Relias medical surgical RN A Advanced Final Exam
Study Guide 2026/2027
⭐ Accurate Questions with Correct Detailed Solutions |
Brand New Updated Version | High Exam Success
Boost your preparation with this Advanced Final Exam Study Guide 2026/2027, designed to
help students review smarter, strengthen understanding, and perform confidently in exams.
This study resource features accurate exam-style questions with correct detailed solutions,
carefully structured around important and frequently tested concepts. Each solution includes
clear explanations and step-by-step breakdowns to help improve comprehension, reinforce
learning, and enhance problem-solving skills.
Whether you are preparing ahead of time or reviewing shortly before your exam, this guide
provides a focused and organized approach to help maximize your study time and improve
exam readiness.
🔥 What This Guide Offers
✔ Accurate and exam-focused practice questions
✔ Correct detailed solutions with clear explanations
✔ Coverage of important and commonly tested topics
✔ Brand new updated version (2026/2027)
✔ Easy-to-follow structure for quick revision
🚀 Benefits of This Study Guide
• Helps strengthen understanding of core concepts
• Supports effective and efficient revision
• Improves confidence and test-taking ability
• Provides realistic exam-style practice
• Helps identify and improve weak areas
,🎯 Ideal For
• Final exam preparation
• Midterm revision sessions
• Last-minute review and practice
• Practicing exam-style questions
• Improving academic performance and exam confidence
📚 A practical and reliable study companion designed to help students prepare effectively
and achieve stronger exam results.
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 - ANSWER
✅✅✅✅Patient Lift example hoyer
What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - ANSWER ✅✅✅✅BUN 32, CREATNINE 8.32
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? -
ANSWER ✅✅✅✅Hold wayfaring (coumadin) for the next 48 hours
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? - ANSWER ✅✅✅✅Airborne precautions
Upon entering your patient's room you note that they are having a seizure. What is your
1st action? - ANSWER ✅✅✅✅Position the patient on their side to maintain the airway
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? - ANSWER ✅✅✅✅Tell her you cannot give her information
and report her actions to your manager.
Your male patient complaints of discomfort while inflating the balloon during insertion of
a endwelling urinary catheter. What would be the most appropriate action? - ANSWER
✅✅✅✅Deflate the balloon, advance the catheter further, then reinflate the balloon.
,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? - ANSWER
✅✅✅✅Is late afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - ANSWER
✅✅✅✅Reduce gastric acid secretion
Your patient has a non productive cough and presence of secretions in his
tracheostomy. Prior to sectioning the patient, what should you do 1st? - ANSWER
✅✅✅✅Hyperoxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that are: -
ANSWER ✅✅✅✅Low potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with chronic
obstructive pulmonary disease(COPD) - ANSWER ✅✅✅✅Impaired gas exchange
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 that he lives at home with family
members. What should you do? - ANSWER ✅✅✅✅Notify the charge nurse and social
worker of your concerns.
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? - ANSWER
✅✅✅✅LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - ANSWER
✅✅✅✅Change in level of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered
for the patient? - ANSWER ✅✅✅✅Clear liquids
Which tool should you use to assess pain in your 80 year old patient with severe
dementia? - ANSWER ✅✅✅✅?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective
drain function? - ANSWER ✅✅✅✅Compress the drain, then plug the bulb to establish
suction.
Is 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
, Your patient with a known history of diabetes is displaying symptoms of diaphoresis,
Cool skin, lethargy, And shakiness. What is your 1st action? - ANSWER ✅✅✅✅Check
the patient's blood glucose level
a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you
anticipate administering? - ANSWER ✅✅✅✅Vitamin K
While in a supine position your patient States" I'm tired and cannot catch my breath".
Physical assessment reveals juggler vein distention and a 3rd heart sound(S3). These
symptoms are indicative of what condition? - ANSWER ✅✅✅✅Heart failure
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/minute And 02 sat
is 84%. Which mode of oxygen delivery would most likely reverse the symptoms? -
ANSWER ✅✅✅✅Non rebreather mask
Your patient continues to pull at their iv located in their left forearm despite verbal
reminders And increased observation. The nursing assistant recommends using soft
mitt Restraints on the patient. What is your recommendation? - ANSWER
✅✅✅✅Request and order for soft mitts As they are the least restrictive..
What is an early symptom that a patient is developing a complication of heart failure? -
ANSWER ✅✅✅✅Edema in the legs and feet
You were hired to work the medical unit and when you arrive at work the charge nurse
has assigned you to the post surgical unit since they are under staffed. Which is the
most appropriate action? - ANSWER ✅✅✅✅Report to the post surgical unit
What type of personal protective equipment(Ppe) Is applied prior to entering a room for
a patient with with C diff? - ANSWER ✅✅✅✅Gown and gloves
When would sucralfate(Carafate) 4 times daily be scheduled for? - ANSWER ✅✅✅✅1
hour before meals and at bedtime
Your new patient was admitted with Blunt force trauma to the abdomen Following a
motor vehicle accident. 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
What is clubbing of the fingers most likely associated with? - ANSWER
✅✅✅✅Chronic oxygen deficiency
Is your patient with hepatitis C Exhibits signs of jaundice and a distended abdomen.
What procedure would you anticipate being performed by the provider at the bedside for
this patient? - ANSWER ✅✅✅✅Paracentesis
Study Guide 2026/2027
⭐ Accurate Questions with Correct Detailed Solutions |
Brand New Updated Version | High Exam Success
Boost your preparation with this Advanced Final Exam Study Guide 2026/2027, designed to
help students review smarter, strengthen understanding, and perform confidently in exams.
This study resource features accurate exam-style questions with correct detailed solutions,
carefully structured around important and frequently tested concepts. Each solution includes
clear explanations and step-by-step breakdowns to help improve comprehension, reinforce
learning, and enhance problem-solving skills.
Whether you are preparing ahead of time or reviewing shortly before your exam, this guide
provides a focused and organized approach to help maximize your study time and improve
exam readiness.
🔥 What This Guide Offers
✔ Accurate and exam-focused practice questions
✔ Correct detailed solutions with clear explanations
✔ Coverage of important and commonly tested topics
✔ Brand new updated version (2026/2027)
✔ Easy-to-follow structure for quick revision
🚀 Benefits of This Study Guide
• Helps strengthen understanding of core concepts
• Supports effective and efficient revision
• Improves confidence and test-taking ability
• Provides realistic exam-style practice
• Helps identify and improve weak areas
,🎯 Ideal For
• Final exam preparation
• Midterm revision sessions
• Last-minute review and practice
• Practicing exam-style questions
• Improving academic performance and exam confidence
📚 A practical and reliable study companion designed to help students prepare effectively
and achieve stronger exam results.
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 - ANSWER
✅✅✅✅Patient Lift example hoyer
What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - ANSWER ✅✅✅✅BUN 32, CREATNINE 8.32
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? -
ANSWER ✅✅✅✅Hold wayfaring (coumadin) for the next 48 hours
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? - ANSWER ✅✅✅✅Airborne precautions
Upon entering your patient's room you note that they are having a seizure. What is your
1st action? - ANSWER ✅✅✅✅Position the patient on their side to maintain the airway
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? - ANSWER ✅✅✅✅Tell her you cannot give her information
and report her actions to your manager.
Your male patient complaints of discomfort while inflating the balloon during insertion of
a endwelling urinary catheter. What would be the most appropriate action? - ANSWER
✅✅✅✅Deflate the balloon, advance the catheter further, then reinflate the balloon.
,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? - ANSWER
✅✅✅✅Is late afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - ANSWER
✅✅✅✅Reduce gastric acid secretion
Your patient has a non productive cough and presence of secretions in his
tracheostomy. Prior to sectioning the patient, what should you do 1st? - ANSWER
✅✅✅✅Hyperoxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that are: -
ANSWER ✅✅✅✅Low potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with chronic
obstructive pulmonary disease(COPD) - ANSWER ✅✅✅✅Impaired gas exchange
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 that he lives at home with family
members. What should you do? - ANSWER ✅✅✅✅Notify the charge nurse and social
worker of your concerns.
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? - ANSWER
✅✅✅✅LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - ANSWER
✅✅✅✅Change in level of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered
for the patient? - ANSWER ✅✅✅✅Clear liquids
Which tool should you use to assess pain in your 80 year old patient with severe
dementia? - ANSWER ✅✅✅✅?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective
drain function? - ANSWER ✅✅✅✅Compress the drain, then plug the bulb to establish
suction.
Is 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
, Your patient with a known history of diabetes is displaying symptoms of diaphoresis,
Cool skin, lethargy, And shakiness. What is your 1st action? - ANSWER ✅✅✅✅Check
the patient's blood glucose level
a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you
anticipate administering? - ANSWER ✅✅✅✅Vitamin K
While in a supine position your patient States" I'm tired and cannot catch my breath".
Physical assessment reveals juggler vein distention and a 3rd heart sound(S3). These
symptoms are indicative of what condition? - ANSWER ✅✅✅✅Heart failure
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/minute And 02 sat
is 84%. Which mode of oxygen delivery would most likely reverse the symptoms? -
ANSWER ✅✅✅✅Non rebreather mask
Your patient continues to pull at their iv located in their left forearm despite verbal
reminders And increased observation. The nursing assistant recommends using soft
mitt Restraints on the patient. What is your recommendation? - ANSWER
✅✅✅✅Request and order for soft mitts As they are the least restrictive..
What is an early symptom that a patient is developing a complication of heart failure? -
ANSWER ✅✅✅✅Edema in the legs and feet
You were hired to work the medical unit and when you arrive at work the charge nurse
has assigned you to the post surgical unit since they are under staffed. Which is the
most appropriate action? - ANSWER ✅✅✅✅Report to the post surgical unit
What type of personal protective equipment(Ppe) Is applied prior to entering a room for
a patient with with C diff? - ANSWER ✅✅✅✅Gown and gloves
When would sucralfate(Carafate) 4 times daily be scheduled for? - ANSWER ✅✅✅✅1
hour before meals and at bedtime
Your new patient was admitted with Blunt force trauma to the abdomen Following a
motor vehicle accident. 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
What is clubbing of the fingers most likely associated with? - ANSWER
✅✅✅✅Chronic oxygen deficiency
Is your patient with hepatitis C Exhibits signs of jaundice and a distended abdomen.
What procedure would you anticipate being performed by the provider at the bedside for
this patient? - ANSWER ✅✅✅✅Paracentesis
