balloon, advance the catheter further, then reinflate the balloonYour patient has symptomatic anemia but is refusing a blood transfusion for religiousreason. What is an appropriate response?- Respect his wishes and notify the providerYour patient is admitted with diverticulitis. What type of diet do you expect to beordered for the patient?- broth, jello, soft fruit no skin,You were hired to work the medical unit and when you arrive at work the chargenurse has assigned you to the post-surgical unit since they are understaffed. Which isthe MOST appropriate action?- Report to the post-surgical unit.What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?- Acid ReductionWhich adaptive equipment would be MOST appropriate to use for a severelycontracted patient who is unable to bear weight when transferring from the bed to thechair?- Patient lift (e.g., Hoyer)Which tool should you use to assess pain in you 80-year-old patient with severedementia?- PAINAD scaleYour 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 alOMoARcPSD|13778330

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stage 4 pressure injury to his coccyx. You were told in report that he lives at homewith family members. What should you do?- Notify the charge nurse and social worker of your concerns.Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. You noticeshe has been having several episodes of acute confusion since being admitted to yourunit. What is the MOST important order you should anticipate from the provider?- Stat CT of headYour patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from theindwelling urinary catheter in the last 2 hours. What is your patient MOST likelyexperiencing.- SepsisWhat type of personal protective equipment (PPE) is applied prior to entering a roomfor a patient with C. diff?- Gown and glovesYour patient continues to pull at their IV site located in their left forearm despiteverbal reminders and increased observation. The nursing assistant recommends usingsoft mitt restraints on the patient. What is your recommendation?- Request an order for soft mitts as they are the least restrictiveYour patient was admitted for a hypertensive crisis and has a history of HTN,Parkinson's disease, depression, and alcohol use. On his second hospitalized day, younotice he is more anxious and restless than his baseline. What would be your FIRSTnursing intervention?- Ask the patient when his last drink of alcohol was.What is the BEST indication of an acute neurological problem?- Change in level of consciousnessWhile in a supine position your patient states, "I'm tired and cannot catch my breath."Physical assessment reveals jugular vein distention and a third heart sound (S3). Thesesymptoms are indicative of what condition?- Heart failureYour new admission presents with a cough, unintentional weight loss, frequent nightsweats, and bloody sputum. What type of isolation precautions should you initiate, ifany?- Airborne precautionslOMoARcPSD|13778330

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Patients with diabetes are at high risk for complications from damage to what bodyareas?- Nerve and kidney damageIf your patient with a known history of diabetes is displaying symptoms ofdiaphoresis, cool skin, lethargy, and shakiness. What is your first action?- Check the patient's blood glucose level.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 theMOST appropriate action?- Discuss code status with the patient and follow up with provider to ensure themedical record reflects her wishes.Your coworker posted photos on social media from a birthday party they had for herin the unit breakroom. What should be your NEXT course of action?- No action is necessary because no PHI was displayed.Your new patient understands very limited English. How should you communicatewith them when completing the admission assessment?- Use the organization's interpreter services.You are caring for a patient with a history of diabetes mellitus. You walk into theroom and find the patient lethargic and diaphoretic. What is your first action?- Obtain capillary blood glucose level.Your patient is 4 hours post open appendectomy and has not voided yet. You note hislower abdomen is distended. What should you do NEXT?- Perform a bladder scanA patient with peritonitis presents with tachycardia, hypotension, and dehydration.What other assessment finding would you anticipate as part of your physicalassessment?- Severe abdominal pain or rebound tendernessWhat is the EARLIEST sign indicating increased intracranial pressure (ICP)?- Level of consciousnessIn addition to pain, pallor, and pulselessness, a neurovascular assessment also includeschecking for: - Paresthesia and paralysislOMoARcPSD|13778330

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You received a report on a patient that sustained a right hemisphere CVA 48 hoursago. What do you expect the patient to exhibit?- Left sided weakness of the leg, arm, and face.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 should you do NEXT?- Hold digoxin (Lanoxin) and call the providerUpon entry to your patient's room, you find her sitting in High Fowler's position andcomplaining of shortness of breath. Her respiratory rate is 34 breaths/min and O2 satis 84%. Which mode of oxygen delivery would MOST likely reverse thesesymptoms?- Non-rebreather maskYour patient is on contact precautions for active MRSA. What proper PPE should youuse before entering the room?- Gown and glovesYour patient recently had a G-tube placed and intermittent enteral feedings have beeninitiated. What symptoms may indicate intolerance to the feedings?- Vomiting and diarrheaUpon entering your patient's room, you note that they are having a seizure. What isyour FIRST action?- Position the patient on their side to maintain the airway.Your 18-year-old female patient was admitted with dehydration secondary to anorexianervosa. During your assessment you note she has a flat affect and says, "I just wantto die. I'm tired of my life." What should be your FIRST intervention?- Stay with the patient and ask fi she has a plan to carry out this wish.Your patient has a non-productive cough and presence of secretions in histracheostomy. Prior to suctioning the patient, what should you do FIRST?- Hyperoxygenate patient.Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and reports havingblack colored stool today. What do you most likely suspect?- Gastrointestinal bleedinglOMoARcPSD|13778330

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