RELIAS MEDICAL SURGICAL RN A
COMPREHENSIVE PRACTICE EXAM LATEST
UPDATED ACTUAL FINAL EXAM WITH ALL
POSSIBLE MOST TESTED 100 PRACTICE QUESTIONS
AND 100% CORRECT VERIFIED ANSWERS FULLY
SOLVED WITH DETAILED RATIONALES PLUS
EXPERT ANSWER KEY 2026-2027 FINAL EXAM
UPDATED VERSION 100% GUARANTEED PASS MOST
RECENT!!!
1. A nurse is caring for a client with cirrhosis who
develops ascites. Which assessment finding would
indicate a need for immediate intervention?
A) Increased abdominal girth
B) Shifting dullness on percussion
C) Serum sodium of 130 mEq/L
D) Confusion and asterixis
D) Confusion and asterixis
This indicates hepatic encephalopathy, a life-
threatening complication of cirrhosis requiring
,immediate intervention to prevent cerebral edema
and coma.
2. A client with acute pancreatitis is admitted with
severe epigastric pain. Which laboratory value
should the nurse monitor as the most specific
indicator of this condition?
A) Amylase
B) Lipase
C) Glucose
D) Calcium
B) Lipase
Lipase is more specific to the pancreas than
amylase, which can also be elevated in other
conditions such as salivary gland disorders or renal
failure.
3. The nurse is assessing a client 24 hours after a
total thyroidectomy. Which finding requires the
most rapid response?
A) Hoarseness
B) Pain at the incision site
C) Tingling around the mouth
,D) Temperature of 99.8°F (37.7°C)
C) Tingling around the mouth
This is a sign of hypocalcemia due to accidental
removal of or damage to the parathyroid glands,
which can lead to tetany and laryngospasm.
4. A nurse is providing discharge teaching for a
client with heart failure. Which statement indicates
a need for further teaching?
A) "I will weigh myself every morning."
B) "I will take my furosemide before bedtime."
C) "I will report a weight gain of 2 pounds in a day."
D) "I will avoid canned soups and frozen dinners."
B) "I will take my furosemide before bedtime."
Diuretics should be taken in the morning to
prevent nocturia and sleep disturbance.
5. A client with a history of chronic obstructive
pulmonary disease (COPD) is admitted with
shortness of breath. Which oxygen delivery system
is most appropriate?
A) Non-rebreather mask at 15 L/min
B) Simple face mask at 10 L/min
, C) Venturi mask at 28%
D) Nasal cannula at 6 L/min
C) Venturi mask at 28%
Clients with COPD retain carbon dioxide and
depend on hypoxic drive. High oxygen
concentrations can suppress respiratory drive, so
precise low-flow oxygen via Venturi mask is safest.
6. A client is receiving a blood transfusion and
develops chills, low back pain, and dark urine. What
is the priority nursing action?
A) Slow the transfusion and notify the provider
B) Stop the transfusion and infuse normal saline
C) Administer diphenhydramine as ordered
D) Check the blood bag for identification errors
B) Stop the transfusion and infuse normal saline
These symptoms indicate a hemolytic transfusion
reaction. The transfusion must be stopped
immediately and saline infused to maintain renal
perfusion and prevent acute kidney injury.
7. The nurse is caring for a client with a new
ileostomy. What type of drainage does the nurse
COMPREHENSIVE PRACTICE EXAM LATEST
UPDATED ACTUAL FINAL EXAM WITH ALL
POSSIBLE MOST TESTED 100 PRACTICE QUESTIONS
AND 100% CORRECT VERIFIED ANSWERS FULLY
SOLVED WITH DETAILED RATIONALES PLUS
EXPERT ANSWER KEY 2026-2027 FINAL EXAM
UPDATED VERSION 100% GUARANTEED PASS MOST
RECENT!!!
1. A nurse is caring for a client with cirrhosis who
develops ascites. Which assessment finding would
indicate a need for immediate intervention?
A) Increased abdominal girth
B) Shifting dullness on percussion
C) Serum sodium of 130 mEq/L
D) Confusion and asterixis
D) Confusion and asterixis
This indicates hepatic encephalopathy, a life-
threatening complication of cirrhosis requiring
,immediate intervention to prevent cerebral edema
and coma.
2. A client with acute pancreatitis is admitted with
severe epigastric pain. Which laboratory value
should the nurse monitor as the most specific
indicator of this condition?
A) Amylase
B) Lipase
C) Glucose
D) Calcium
B) Lipase
Lipase is more specific to the pancreas than
amylase, which can also be elevated in other
conditions such as salivary gland disorders or renal
failure.
3. The nurse is assessing a client 24 hours after a
total thyroidectomy. Which finding requires the
most rapid response?
A) Hoarseness
B) Pain at the incision site
C) Tingling around the mouth
,D) Temperature of 99.8°F (37.7°C)
C) Tingling around the mouth
This is a sign of hypocalcemia due to accidental
removal of or damage to the parathyroid glands,
which can lead to tetany and laryngospasm.
4. A nurse is providing discharge teaching for a
client with heart failure. Which statement indicates
a need for further teaching?
A) "I will weigh myself every morning."
B) "I will take my furosemide before bedtime."
C) "I will report a weight gain of 2 pounds in a day."
D) "I will avoid canned soups and frozen dinners."
B) "I will take my furosemide before bedtime."
Diuretics should be taken in the morning to
prevent nocturia and sleep disturbance.
5. A client with a history of chronic obstructive
pulmonary disease (COPD) is admitted with
shortness of breath. Which oxygen delivery system
is most appropriate?
A) Non-rebreather mask at 15 L/min
B) Simple face mask at 10 L/min
, C) Venturi mask at 28%
D) Nasal cannula at 6 L/min
C) Venturi mask at 28%
Clients with COPD retain carbon dioxide and
depend on hypoxic drive. High oxygen
concentrations can suppress respiratory drive, so
precise low-flow oxygen via Venturi mask is safest.
6. A client is receiving a blood transfusion and
develops chills, low back pain, and dark urine. What
is the priority nursing action?
A) Slow the transfusion and notify the provider
B) Stop the transfusion and infuse normal saline
C) Administer diphenhydramine as ordered
D) Check the blood bag for identification errors
B) Stop the transfusion and infuse normal saline
These symptoms indicate a hemolytic transfusion
reaction. The transfusion must be stopped
immediately and saline infused to maintain renal
perfusion and prevent acute kidney injury.
7. The nurse is caring for a client with a new
ileostomy. What type of drainage does the nurse
