MEDICAL-SURGICAL RN A PROPHECY
RELIAS ANSWERS | VERIFIED | UPDATED
(ACTUAL EXAM) 2025\2026 LATEST
VERSION!!
1.2 milligrams is equal to how many micrograms? - ANSWERS-1200 mcg
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What lab values are expected to be in a patient with end stage renal disease on hemodi
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alysis - ANSWERS-BUN 32, CREATNINE 8.32
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dietary teaching for a patient with chronic renal failure should include choices that are: -
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ANSWERS-Low potassium, low protein, moderate fat
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Your post-op patient has a Jackson-
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Pratt (JP) drain in place. How do you ensure effective drain function? - ANSWERS-
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Compress the drain, then plug the bulb to establish suction rl rl rl rl rl rl rl rl rl
Your male patient complains of discomfort while inflating the balloon during insertion of
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an indwelling urinary catheter. What would be the MOST appropriate action? -
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ANSWERS-Deflate the balloon, advance the catheter further, then reinflate the balloon
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What are the most common causes of acute onset pancreatitis? - ANSWERS-
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Alcoholism and gallstones rl rl
What medication is contraindicated In a patient with A hemorrhagic CVA? -
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ANSWERS-heparin
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Your patient appears dusky colored and you cannot palpate a pulse. What is the 1st thi
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ng you should do? - ANSWERS-Initiate a code per facility protocol and begin CPR
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A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the follo
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wing? - ANSWERS-hyperglycemia rl rl
Your patient has symptomatic anemia but is refusing a blood transfusion for religious re
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ason. What is an appropriate response? - ANSWERS-
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Respect his wishes and notify the provider rl rl rl rl rl rl
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered
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for the patient? - ANSWERS-broth, jello, soft fruit no skin,
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clear liquids rl
You were hired to work the medical unit and when you arrive at work the charge nurse h
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as assigned you to the post-
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surgical unit since they are understaffed. Which is the MOST appropriate action? -
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ANSWERS-Report to the post-surgical unit.
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, What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? -
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ANSWERS-Acid Reduction
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Which adaptive equipment would be MOST appropriate to use for a severely contracte
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d patient who is unable to bear weight when transferring from the bed to the chair? -
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ANSWERS-Patient lift (e.g., Hoyer)
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Which tool should you use to assess pain in you 80-year-
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old patient with severe dementia? - ANSWERS-PAINAD scale
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Your 85-year- rl
old patient with atrial fibrillation fell at home 3 days ago. You notice she has been having
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several episodes of acute confusion since being admitted to your unit. What is the MO
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ST important order you should anticipate from the provider? - ANSWERS-
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Hold wayfaring (coumadin) for the next 48 hours
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Stat CT of head rl rl rl
Your patient is admitted from the ED with failure to thrive and advanced dementia. You
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
note he is extremely underweight, appears unbathed for some time, and has a stage 4
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
pressure injury to his coccyx. You were told in report that he lives at home with family m
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embers. What should you do? - ANSWERS- rl rl rl rl rl rl
Notify the charge nurse and social worker of your concerns.
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Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the indwel
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
ling urinary catheter in the last 2 hours. What is your patient MOST likely experiencing. -
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ANSWERS-Sepsis
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What type of personal protective equipment (PPE) is applied prior to entering a room for
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a patient with C. diff? - ANSWERS-Gown and gloves
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Your patient continues to pull at their IV site located in their left forearm despite verbal r
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
eminders and increased observation. The nursing assistant recommends using soft mit
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t restraints on the patient. What is your recommendation? - ANSWERS-
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Request an order for soft mitts as they are the least restrictive rl rl rl rl rl rl rl rl rl rl rl
Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson
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's disease, depression, and alcohol use. On his second hospitalized day, you notice he i
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s more anxious and restless than his baseline. What would be your FIRST nursing inter
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vention? - ANSWERS-Ask the patient when his last drink of alcohol was. rl rl rl rl rl rl rl rl rl rl rl
What is the BEST indication of an acute neurological problem? - ANSWERS-
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Change in level of consciousness rl rl rl rl
While in a supine position your patient states, "I'm tired and cannot catch my breath." P
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hysical assessment reveals jugular vein distention and a third heart sound (S3). These
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symptoms are indicative of what condition? - ANSWERS-Heart failure rl rl rl rl rl rl rl rl
Your new admission presents with a cough, unintentional weight loss, frequent night sw
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eats, and bloody sputum. What type of isolation precautions should you initiate, if any? -
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ANSWERS-Airborne precautions
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RELIAS ANSWERS | VERIFIED | UPDATED
(ACTUAL EXAM) 2025\2026 LATEST
VERSION!!
1.2 milligrams is equal to how many micrograms? - ANSWERS-1200 mcg
rl rl rl rl rl rl rl rl rl rl
What lab values are expected to be in a patient with end stage renal disease on hemodi
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
alysis - ANSWERS-BUN 32, CREATNINE 8.32
rl rl rl rl rl
dietary teaching for a patient with chronic renal failure should include choices that are: -
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
ANSWERS-Low potassium, low protein, moderate fat
rl rl rl rl rl rl
Your post-op patient has a Jackson-
rl rl rl rl rl
Pratt (JP) drain in place. How do you ensure effective drain function? - ANSWERS-
rl rl rl rl rl rl rl rl rl rl rl rl rl
Compress the drain, then plug the bulb to establish suction rl rl rl rl rl rl rl rl rl
Your male patient complains of discomfort while inflating the balloon during insertion of
rl rl rl rl rl rl rl rl rl rl rl rl rl
an indwelling urinary catheter. What would be the MOST appropriate action? -
rl rl rl rl rl rl rl rl rl rl rl
ANSWERS-Deflate the balloon, advance the catheter further, then reinflate the balloon
rl rl rl rl rl rl rl rl rl rl rl
What are the most common causes of acute onset pancreatitis? - ANSWERS-
rl rl rl rl rl rl rl rl rl rl rl
Alcoholism and gallstones rl rl
What medication is contraindicated In a patient with A hemorrhagic CVA? -
rl rl rl rl rl rl rl rl rl rl rl
ANSWERS-heparin
rl
Your patient appears dusky colored and you cannot palpate a pulse. What is the 1st thi
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
ng you should do? - ANSWERS-Initiate a code per facility protocol and begin CPR
rl rl rl rl rl rl rl rl rl rl rl rl rl
A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the follo
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
wing? - ANSWERS-hyperglycemia rl rl
Your patient has symptomatic anemia but is refusing a blood transfusion for religious re
rl rl rl rl rl rl rl rl rl rl rl rl rl
ason. What is an appropriate response? - ANSWERS-
rl rl rl rl rl rl rl
Respect his wishes and notify the provider rl rl rl rl rl rl
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl r
for the patient? - ANSWERS-broth, jello, soft fruit no skin,
l rl rl rl rl rl rl rl rl rl
clear liquids rl
You were hired to work the medical unit and when you arrive at work the charge nurse h
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
as assigned you to the post-
rl rl rl rl rl
surgical unit since they are understaffed. Which is the MOST appropriate action? -
rl rl rl rl rl rl rl rl rl rl rl rl
ANSWERS-Report to the post-surgical unit.
rl rl rl rl rl
, What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? -
rl rl rl rl rl rl rl rl rl rl rl rl
ANSWERS-Acid Reduction
rl rl
Which adaptive equipment would be MOST appropriate to use for a severely contracte
rl rl rl rl rl rl rl rl rl rl rl rl
d patient who is unable to bear weight when transferring from the bed to the chair? -
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
ANSWERS-Patient lift (e.g., Hoyer)
rl rl rl rl
Which tool should you use to assess pain in you 80-year-
rl rl rl rl rl rl rl rl rl rl
old patient with severe dementia? - ANSWERS-PAINAD scale
rl rl rl rl rl rl rl
Your 85-year- rl
old patient with atrial fibrillation fell at home 3 days ago. You notice she has been having
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
several episodes of acute confusion since being admitted to your unit. What is the MO
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
ST important order you should anticipate from the provider? - ANSWERS-
rl rl rl rl rl rl rl rl rl rl
Hold wayfaring (coumadin) for the next 48 hours
rl rl rl rl rl rl rl
Stat CT of head rl rl rl
Your patient is admitted from the ED with failure to thrive and advanced dementia. You
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
note he is extremely underweight, appears unbathed for some time, and has a stage 4
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
pressure injury to his coccyx. You were told in report that he lives at home with family m
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
embers. What should you do? - ANSWERS- rl rl rl rl rl rl
Notify the charge nurse and social worker of your concerns.
rl rl rl rl rl rl rl rl rl
Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the indwel
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
ling urinary catheter in the last 2 hours. What is your patient MOST likely experiencing. -
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
ANSWERS-Sepsis
rl
What type of personal protective equipment (PPE) is applied prior to entering a room for
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
a patient with C. diff? - ANSWERS-Gown and gloves
rl rl rl rl rl rl rl rl rl
Your patient continues to pull at their IV site located in their left forearm despite verbal r
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
eminders and increased observation. The nursing assistant recommends using soft mit
rl rl rl rl rl rl rl rl rl rl
t restraints on the patient. What is your recommendation? - ANSWERS-
rl rl rl rl rl rl rl rl rl rl
Request an order for soft mitts as they are the least restrictive rl rl rl rl rl rl rl rl rl rl rl
Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
's disease, depression, and alcohol use. On his second hospitalized day, you notice he i
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
s more anxious and restless than his baseline. What would be your FIRST nursing inter
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
vention? - ANSWERS-Ask the patient when his last drink of alcohol was. rl rl rl rl rl rl rl rl rl rl rl
What is the BEST indication of an acute neurological problem? - ANSWERS-
rl rl rl rl rl rl rl rl rl rl rl
Change in level of consciousness rl rl rl rl
While in a supine position your patient states, "I'm tired and cannot catch my breath." P
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
hysical assessment reveals jugular vein distention and a third heart sound (S3). These
rl rl rl rl rl rl rl rl rl rl rl rl rl
symptoms are indicative of what condition? - ANSWERS-Heart failure rl rl rl rl rl rl rl rl
Your new admission presents with a cough, unintentional weight loss, frequent night sw
rl rl rl rl rl rl rl rl rl rl rl rl
eats, and bloody sputum. What type of isolation precautions should you initiate, if any? -
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
ANSWERS-Airborne precautions
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