RELIAS RN 2026 COMPREHENSIVE EXAM
SCRIPT COMPLETE ANSWERS
◉An elderly patient is brought in with new onset of confusion and
gradual onset of headache in the last 48hours. The patient states
that they had a fall 3 days ago. Based on the history and presenting
complaints, what diagnostic test do you anticipate the provider to
order?
MRI of the brain
Complete Blood Count
Finger stick blood sugar
CT scan of the brain. Answer: CT scan of the brain
◉A patient arrives with suspected appendicitis. What action, if
observed, would require additional training for the unlicensed
assistive personnel (UAP)?
The UAP offers the patient a ginger ale.
The UAP allows the patient to move to a position of comfort.
The UAP helps the patient with a bedpan.
The UAP reminds the patient to stay in bed.. Answer: The UAP offers
the patient a ginger ale.
,◉What laboratory value would you monitor closely if your patient is
vomiting coffee-ground emesis?
White blood cells
Serum potasgium
Arterial Blood Gas
Hemoglobin. Answer: Hemoglobin
◉A patient who is 32 weeks pregnant presents with a three-day
history of headache and significant swelling of the lower extremities
and face. The patient's vital signs are BP: 160/90, HR: 105/min,
RR:19/min, Spo2: 94% on RA, Temp: 97.3 F. What medication do you
anticipate the provider to order FIRST?
Furosemide (Lasix)
Magnesium Sulfate
Labetalol (Trandate)
Acetaminophen (Tylenol). Answer: Magnesium Sulfate
◉You are caring for a patient who has a history of alcohol use and
seizures. You suddenly notice the patient becoming diaphoretic,
anxious, tachycardic, and has clammy skin. What would you do
NEXT?
Check their blood glucose
Turn them on their side
, Auscultate their lungs
Administer propranolol. Answer: Check their blood glucose
◉A patient who is 24 weeks pregnant presents with fever and right
upper quadrant pain. The patient states that the pain is radiating to
the right shoulder blade, and started an hour after having a pizza for
lunch. She is tachycardic, tachypneic, and diaphoretic on the initial
triage assessment. What is the MOST likely diagnosis for this
patient?
Pericarditis
Cholecystitis
Diverticulitis
Pancreatitis. Answer: Cholecystitis
◉A patient presents after falling from a height and fracturing their
right tibia and fibula. What symptom would be reported to the
provider IMMEDIATELY?
Bounding pulse
Warm extremity
Paresthesia of the foot
Capillary refill pf toes <2 sec. Answer: Paresthesia of the foot
◉You are assisting a novice nurse with a blood draw. You observe
the nurse draw the blood, place the specimen tubes in a biohazard
SCRIPT COMPLETE ANSWERS
◉An elderly patient is brought in with new onset of confusion and
gradual onset of headache in the last 48hours. The patient states
that they had a fall 3 days ago. Based on the history and presenting
complaints, what diagnostic test do you anticipate the provider to
order?
MRI of the brain
Complete Blood Count
Finger stick blood sugar
CT scan of the brain. Answer: CT scan of the brain
◉A patient arrives with suspected appendicitis. What action, if
observed, would require additional training for the unlicensed
assistive personnel (UAP)?
The UAP offers the patient a ginger ale.
The UAP allows the patient to move to a position of comfort.
The UAP helps the patient with a bedpan.
The UAP reminds the patient to stay in bed.. Answer: The UAP offers
the patient a ginger ale.
,◉What laboratory value would you monitor closely if your patient is
vomiting coffee-ground emesis?
White blood cells
Serum potasgium
Arterial Blood Gas
Hemoglobin. Answer: Hemoglobin
◉A patient who is 32 weeks pregnant presents with a three-day
history of headache and significant swelling of the lower extremities
and face. The patient's vital signs are BP: 160/90, HR: 105/min,
RR:19/min, Spo2: 94% on RA, Temp: 97.3 F. What medication do you
anticipate the provider to order FIRST?
Furosemide (Lasix)
Magnesium Sulfate
Labetalol (Trandate)
Acetaminophen (Tylenol). Answer: Magnesium Sulfate
◉You are caring for a patient who has a history of alcohol use and
seizures. You suddenly notice the patient becoming diaphoretic,
anxious, tachycardic, and has clammy skin. What would you do
NEXT?
Check their blood glucose
Turn them on their side
, Auscultate their lungs
Administer propranolol. Answer: Check their blood glucose
◉A patient who is 24 weeks pregnant presents with fever and right
upper quadrant pain. The patient states that the pain is radiating to
the right shoulder blade, and started an hour after having a pizza for
lunch. She is tachycardic, tachypneic, and diaphoretic on the initial
triage assessment. What is the MOST likely diagnosis for this
patient?
Pericarditis
Cholecystitis
Diverticulitis
Pancreatitis. Answer: Cholecystitis
◉A patient presents after falling from a height and fracturing their
right tibia and fibula. What symptom would be reported to the
provider IMMEDIATELY?
Bounding pulse
Warm extremity
Paresthesia of the foot
Capillary refill pf toes <2 sec. Answer: Paresthesia of the foot
◉You are assisting a novice nurse with a blood draw. You observe
the nurse draw the blood, place the specimen tubes in a biohazard
