RELIAS RN MEDICAL SURGICAL TELEMETRY FINAL EXAM 2 VERSIONS QUESTIONS
AND ANSWERS 2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS VERSION 1 ANSWERS
Which adaptive equipment would be
most appropriate to use for a severe-
ly contracted patient who is unable to Patient Lift example hoyer
bear weight when transferring from bed
to chair
What lab values are expected to be in a
patient with end stage renal disease on BUN 32, CREATNINE 8.32
hemodialysis
Your 85 year old patient with atrial fibril-
lation fell at home 3 days ago.You notice
she has been having several episodes
Hold wayfaring (coumadin) for the next
of acute confusion since being admitted
48 hours
to your unit. What is the most impor-
tant order you should anticipate from the
provider? You're?
Your new admission presents with a
cough, unintentional weight loss, fre-
quent knot sweats, and bloody spu- Airborne precautions
tum. What type of isolation precautions
should you initiate, if any?
Upon entering your patient's room you
note that they are having a seizure. What Position the patient on their side to main-
is your 1st action? tain the airway
You find your coworker looking through
your patient's medical record.. She
States how is Mr. Smith doing? He is Tell her you cannot give her information
my best friend's dad. We are so worried and report her actions to your manager.
about him. What is the best course of
action?
Your male patient complaints of discom-
fort while inflating the balloon during in-
sertion of a endwelling urinary catheter. Deflate the balloon, advance the catheter
What would be the most appropriate ac- further, then reinflate the balloon.
tion?
Your patient takes regular insulin and
Is late afternoon and early morning
NPH twice A-day for glucose control.
1/8
, RELIAS RN MEDICAL SURGICAL TELEMETRY FINAL EXAM 2 VERSIONS QUESTIONS
AND ANSWERS 2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS VERSION 1 ANSWERS
What times should the patient be taught
to be alert for signs of hypoglycemia?
What is a proton pump inhibitor, such as
Reduce gastric acid secretion
pantoprazole (protonix) used for?
Your patient has a non productive cough
and presence of secretions in his tra-
Hyperoxygenate patient
cheostomy. Prior to sectioning the pa-
tient, what should you do 1st?
dietary teaching for a patient with chronic
renal failure should include choices that Low potassium, low protein, moderate fat
are:
Which of the following nursing diag-
nosis is most important for a patient
Impaired gas exchange
with chronic obstructive pulmonary dis-
ease(COPD)
Your patient is admitted from the ED with
failure to thrive and advanced dementia.
You note he is extremely underweight,
appears unbathed for some time, and Notify the charge nurse and social work-
has a stage 4 pressure injury to his er of your concerns.
coccyx. You were told in report that he
lives at home with family members. What
should you do?
You have a patient going for dialysis.
There are medications include Lisino-
pril(prinivil), ondansetron (zofran), famo-
tidine(pepcid) and atorvastatin(lipitor). LISINOPRIL(PRINIVIL)
Which medication would you possibly
hold and seek clarification?
What is the best indication of an acute
neurological problem? Change in level of consciousness
Your patient is admitted with diverticulitis.
What type of diet do you expect to be Clear liquids
ordered for the patient?
?
2/8
, RELIAS RN MEDICAL SURGICAL TELEMETRY FINAL EXAM 2 VERSIONS QUESTIONS
AND ANSWERS 2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS VERSION 1 ANSWERS
Which tool should you use to assess pain
in your 80 year old patient with severe
dementia?
Your post op patient has a Jackson -
Compress the drain, then plug the bulb
Pratt drain in place. how do you ensure
to establish suction.
effective drain function?
Is a patient with peritonitis Presents with
tachycardia, hypotension , and dehy-
Severe abdominal pain or rebound ten-
dration. What other assessment finding
derness
would you anticipate as part of your
physical assessment?
Your patient with a known history of
diabetes is displaying symptoms of di-
Check the patient's blood glucose level
aphoresis, Cool skin, lethargy, And shak-
iness. What is your 1st action?
a patient on warfarin(Coumadin/jan-
toven) has an INR of 6.Which medication Vitamin K
would you anticipate administering?
While in a supine position your pa-
tient States" I'm tired and cannot catch
my breath". Physical assessment reveals
juggler vein distention and a 3rd heart Heart failure
sound(S3). These symptoms are indica-
tive of what condition?
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 Non rebreather mask
And 02 sat is 84%. Which mode of oxy-
gen delivery would most likely reverse
the symptoms?
Your patient continues to pull at their iv
located in their left forearm despite ver- Request and order for soft mitts As they
bal reminders And increased observa- are the least restrictive..
tion. The nursing assistant recommends
3/8
AND ANSWERS 2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS VERSION 1 ANSWERS
Which adaptive equipment would be
most appropriate to use for a severe-
ly contracted patient who is unable to Patient Lift example hoyer
bear weight when transferring from bed
to chair
What lab values are expected to be in a
patient with end stage renal disease on BUN 32, CREATNINE 8.32
hemodialysis
Your 85 year old patient with atrial fibril-
lation fell at home 3 days ago.You notice
she has been having several episodes
Hold wayfaring (coumadin) for the next
of acute confusion since being admitted
48 hours
to your unit. What is the most impor-
tant order you should anticipate from the
provider? You're?
Your new admission presents with a
cough, unintentional weight loss, fre-
quent knot sweats, and bloody spu- Airborne precautions
tum. What type of isolation precautions
should you initiate, if any?
Upon entering your patient's room you
note that they are having a seizure. What Position the patient on their side to main-
is your 1st action? tain the airway
You find your coworker looking through
your patient's medical record.. She
States how is Mr. Smith doing? He is Tell her you cannot give her information
my best friend's dad. We are so worried and report her actions to your manager.
about him. What is the best course of
action?
Your male patient complaints of discom-
fort while inflating the balloon during in-
sertion of a endwelling urinary catheter. Deflate the balloon, advance the catheter
What would be the most appropriate ac- further, then reinflate the balloon.
tion?
Your patient takes regular insulin and
Is late afternoon and early morning
NPH twice A-day for glucose control.
1/8
, RELIAS RN MEDICAL SURGICAL TELEMETRY FINAL EXAM 2 VERSIONS QUESTIONS
AND ANSWERS 2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS VERSION 1 ANSWERS
What times should the patient be taught
to be alert for signs of hypoglycemia?
What is a proton pump inhibitor, such as
Reduce gastric acid secretion
pantoprazole (protonix) used for?
Your patient has a non productive cough
and presence of secretions in his tra-
Hyperoxygenate patient
cheostomy. Prior to sectioning the pa-
tient, what should you do 1st?
dietary teaching for a patient with chronic
renal failure should include choices that Low potassium, low protein, moderate fat
are:
Which of the following nursing diag-
nosis is most important for a patient
Impaired gas exchange
with chronic obstructive pulmonary dis-
ease(COPD)
Your patient is admitted from the ED with
failure to thrive and advanced dementia.
You note he is extremely underweight,
appears unbathed for some time, and Notify the charge nurse and social work-
has a stage 4 pressure injury to his er of your concerns.
coccyx. You were told in report that he
lives at home with family members. What
should you do?
You have a patient going for dialysis.
There are medications include Lisino-
pril(prinivil), ondansetron (zofran), famo-
tidine(pepcid) and atorvastatin(lipitor). LISINOPRIL(PRINIVIL)
Which medication would you possibly
hold and seek clarification?
What is the best indication of an acute
neurological problem? Change in level of consciousness
Your patient is admitted with diverticulitis.
What type of diet do you expect to be Clear liquids
ordered for the patient?
?
2/8
, RELIAS RN MEDICAL SURGICAL TELEMETRY FINAL EXAM 2 VERSIONS QUESTIONS
AND ANSWERS 2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS VERSION 1 ANSWERS
Which tool should you use to assess pain
in your 80 year old patient with severe
dementia?
Your post op patient has a Jackson -
Compress the drain, then plug the bulb
Pratt drain in place. how do you ensure
to establish suction.
effective drain function?
Is a patient with peritonitis Presents with
tachycardia, hypotension , and dehy-
Severe abdominal pain or rebound ten-
dration. What other assessment finding
derness
would you anticipate as part of your
physical assessment?
Your patient with a known history of
diabetes is displaying symptoms of di-
Check the patient's blood glucose level
aphoresis, Cool skin, lethargy, And shak-
iness. What is your 1st action?
a patient on warfarin(Coumadin/jan-
toven) has an INR of 6.Which medication Vitamin K
would you anticipate administering?
While in a supine position your pa-
tient States" I'm tired and cannot catch
my breath". Physical assessment reveals
juggler vein distention and a 3rd heart Heart failure
sound(S3). These symptoms are indica-
tive of what condition?
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 Non rebreather mask
And 02 sat is 84%. Which mode of oxy-
gen delivery would most likely reverse
the symptoms?
Your patient continues to pull at their iv
located in their left forearm despite ver- Request and order for soft mitts As they
bal reminders And increased observa- are the least restrictive..
tion. The nursing assistant recommends
3/8
