2025 RELIAS MEDICAL SURGICAL RN PRACTICE TEST QUESTIONS
WITH ANSWERS 2025/2026 GRADED A+
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 male patient complaints of discomfort while inflating the balloon during insertion of
a endwelling urinary catheter. What would be the most appropriate action? - Deflate the
balloon, advance the catheter further, then reinflate the balloon.
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? - ?
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
WITH ANSWERS 2025/2026 GRADED A+
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 male patient complaints of discomfort while inflating the balloon during insertion of
a endwelling urinary catheter. What would be the most appropriate action? - Deflate the
balloon, advance the catheter further, then reinflate the balloon.
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? - ?
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
