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MEDICAL-SURGICAL RN A PROPHECY
RELIAS EXAM 2026 WITH QUESTIONS
AND ANSWERS
1.2 milligrams is equal to how many micrograms? - correct answer-1200
mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you
ensure effective drain function? - correct answer-Compress the drain, then
plug the bulb to establish suction
Your male patient complains of discomfort while inflating the balloon during
insertion of an indwelling urinary catheter. What would be the MOST
appropriate action? - correct answer-Deflate the balloon, advance the
catheter further, then reinflate the balloon
Your patient has symptomatic anemia but is refusing a blood transfusion for
religious reason. What is an appropriate response? - correct answer-
Respect his wishes and notify the provider
Your patient is admitted with diverticulitis. What type of diet do you expect
to be ordered for the patient? - correct answer-broth, jello, soft fruit no skin,
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You were hired to work the medical unit and when you arrive at work the
charge nurse has assigned you to the post-surgical unit since they are
understaffed. Which is the MOST appropriate action? - correct answer-
Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
- correct answer-Acid Reduction
Which adaptive equipment would be MOST appropriate to use for a
severely contracted patient who is unable to bear weight when transferring
from the bed to the chair? - correct answer-Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with
severe dementia? - correct answer-PAINAD scale
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 answer-Notify the charge nurse and social worker of your concerns.
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
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being admitted to your unit. What is the MOST important order you should
anticipate from the provider? - correct answer-Stat CT of head
Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine
from the indwelling urinary catheter in the last 2 hours. What is your patient
MOST likely experiencing. - correct answer-Sepsis
What type of personal protective equipment (PPE) is applied prior to
entering a room for a patient with C. diff? - correct answer-Gown and
gloves
Your patient continues to pull at their IV site located in their left forearm
despite verbal reminders and increased observation. The nursing assistant
recommends using soft mitt restraints on the patient. What is your
recommendation? - correct answer-Request an order for soft mitts as they
are the least restrictive
Your patient was admitted for a hypertensive crisis and has a history of
HTN, Parkinson's disease, depression, and alcohol use. On his second
hospitalized day, you notice he is more anxious and restless than his
baseline. What would be your FIRST nursing intervention? - correct
answer-Ask the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - correct
answer-Change in level of consciousness
MEDICAL-SURGICAL RN A PROPHECY
RELIAS EXAM 2026 WITH QUESTIONS
AND ANSWERS
1.2 milligrams is equal to how many micrograms? - correct answer-1200
mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you
ensure effective drain function? - correct answer-Compress the drain, then
plug the bulb to establish suction
Your male patient complains of discomfort while inflating the balloon during
insertion of an indwelling urinary catheter. What would be the MOST
appropriate action? - correct answer-Deflate the balloon, advance the
catheter further, then reinflate the balloon
Your patient has symptomatic anemia but is refusing a blood transfusion for
religious reason. What is an appropriate response? - correct answer-
Respect his wishes and notify the provider
Your patient is admitted with diverticulitis. What type of diet do you expect
to be ordered for the patient? - correct answer-broth, jello, soft fruit no skin,
,2 |Page
You were hired to work the medical unit and when you arrive at work the
charge nurse has assigned you to the post-surgical unit since they are
understaffed. Which is the MOST appropriate action? - correct answer-
Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
- correct answer-Acid Reduction
Which adaptive equipment would be MOST appropriate to use for a
severely contracted patient who is unable to bear weight when transferring
from the bed to the chair? - correct answer-Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with
severe dementia? - correct answer-PAINAD scale
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 answer-Notify the charge nurse and social worker of your concerns.
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
, 3 |Page
being admitted to your unit. What is the MOST important order you should
anticipate from the provider? - correct answer-Stat CT of head
Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine
from the indwelling urinary catheter in the last 2 hours. What is your patient
MOST likely experiencing. - correct answer-Sepsis
What type of personal protective equipment (PPE) is applied prior to
entering a room for a patient with C. diff? - correct answer-Gown and
gloves
Your patient continues to pull at their IV site located in their left forearm
despite verbal reminders and increased observation. The nursing assistant
recommends using soft mitt restraints on the patient. What is your
recommendation? - correct answer-Request an order for soft mitts as they
are the least restrictive
Your patient was admitted for a hypertensive crisis and has a history of
HTN, Parkinson's disease, depression, and alcohol use. On his second
hospitalized day, you notice he is more anxious and restless than his
baseline. What would be your FIRST nursing intervention? - correct
answer-Ask the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - correct
answer-Change in level of consciousness
