RELIAS MEDICAL SURGICAL RN AEXAMS WITH
CORRECT SOLUTIONS 2026/2027/UPDATED
/GRADED A+
1. 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
2. What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - ANSWER-BUN 32, CREATNINE 8.32
3. 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
4. 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
5. 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
6. 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.
, 7. 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.
8. 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
9. What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - ANSWER-
Reduce gastric acid secretion
10. 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
11. dietary teaching for a patient with chronic renal failure should include choices that
are: - ANSWER-Low potassium, low protein, moderate fat
12. Which of the following nursing diagnosis is most important for a patient with chronic
obstructive pulmonary disease(COPD) - ANSWER-Impaired gas exchange
13. 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.
14. 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)
CORRECT SOLUTIONS 2026/2027/UPDATED
/GRADED A+
1. 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
2. What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - ANSWER-BUN 32, CREATNINE 8.32
3. 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
4. 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
5. 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
6. 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.
, 7. 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.
8. 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
9. What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - ANSWER-
Reduce gastric acid secretion
10. 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
11. dietary teaching for a patient with chronic renal failure should include choices that
are: - ANSWER-Low potassium, low protein, moderate fat
12. Which of the following nursing diagnosis is most important for a patient with chronic
obstructive pulmonary disease(COPD) - ANSWER-Impaired gas exchange
13. 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.
14. 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)
