2025 RELIAS MEDICAL SURGICAL RN A END OF COURSE EXAM 1
QUESTIONS WITH ANSWERS GRADED A+ 2025/2026
Your patient is 4 hours post open appendectomy Anne has not voided yet. You note his
lower abdomen is distended. What should you do next? - Perform a bladder scan
You receive a provider's order that is not consistent with evidence based practice.What
is your 1st step? - Clarify the order with the provider
Is what is the earliest sign indicating increased intracranial pressure(ICP)? - Level of
consciousness
What patient population is the pneumococcal vaccine PPSV23 indicated for? - Adults
aged 65 years and older
Your patient takes 5 mg of warfarin(coumadin) day and reports having black cored stool
today. What do you most likely suspect? - Gastrointestinal bleeding
Failed to capture question - Failed to capture answer
Failed to capture question - Failed to capture answer
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 - Patient Lift
example hoyer
What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - 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? -
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? - Airborne precautions
Upon entering your patient's room you note that they are having a seizure. What is your
1st action? - 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? - 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? - 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? - Is late afternoon
and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - 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? -
Hyperoxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that are: -
Low potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with chronic
obstructive pulmonary disease(COPD) - 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? - 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? - LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - Change in level of
consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered
for the patient? - Clear liquids
Which tool should you use to assess pain in your 80 year old patient with severe
dementia? - ?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective
drain function? - 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? - Severe abdominal pain or rebound tenderness
QUESTIONS WITH ANSWERS GRADED A+ 2025/2026
Your patient is 4 hours post open appendectomy Anne has not voided yet. You note his
lower abdomen is distended. What should you do next? - Perform a bladder scan
You receive a provider's order that is not consistent with evidence based practice.What
is your 1st step? - Clarify the order with the provider
Is what is the earliest sign indicating increased intracranial pressure(ICP)? - Level of
consciousness
What patient population is the pneumococcal vaccine PPSV23 indicated for? - Adults
aged 65 years and older
Your patient takes 5 mg of warfarin(coumadin) day and reports having black cored stool
today. What do you most likely suspect? - Gastrointestinal bleeding
Failed to capture question - Failed to capture answer
Failed to capture question - Failed to capture answer
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 - Patient Lift
example hoyer
What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - 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? -
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? - Airborne precautions
Upon entering your patient's room you note that they are having a seizure. What is your
1st action? - 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? - 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? - 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? - Is late afternoon
and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - 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? -
Hyperoxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that are: -
Low potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with chronic
obstructive pulmonary disease(COPD) - 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? - 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? - LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - Change in level of
consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered
for the patient? - Clear liquids
Which tool should you use to assess pain in your 80 year old patient with severe
dementia? - ?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective
drain function? - 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? - Severe abdominal pain or rebound tenderness
