Medical-Surgical RN A Prophecy Relias Exam
2026–2027 Exam Questions and Verified
Correct Answers
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 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?
Non-rebreather mask
Your patient is on contact precautions for active MRSA. What proper
PPE should you use before entering the room?
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?
Vomiting and diarrhea
,Upon entering your patient's room, you note that they are having a
seizure. What is your FIRST action?
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?
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?
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?
Gastrointestinal 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?
Hemorrhage
Which of the following nursing diagnoses is MOST important for a
patient with chronic obstructive pulmonary disease (COPD)?
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?
famotidine (Pepcid)
What is an early symptom that the patient is developing a
complication of heart failure?
Edema in the legs and feet
Black and tarry colored stools are CLASSIC symptoms of what
condition?
Bleeding gastric ulcer
You have 4 patients who have high priority needs. One needs to go to
surgery, one needs STAT lab draws from a PICC line, another has chest
2026–2027 Exam Questions and Verified
Correct Answers
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 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?
Non-rebreather mask
Your patient is on contact precautions for active MRSA. What proper
PPE should you use before entering the room?
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?
Vomiting and diarrhea
,Upon entering your patient's room, you note that they are having a
seizure. What is your FIRST action?
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?
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?
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?
Gastrointestinal 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?
Hemorrhage
Which of the following nursing diagnoses is MOST important for a
patient with chronic obstructive pulmonary disease (COPD)?
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?
famotidine (Pepcid)
What is an early symptom that the patient is developing a
complication of heart failure?
Edema in the legs and feet
Black and tarry colored stools are CLASSIC symptoms of what
condition?
Bleeding gastric ulcer
You have 4 patients who have high priority needs. One needs to go to
surgery, one needs STAT lab draws from a PICC line, another has chest
