2025 RELIAS MEDICAL SURGICAL RN A EXAM QUESTIONS WITH
ANSWERS 2025/2026 GRADED A+
You have 4 patients who have high priority needs. One needs to go to surgery, 1 needs
stat lab draws From a PICC line, Another has chest pain rated 8/10 And another needs
toileting. Which patient should you tend to 1st? - The patient with chest pain
Your coworker posted photos on social media from a birthday party they had for her in
the unit break room. What should be your next course of action? - No action is
necessary because no PHI was displayed.
Is your patient with stage IV Terminal lung cancer continues to experience increasing
pain as each day passes. What would you anticipate the provider ordering for this
patient? - Palliative care consult
Your 72 Year old male patient is admitted for colon cancer Related complications and
has a history of CHF, stroke and a recent Knee replacement.Based on your patient's
risk assessment,You determine he is at risk for Venous thromboembolism (VTE) What
is an appropriate VTE prophylaxis prophylaxis order for this patient? -
Enoxaparin(Lovenox) once daily and intermittent pneumatic compressions(IPC)
1.2 Milligrams is equal to how many micrograms - 1200 mcg
Your patient is on contact precautions for active MRSA. What proper PPE should you
use before entering the room? - Gown and gloves
You are caring for a patient with history of diabetes mellitus. You walk into the room and
find the patient lethargic and diaphoretic. What is your 1st action? - Obtain capillary
blood glucose level
Which adaptive equipment would be most appropriate to use for a severely contracted
patient who is unable to bear weight when transferring from bed to chair - Patient Lift
example hoyer
What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - BUN 32, CREATNINE 8.32
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 being admitted to your unit.
What is the most important order you should anticipate from the provider? You're? -
Hold wayfaring (coumadin) for the next 48 hours
Your new admission presents with a cough, unintentional weight loss, frequent knot
sweats, and bloody sputum. What type of isolation precautions should you initiate, if
any? - Airborne precautions
Upon entering your patient's room you note that they are having a seizure. What is your
1st action? - Position the patient on their side to maintain the airway
, You find your coworker looking through your patient's medical record.. She States how
is Mr. Smith doing? He is my best friend's dad. We are so worried about him. What is
the best course of action? - Tell her you cannot give her information and report her
actions to your manager.
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.
ANSWERS 2025/2026 GRADED A+
You have 4 patients who have high priority needs. One needs to go to surgery, 1 needs
stat lab draws From a PICC line, Another has chest pain rated 8/10 And another needs
toileting. Which patient should you tend to 1st? - The patient with chest pain
Your coworker posted photos on social media from a birthday party they had for her in
the unit break room. What should be your next course of action? - No action is
necessary because no PHI was displayed.
Is your patient with stage IV Terminal lung cancer continues to experience increasing
pain as each day passes. What would you anticipate the provider ordering for this
patient? - Palliative care consult
Your 72 Year old male patient is admitted for colon cancer Related complications and
has a history of CHF, stroke and a recent Knee replacement.Based on your patient's
risk assessment,You determine he is at risk for Venous thromboembolism (VTE) What
is an appropriate VTE prophylaxis prophylaxis order for this patient? -
Enoxaparin(Lovenox) once daily and intermittent pneumatic compressions(IPC)
1.2 Milligrams is equal to how many micrograms - 1200 mcg
Your patient is on contact precautions for active MRSA. What proper PPE should you
use before entering the room? - Gown and gloves
You are caring for a patient with history of diabetes mellitus. You walk into the room and
find the patient lethargic and diaphoretic. What is your 1st action? - Obtain capillary
blood glucose level
Which adaptive equipment would be most appropriate to use for a severely contracted
patient who is unable to bear weight when transferring from bed to chair - Patient Lift
example hoyer
What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - BUN 32, CREATNINE 8.32
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 being admitted to your unit.
What is the most important order you should anticipate from the provider? You're? -
Hold wayfaring (coumadin) for the next 48 hours
Your new admission presents with a cough, unintentional weight loss, frequent knot
sweats, and bloody sputum. What type of isolation precautions should you initiate, if
any? - Airborne precautions
Upon entering your patient's room you note that they are having a seizure. What is your
1st action? - Position the patient on their side to maintain the airway
, You find your coworker looking through your patient's medical record.. She States how
is Mr. Smith doing? He is my best friend's dad. We are so worried about him. What is
the best course of action? - Tell her you cannot give her information and report her
actions to your manager.
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.
