RELIAS Medical-Surgical Telemetry Exam 2026 | Complete 100+ Verified Questions with Detailed
Rationales | Updated Relias Test Bank for Med-Surg & Telemetry Nursing | 100% Correct Answers
| Graded A+ | Newest Version for NCLEX Prep and Nursing Certification
A patient has recently been diagnosed with terminal cancer. Her responses are caustic and
abrasive. What is the BEST way to respond?
Answer: Acknowledge her feelings, understanding this is expected in the grieving process.
You notice your patient who recently had a stroke is coughing intermittently during meals. What
is the MOST likely cause of this?
Answer: He could be aspirating.
A patient with acute diverticulitis is MOST likely to complain of abdominal pain with what
quadrant?
Answer: Left lower quadrant
Which of the following is MOST important in preventing a catheter associated urinary tract
infection (CAUTI)?
Answer: Using sterile technique when inserting the catheter
The provider orders a Heparin infusion of 900 units/hr. Your IV medication on hand has 25,000
units of Heparin in 500 ml of D5W. How many ml/hr will you infuse?
Answer: 18 ml/hr
,Your patient has developed a productive cough and fever. The provider is suspecting influenza.
Which actions should you take FIRST?
Answer: Initiate droplet precautions
What medication would you anticipate to be ordered for a patient who has a LDL > 200 mg/dl?
Answer: Statin
Fifteen minutes after starting a blood transfusion, the patient complains of lower back pain,
shortness of breath, and chills. What is your FIRST action?
Answer: Stop the tranfusion.
Your patient had a transurethral resection of the prostate (TURP) 24 hours ago. What signs
require further intervention?
Answer: Bright red urine
1.2 milligrams is equal to how many micrograms?
Answer: 1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain
function?
Answer: Compress the drain, then plug the bulb to establish suction
, Your patient tells you, "I hope I don't die, but if I do I don't want to be brought back.? You notice
on her chart and wrist band that she is a full code. What would be the MOST appropriate
action?
Answer: Discuss code status with the patient and follow up with provider to ensure the medical
record reflects her wishes.
Your male patient complains of discomfort while inflating the balloon during insertion of an
indwelling urinary catheter. What would be the MOST appropriate action?
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?
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?
Answer: broth, jello, soft fruit no skin,
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?
Answer: Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
Answer: Acid Reduction
Rationales | Updated Relias Test Bank for Med-Surg & Telemetry Nursing | 100% Correct Answers
| Graded A+ | Newest Version for NCLEX Prep and Nursing Certification
A patient has recently been diagnosed with terminal cancer. Her responses are caustic and
abrasive. What is the BEST way to respond?
Answer: Acknowledge her feelings, understanding this is expected in the grieving process.
You notice your patient who recently had a stroke is coughing intermittently during meals. What
is the MOST likely cause of this?
Answer: He could be aspirating.
A patient with acute diverticulitis is MOST likely to complain of abdominal pain with what
quadrant?
Answer: Left lower quadrant
Which of the following is MOST important in preventing a catheter associated urinary tract
infection (CAUTI)?
Answer: Using sterile technique when inserting the catheter
The provider orders a Heparin infusion of 900 units/hr. Your IV medication on hand has 25,000
units of Heparin in 500 ml of D5W. How many ml/hr will you infuse?
Answer: 18 ml/hr
,Your patient has developed a productive cough and fever. The provider is suspecting influenza.
Which actions should you take FIRST?
Answer: Initiate droplet precautions
What medication would you anticipate to be ordered for a patient who has a LDL > 200 mg/dl?
Answer: Statin
Fifteen minutes after starting a blood transfusion, the patient complains of lower back pain,
shortness of breath, and chills. What is your FIRST action?
Answer: Stop the tranfusion.
Your patient had a transurethral resection of the prostate (TURP) 24 hours ago. What signs
require further intervention?
Answer: Bright red urine
1.2 milligrams is equal to how many micrograms?
Answer: 1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain
function?
Answer: Compress the drain, then plug the bulb to establish suction
, Your patient tells you, "I hope I don't die, but if I do I don't want to be brought back.? You notice
on her chart and wrist band that she is a full code. What would be the MOST appropriate
action?
Answer: Discuss code status with the patient and follow up with provider to ensure the medical
record reflects her wishes.
Your male patient complains of discomfort while inflating the balloon during insertion of an
indwelling urinary catheter. What would be the MOST appropriate action?
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?
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?
Answer: broth, jello, soft fruit no skin,
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?
Answer: Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
Answer: Acid Reduction
