RELIAS LEARNING NURSING FINAL EXAM
SCRIPT 2026 QUESTIONS WITH FULL
SOLUTIONS
◉ You exit your patient's room and as you walk away, you hear a
thud. Upon inspection, you find your patient on the floor. What
would you do FIRST? Answer: Assess the patient for injury
◉ An adult patient who is 70 kg has a full-thickness burn over 30%
of their body surface area. What is the anticipated fluid replacement
for a patient in the first 8 hours is based on the Parkland formula?
Answer: 4200 ml
◉ A patient presents with possible organophosphate toxicity. What
would you expect to find upon assessment? Answer: Diaphoresis
◉ You see a fellow nurse placing an opioid medication in their
pocket rather than administering it as ordered. What would you do
NEXT? Answer: Tell your immediate supervisor
◉ What staff member would you ask to accompany you when
transporting an intubated patient to imaging for a CT? Answer:
respiratory therapist
, ◉ A patient's family has decided to withdraw life-sustaining
treatment. When communicating with the family of the patient, what
reassurance would you provide? Answer: Efforts will be made to
make the patient comfortable.
◉ A patient is being treated with an anticoagulant for pulmonary
embolism (PE). What patient assessment finding indicates that a
heparin infusion would be stopped IMMEDIATELY? Answer:
decreased level of consciousness
◉ What medication is used in reversing the effects of opioid
overdose? Answer: Naloxone (Narcan)
◉ Which of the following wounds has the highest risk for developing
osteomyelitis? Answer: Puncture wound from stepping on a rusty
nail.
◉ What type of diet would a patient with diverticulitis follow?
Answer: High fiber diet
◉ You want to implement the new evidence-based practice
guidelines in managing patients to prevent falls on your unit. What
provides the strongest evidence for interventions? Answer:
systematic reviews
SCRIPT 2026 QUESTIONS WITH FULL
SOLUTIONS
◉ You exit your patient's room and as you walk away, you hear a
thud. Upon inspection, you find your patient on the floor. What
would you do FIRST? Answer: Assess the patient for injury
◉ An adult patient who is 70 kg has a full-thickness burn over 30%
of their body surface area. What is the anticipated fluid replacement
for a patient in the first 8 hours is based on the Parkland formula?
Answer: 4200 ml
◉ A patient presents with possible organophosphate toxicity. What
would you expect to find upon assessment? Answer: Diaphoresis
◉ You see a fellow nurse placing an opioid medication in their
pocket rather than administering it as ordered. What would you do
NEXT? Answer: Tell your immediate supervisor
◉ What staff member would you ask to accompany you when
transporting an intubated patient to imaging for a CT? Answer:
respiratory therapist
, ◉ A patient's family has decided to withdraw life-sustaining
treatment. When communicating with the family of the patient, what
reassurance would you provide? Answer: Efforts will be made to
make the patient comfortable.
◉ A patient is being treated with an anticoagulant for pulmonary
embolism (PE). What patient assessment finding indicates that a
heparin infusion would be stopped IMMEDIATELY? Answer:
decreased level of consciousness
◉ What medication is used in reversing the effects of opioid
overdose? Answer: Naloxone (Narcan)
◉ Which of the following wounds has the highest risk for developing
osteomyelitis? Answer: Puncture wound from stepping on a rusty
nail.
◉ What type of diet would a patient with diverticulitis follow?
Answer: High fiber diet
◉ You want to implement the new evidence-based practice
guidelines in managing patients to prevent falls on your unit. What
provides the strongest evidence for interventions? Answer:
systematic reviews
