Relias Medical-Surgical RN A – 2025/2026
Updated Study Guide & Practice Questions |
NCLEX Exam Prep | 100% Pass Guarantee
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 - correct
answerPatient Lift example hoyer
What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - correct answerBUN 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? -
correct answerHold 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? - correct answerAirborne precautions
Upon entering your patient's room you note that they are having a seizure. What is your
1st action? - correct answerPosition 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? - correct answerTell 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? - correct
answerDeflate 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? - correct answerIs
late afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - correct
answerReduce 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? - correct
answerHyperoxygenate patient
, dietary teaching for a patient with chronic renal failure should include choices that are: -
correct answerLow potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with chronic
obstructive pulmonary disease(COPD) - correct answerImpaired 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? - correct answerNotify 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? - correct answerLISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - correct answerChange
in level of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered
for the patient? - correct answerClear liquids
Which tool should you use to assess pain in your 80 year old patient with severe
dementia? - correct answer?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective
drain function? - correct answerCompress 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? - correct answerSevere abdominal pain or rebound tenderness
Your patient with a known history of diabetes is displaying symptoms of diaphoresis,
Cool skin, lethargy, And shakiness. What is your 1st action? - correct answerCheck the
patient's blood glucose level
a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you
anticipate administering? - correct answerVitamin K
While in a supine position your patient States" I'm tired and cannot catch my breath".
Physical assessment reveals juggler vein distention and a 3rd heart sound(S3). These
symptoms are indicative of what condition? - correct answerHeart failure
Updated Study Guide & Practice Questions |
NCLEX Exam Prep | 100% Pass Guarantee
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 - correct
answerPatient Lift example hoyer
What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - correct answerBUN 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? -
correct answerHold 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? - correct answerAirborne precautions
Upon entering your patient's room you note that they are having a seizure. What is your
1st action? - correct answerPosition 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? - correct answerTell 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? - correct
answerDeflate 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? - correct answerIs
late afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - correct
answerReduce 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? - correct
answerHyperoxygenate patient
, dietary teaching for a patient with chronic renal failure should include choices that are: -
correct answerLow potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with chronic
obstructive pulmonary disease(COPD) - correct answerImpaired 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? - correct answerNotify 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? - correct answerLISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - correct answerChange
in level of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered
for the patient? - correct answerClear liquids
Which tool should you use to assess pain in your 80 year old patient with severe
dementia? - correct answer?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective
drain function? - correct answerCompress 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? - correct answerSevere abdominal pain or rebound tenderness
Your patient with a known history of diabetes is displaying symptoms of diaphoresis,
Cool skin, lethargy, And shakiness. What is your 1st action? - correct answerCheck the
patient's blood glucose level
a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you
anticipate administering? - correct answerVitamin K
While in a supine position your patient States" I'm tired and cannot catch my breath".
Physical assessment reveals juggler vein distention and a 3rd heart sound(S3). These
symptoms are indicative of what condition? - correct answerHeart failure
