Prepare for the RELIAS Medical-Surgical Telemetry RN A assessment with this comprehensive collection of exam-focused questions and verified answers covering high-yield medical-surgical, telemetry, cardiovascular, respiratory, endocrine, medication, safety, and postoperative nursing concepts. This resource is designed for RN students and nurses reviewing clinical judgment, patient prioritization, cardiac rhythm recognition, medication administration, emergency interventions, and safe patient care.
Key topics covered include:
• Humalog insulin administration with meals and sliding-scale insulin timing
• Fall-risk assessment in older adults with pneumonia, heart failure, cataracts, arthritis, and anxiety
• Initial nursing intervention for low oxygen saturation in a patient with newly diagnosed heart failure
• Recognition and initial management considerations for stable supraventricular tachycardia
• Safe transfer techniques and mechanical lifts for non-weight-bearing patients
• Helicobacter pylori and peptic ulcer disease
• Heart failure assessment including JVD, S3 heart sounds, and dyspnea
• Safe patient transport and oxygen-cylinder safety
• Atrial fibrillation with rapid ventricular response
• Evaluating patient understanding after health teaching
• Gout pain management and medication considerations
• Asthma medication education for budesonide/formoterol (Symbicort)
• Recognition of suspected blood transfusion reactions and immediate nursing action
• Chest tube assessment following lobectomy
• Continuous bubbling, air leaks, and subcutaneous emphysema
• Postoperative delirium and acute changes in cognition
• Least-restrictive restraint considerations for patients pulling lines and tubes
• Metformin considerations before CT imaging with IV contrast
• IV infusion calculations and pump-rate calculation
• Third-degree heart block recognition
• Supraventricular tachycardia rhythm identification
• Telemetry monitoring and cardiovascular assessment
• Heart failure nursing care and oxygenation
• Diabetes and medication safety
• Postoperative respiratory and cardiovascular complications
• Patient safety, falls, restraints, and clinical prioritization
• Medication administration and patient education
• Blood transfusion safety
• Chest tube and thoracic surgery nursing
• Older-adult nursing and delirium recognition
The material focuses on practical clinical scenarios involving telemetry monitoring, cardiac rhythm interpretation, oxygen therapy, heart failure, insulin, transfusions, chest tubes, postoperative complications, restraints, contrast-related medication considerations, and patient safety. The question-and-answer format supports efficient review of important Medical-Surgical Telemetry RN A concepts for assessment preparation.
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Content preview
Relias Medical Surgical
Telemetry RN A Exam
Questions Verified and
Provided with A+
Graded Answers |Latest
Updated 2026
,15 Minutes before the meal arrives
Humalog insulin is ordered with meals via sliding scale for your patient with diabetes.
When is the BEST time to administer the Humalog insulin?
Falls
You are caring for your 80 year old patient admitted for pneumonia. They have a history of
heart failure, cataracts arthritis, and anxiety. they are receiving scheduled furosemide
(Lasix) and IV antibiotics. What are they at the highest risk for?
Administer 2L of O2 via nasal cannula
You are checking via sign for your patient admitted with shortness of breath and a new
diagnosis of heart failure you note a pulse oximeter reading of 86% on room air. What
would you do FIRST?
Ask your patient to perform the Valsalva maneuver or bear down
You are caring for your patient when their heart rhythm converts from normal sinus
rhythm to this rhythm. They have stable vital signs and are asymptomatic. What would you
do NEXT?
, Mechanical lift
You are caring for your patient who is unable to bear weight on either leg and has minimal
upper body strength. What method would be MOST appropriate for transferring from the
bed to a chair?
Peptic Ulcer Disease (PUD)
Congestive heart failure
Your patient is lying in supine position and states that they are tired and cannot catch their
breath. Physical assessment reveals jugular vein distention and third heart sound (S3).
What condition do these symptoms MOST likely indicate?
The oxygen tank laying at the foot of the bed
Another staff member prepares your patient for transfer to the radiology department for
testing. You find your patient in semi-Fowler's position in bed, their nasal cannula in
place their telemetry box lying next to them in bed, and and oxygen tank laying at the
foot of the bed. What is NOT safe about this situation?
Atrial fibrillation with rapid ventricular response
What is the cardiac rhythm?
Your patient can explain their condition in their own words
You provide teaching to your patient about their new diagnosis. How would you know if
your teaching is successful?