PROPHECY HEALTH MEDICAL SURGICAL RN A EXAM
LATEST 2023-2024 TEST BANK 200 QUESTIONS AND
CORRECT ANSWERS|ALREADY GRADED A+
Your 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,
you notice he is more anxious and restless than his baseline. What would be your
FIRST nursing intervention? – ANSWER- Ask the patient when his last drink of
alcohol was.
What is the BEST indication of an acute neurological problem? – ANSWERChange in level of consciousness
While 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). These symptoms are indicative of what condition? – ANSWER- Heart failure
Your new admission presents with a cough, unintentional weight loss, frequent
night sweats, and bloody sputum. What type of isolation precautions should you
initiate, if any? – ANSWER- Airborne precautions
Patients with diabetes are at high risk for complications from damage to what body
areas? – ANSWER- Nerve and kidney damage
If your patient with a known history of diabetes is displaying symptoms of
diaphoresis, cool skin, lethargy, and shakiness. What is your first action? –
ANSWER- 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 the MOST appropriate action? – ANSWER- Discuss code status with the patient
and follow up with provider to ensure the medical record reflects her wishes.
Your coworker posted photos on social media from a birthday party they had for
her in the unit breakroom. What should be your NEXT course of action? –
ANSWER- No action is necessary because no PHI was displayed.
Your new patient understands very limited English. How should you communicate
with them when completing the admission assessment? – ANSWER- Use the
organization’s interpreter services.
You are caring for a patient with a history of diabetes mellitus. You walk into the
room and find the patient lethargic and diaphoretic. What is your first action? –
ANSWER- Obtain capillary blood glucose level.
Your patient is 4 hours post open appendectomy and has not voided yet. You note
his lower abdomen is distended. What should you do NEXT? – ANSWERPerform a bladder scan
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
What is the EARLIEST sign indicating increased intracranial pressure (ICP)? –
ANSWER- Level of consciousness
In addition to pain, pallor, and pulselessness, a neurovascular assessment also
includes checking for: – ANSWER- Paresthesia and paralysis
You received a report on a patient that sustained a right hemisphere CVA 48 hours
ago. What do you expect the patient to exhibit? – ANSWER- 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? – ANSWER- Hold digoxin (Lanoxin) and call the provider
Upon entry to your patient’s room, you find her sitting in High Fowler’s position
and complaining of shortness of breath. Her respiratory rate is 34 breaths/min and
O2 sat is 84%. Which mode of oxygen delivery would MOST likely reverse these
symptoms? – ANSWER- Non-rebreather mask
Your patient is on contact precautions for active MRSA. What proper PPE should
you use before entering the room? – ANSWER- Gown and gloves
Your patient recently had a G-tube placed and intermittent enteral feedings have
been initiated. What symptoms may indicate intolerance to the feedings? –
ANSWER- Vomiting and diarrhea
Upon entering your patient’s room, you note that they are having a seizure. What is
your FIRST action? – ANSWER- Position the patient on their side to maintain the
airway.
Your 18-year-old female patient was admitted with dehydration secondary to
anorexia nervosa. During your assessment you note she has a flat affect and says,
“I just want to die. I’m tired of my life.” What should be your FIRST intervention?
- ANSWER- 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 his
tracheostomy. Prior to suctioning the patient, what should you do FIRST? –
ANSWER- Hyperoxygenate patient.
Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and reports having
black colored stool today. What do you most likely suspect? – ANSWERGastrointestinal bleeding
Your new patient was admitted with blunt force trauma to the abdomen following a
motor vehicle accident (MVA). A NG tube is in place for decompression;
however, you note during the assessment that the stomach is rigid and hard during
palpation. What condition do you suspect? – ANSWER- Hemorrhage
Which of the following nursing diagnoses is MOST important for a patient with
chronic obstructive pulmonary disease (COPD)? – ANSWER- Impaired gas
exchange
You have a patient going for dialysis. Their medications include lisinopril
(Prinivil), ondansetron (Zofran), famotidine (Pepcid), and atorvastatin (Lipitor).
Which medication would you possibly hold and seek clarification? – ANSWERfamotidine (Pepcid)
What is an early symptom that the patient is developing a complication of heart
failure? – ANSWER- Edema in the legs and feet
Black and tarry colored stools are CLASSIC symptoms of what condition? –
ANSWER- Bleeding gastric ulcer