2025 RELIAS MEDICAL SURGICAL RN A STUDY GUID EXAM
QUESTIONS WITH ANSWERS 2025/2026 GRADED A+
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.
Your patient's morning labs revealed a hemoglobin level of 6.3 and hematocrit of 18.
What blood product do you expect to administer? - PRBCs
What medication is contraindicated In a patient with A hemorrhagic CVA? - Heparin
Your patient appears dusky colored and you cannot palpate a pulse. What is the 1st
thing you should do? - Initiate a code per facility protocol and begin CPR
Your 68 year old patient is a is a Type one diabetic with a history of schizophrenia And
exhibit signs and symptoms of tardiness dyskinesia. Is what long term medication is
associated with signs and symptoms of tardive dyskinesia? - Chlorpromazine(thorazine)
You received a report on a patient that sustained a right hemisphere CVA 48 hours ago.
What do you expect the patient to exhibit? - Lift sided weakness of the leg, arm, and
face and face
, 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
QUESTIONS WITH ANSWERS 2025/2026 GRADED A+
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.
Your patient's morning labs revealed a hemoglobin level of 6.3 and hematocrit of 18.
What blood product do you expect to administer? - PRBCs
What medication is contraindicated In a patient with A hemorrhagic CVA? - Heparin
Your patient appears dusky colored and you cannot palpate a pulse. What is the 1st
thing you should do? - Initiate a code per facility protocol and begin CPR
Your 68 year old patient is a is a Type one diabetic with a history of schizophrenia And
exhibit signs and symptoms of tardiness dyskinesia. Is what long term medication is
associated with signs and symptoms of tardive dyskinesia? - Chlorpromazine(thorazine)
You received a report on a patient that sustained a right hemisphere CVA 48 hours ago.
What do you expect the patient to exhibit? - Lift sided weakness of the leg, arm, and
face and face
, 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
