2025 RELIAS MEDICAL SURGICAL RN A CORE EXAM QUESTIONS
WITH ANSWERS GRADED A+ 2025/2026
Upon entry to your patient's room, you find her sitting in high Fowler's Position and
complaining of shortness of breath. Her respiratory rate is 34 breaths/minute And 02 sat
is 84%. Which mode of oxygen delivery would most likely reverse the symptoms? - Non
rebreather mask
Your patient continues to pull at their iv 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? - Request and order for
soft mitts As they are the least restrictive..
What is an early symptom that a patient is developing a complication of heart failure? -
Edema in the legs and feet
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 under staffed. Which is the
most appropriate action? - Report to the post surgical unit
What type of personal protective equipment(Ppe) Is applied prior to entering a room for
a patient with with C diff? - Gown and gloves
When would sucralfate(Carafate) 4 times daily be scheduled for? - 1 hour before meals
and at bedtime
Your new patient was admitted with Blunt force trauma to the abdomen Following a
motor vehicle accident. A NG Tube is in place for decompression, however, you note
during the assessment that the stomach is rigid and hard during palpation. What
condition do you suspect. - Hemorrhage
What is clubbing of the fingers most likely associated with? - Chronic oxygen deficiency
Is your patient with hepatitis C Exhibits signs of jaundice and a distended abdomen.
What procedure would you anticipate being performed by the provider at the bedside for
this patient? - Paracentesis
Is the provider gives you a telephone order to explain a surgical procedure to your
patient and obtain surgical consent. How should you respond? - Inform the provider that
explaining the procedure is outside the nurse's scope of practice.
You're patient Recently had a G Tube Placed and interminent enteral Feedings have
been initiated. What symptoms may indicate intolerance to the feedings? - Vomiting and
diarrhea
, You are caring for a patient post lobotomy With a chest tube in place for drainage. What
is a priority in caring for this patient? - Encourage the patient to cough and deep
breathe.
Your new patient understands very limited English. How should you communicate with
them when completing the admission assessment? - Use the organizations interpreter
services
You are ordered to give Digoxin(lanoxin). Your patience vital signs are BP 130/75, temp
97.9F, HR 52, RR 16, o2 sat 100% on room air. What should you do next? - HOLD
DIGOXIN AND CALL PROVIDER
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? - Discuss code status with the patient and follow up with the
provider to ensure the medical record reflects her wishes
What are the most common causes of acute onset pancreatitis? - Alcoholism and
gallstones
Your 18 year old female patient was admitted with dehydration secondary to anorexia
nervosa. During your assessment you note she has a flat effect and says" I just want to
die, I'm tired of my life ". What should be your 1st intervention? - Stay with the patient
and ask if she has a plan to carry out this wish
A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the
following? - ?
To reduce the risk of infection and phlebotomy in an adult patient with a peripherL IV,
What is the minimum duration the catheter should remain in place before routine
replacement. - 72 hours
Your patient was admitted for a hypertensive crisis and has a history of HTN. Parkinson
disease, depression and alcohol use. On his 2nd hospitalized day, you notice he is
more anxious and restless than his baseline. What would be your 1st nursing
intervention? - Ask the patient when his last drink of alcohol was
Black and tarry Colored stools are classic symptoms of what condition? - Bleeding
gastric ulcer
In addition to pain, pallor, and pulselssness, a neurovascular assessment Also includes
checking for - Parasthesia and paralysis
After scrolling through your social media, you notice a coworker posted a photo with a
patient from your unit. What is the most appropriate action to take? - Report the
situation to the hospital compliance officer.
WITH ANSWERS GRADED A+ 2025/2026
Upon entry to your patient's room, you find her sitting in high Fowler's Position and
complaining of shortness of breath. Her respiratory rate is 34 breaths/minute And 02 sat
is 84%. Which mode of oxygen delivery would most likely reverse the symptoms? - Non
rebreather mask
Your patient continues to pull at their iv 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? - Request and order for
soft mitts As they are the least restrictive..
What is an early symptom that a patient is developing a complication of heart failure? -
Edema in the legs and feet
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 under staffed. Which is the
most appropriate action? - Report to the post surgical unit
What type of personal protective equipment(Ppe) Is applied prior to entering a room for
a patient with with C diff? - Gown and gloves
When would sucralfate(Carafate) 4 times daily be scheduled for? - 1 hour before meals
and at bedtime
Your new patient was admitted with Blunt force trauma to the abdomen Following a
motor vehicle accident. A NG Tube is in place for decompression, however, you note
during the assessment that the stomach is rigid and hard during palpation. What
condition do you suspect. - Hemorrhage
What is clubbing of the fingers most likely associated with? - Chronic oxygen deficiency
Is your patient with hepatitis C Exhibits signs of jaundice and a distended abdomen.
What procedure would you anticipate being performed by the provider at the bedside for
this patient? - Paracentesis
Is the provider gives you a telephone order to explain a surgical procedure to your
patient and obtain surgical consent. How should you respond? - Inform the provider that
explaining the procedure is outside the nurse's scope of practice.
You're patient Recently had a G Tube Placed and interminent enteral Feedings have
been initiated. What symptoms may indicate intolerance to the feedings? - Vomiting and
diarrhea
, You are caring for a patient post lobotomy With a chest tube in place for drainage. What
is a priority in caring for this patient? - Encourage the patient to cough and deep
breathe.
Your new patient understands very limited English. How should you communicate with
them when completing the admission assessment? - Use the organizations interpreter
services
You are ordered to give Digoxin(lanoxin). Your patience vital signs are BP 130/75, temp
97.9F, HR 52, RR 16, o2 sat 100% on room air. What should you do next? - HOLD
DIGOXIN AND CALL PROVIDER
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? - Discuss code status with the patient and follow up with the
provider to ensure the medical record reflects her wishes
What are the most common causes of acute onset pancreatitis? - Alcoholism and
gallstones
Your 18 year old female patient was admitted with dehydration secondary to anorexia
nervosa. During your assessment you note she has a flat effect and says" I just want to
die, I'm tired of my life ". What should be your 1st intervention? - Stay with the patient
and ask if she has a plan to carry out this wish
A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the
following? - ?
To reduce the risk of infection and phlebotomy in an adult patient with a peripherL IV,
What is the minimum duration the catheter should remain in place before routine
replacement. - 72 hours
Your patient was admitted for a hypertensive crisis and has a history of HTN. Parkinson
disease, depression and alcohol use. On his 2nd hospitalized day, you notice he is
more anxious and restless than his baseline. What would be your 1st nursing
intervention? - Ask the patient when his last drink of alcohol was
Black and tarry Colored stools are classic symptoms of what condition? - Bleeding
gastric ulcer
In addition to pain, pallor, and pulselssness, a neurovascular assessment Also includes
checking for - Parasthesia and paralysis
After scrolling through your social media, you notice a coworker posted a photo with a
patient from your unit. What is the most appropriate action to take? - Report the
situation to the hospital compliance officer.
