MED-SURG RN A RELIAS EXAM
QUESTION & ANSWERS 2023-2024 A
GRADE
1.2 milligrams is equal to how many micrograms? - answer1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain
function? - answerCompress the drain, then plug the bulb to establish suction
Your male patient complains of discomfort while inflating the balloon during insertion of an
PR
indwelling urinary catheter. What would be the MOST appropriate action? - answerDeflate theballoon,
advance the catheter further, then reinflate the balloon
Your patient has symptomatic anemia but is refusing a blood transfusion for religious reason.What is
O
an appropriate response? - answerRespect his wishes and notify the provider
FD
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for thepatient?
- answerbroth, jello, soft fruit no skin,
O
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 understaffed. Which is the MOST appropriateaction? -
answerReport to the post-surgical unit.
C
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? - answerAcid
Reduction
Which adaptive equipment would be MOST appropriate to use for a severely contracted patientwho is
unable to bear weight when transferring from the bed to the chair? - answerPatient lift (e.g., Hoyer)
, Which tool should you use to assess pain in you 80-year-old patient with severe dementia? -
answerPAINAD scale
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? -answerNotify
the charge nurse and social worker of your concerns.
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 MOSTimportant
order you should anticipate from the provider? - answerStat CT of head
PR
Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the indwelling urinary
catheter in the last 2 hours. What is your patient MOST likely experiencing. - answerSepsis
O
What type of personal protective equipment (PPE) is applied prior to entering a room for a patientwith C.
diff? - answerGown and gloves
FD
Your patient continues to pull at their IV site located in their left forearm despite verbal remindersand
increased observation. The nursing assistant recommends using soft mitt restraints on the patient. What is
your recommendation? - answerRequest an order for soft mitts as they are the least restrictive
O
Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson's disease,
C
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? - answerAsk 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
QUESTION & ANSWERS 2023-2024 A
GRADE
1.2 milligrams is equal to how many micrograms? - answer1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain
function? - answerCompress the drain, then plug the bulb to establish suction
Your male patient complains of discomfort while inflating the balloon during insertion of an
PR
indwelling urinary catheter. What would be the MOST appropriate action? - answerDeflate theballoon,
advance the catheter further, then reinflate the balloon
Your patient has symptomatic anemia but is refusing a blood transfusion for religious reason.What is
O
an appropriate response? - answerRespect his wishes and notify the provider
FD
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for thepatient?
- answerbroth, jello, soft fruit no skin,
O
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 understaffed. Which is the MOST appropriateaction? -
answerReport to the post-surgical unit.
C
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? - answerAcid
Reduction
Which adaptive equipment would be MOST appropriate to use for a severely contracted patientwho is
unable to bear weight when transferring from the bed to the chair? - answerPatient lift (e.g., Hoyer)
, Which tool should you use to assess pain in you 80-year-old patient with severe dementia? -
answerPAINAD scale
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? -answerNotify
the charge nurse and social worker of your concerns.
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 MOSTimportant
order you should anticipate from the provider? - answerStat CT of head
PR
Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the indwelling urinary
catheter in the last 2 hours. What is your patient MOST likely experiencing. - answerSepsis
O
What type of personal protective equipment (PPE) is applied prior to entering a room for a patientwith C.
diff? - answerGown and gloves
FD
Your patient continues to pull at their IV site located in their left forearm despite verbal remindersand
increased observation. The nursing assistant recommends using soft mitt restraints on the patient. What is
your recommendation? - answerRequest an order for soft mitts as they are the least restrictive
O
Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson's disease,
C
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? - answerAsk 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
