RELIAS ANNUAL CLINICAL COMPETENCY
EXAM QUESTION AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A INSTANT
DOWNLOAD PDF
1. Which of the following is the most important first step in patient
assessment?
A. Administer medications
B. Perform a primary survey (ABCs: Airway, Breathing, Circulation)
C. Complete documentation
D. Schedule diagnostic tests
Correct answer ensures immediate life-threatening issues are
addressed before other interventions.
2. A patient is experiencing shortness of breath and wheezing. Which
intervention is most appropriate?
A. Encourage ambulation
B. Administer a prescribed bronchodilator
C. Offer oral fluids
D. Apply a warm compress
Administering a bronchodilator helps relieve airway constriction and
improves breathing.
3. Which of the following is a standard precaution to prevent infection?
A. Hand hygiene before and after patient contact
, B. Wearing gloves at all times
C. Using antibiotics prophylactically
D. Disinfecting the patient’s clothing
Hand hygiene is the most effective way to prevent transmission of
pathogens.
4. When documenting a patient’s care, what is most important?
A. Include personal opinions
B. Record objective, accurate, and timely information
C. Write in shorthand only
D. Leave entries for later completion
Accurate documentation ensures continuity of care and legal
protection.
5. A patient develops sudden chest pain. What is the nurse’s first action?
A. Administer pain medication
B. Notify family
C. Assess vital signs and call for emergency help if needed
D. Check dietary intake
Immediate assessment identifies potential life-threatening cardiac
events.
6. Which of the following is a key sign of hypoglycemia?
A. Dry mouth
B. Slow pulse
C. Sweating and confusion
D. High blood pressure
Sweating and confusion are classic early signs of low blood sugar.
7. When moving a patient from bed to chair, the nurse should:
A. Drag the patient across the bed
B. Use proper body mechanics to prevent injury
C. Lift the patient without assistance
, D. Ask the patient to move entirely on their own
Proper body mechanics protect both the caregiver and patient from
injury.
8. What is the recommended position for a patient with shortness of
breath?
A. Supine
B. Prone
C. High Fowler’s position
D. Lateral recumbent
High Fowler’s position allows maximal lung expansion.
9. Which laboratory value indicates the patient may have anemia?
A. WBC 8,000/mm³
B. Platelets 250,000/mm³
C. Hemoglobin 8 g/dL
D. Blood glucose 90 mg/dL
Low hemoglobin indicates reduced oxygen-carrying capacity.
10. The nurse observes a patient fall. What is the priority action?
A. Notify the family
B. Document the incident
C. Assess the patient for injury and provide necessary care
D. Restrain the patient immediately
Immediate assessment ensures that injuries are identified and
treated.
11. What is the most effective method to prevent pressure ulcers?
A. Frequent bathing
B. Regular repositioning of the patient
C. High-calorie diet
D. Bedrest for long periods
EXAM QUESTION AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A INSTANT
DOWNLOAD PDF
1. Which of the following is the most important first step in patient
assessment?
A. Administer medications
B. Perform a primary survey (ABCs: Airway, Breathing, Circulation)
C. Complete documentation
D. Schedule diagnostic tests
Correct answer ensures immediate life-threatening issues are
addressed before other interventions.
2. A patient is experiencing shortness of breath and wheezing. Which
intervention is most appropriate?
A. Encourage ambulation
B. Administer a prescribed bronchodilator
C. Offer oral fluids
D. Apply a warm compress
Administering a bronchodilator helps relieve airway constriction and
improves breathing.
3. Which of the following is a standard precaution to prevent infection?
A. Hand hygiene before and after patient contact
, B. Wearing gloves at all times
C. Using antibiotics prophylactically
D. Disinfecting the patient’s clothing
Hand hygiene is the most effective way to prevent transmission of
pathogens.
4. When documenting a patient’s care, what is most important?
A. Include personal opinions
B. Record objective, accurate, and timely information
C. Write in shorthand only
D. Leave entries for later completion
Accurate documentation ensures continuity of care and legal
protection.
5. A patient develops sudden chest pain. What is the nurse’s first action?
A. Administer pain medication
B. Notify family
C. Assess vital signs and call for emergency help if needed
D. Check dietary intake
Immediate assessment identifies potential life-threatening cardiac
events.
6. Which of the following is a key sign of hypoglycemia?
A. Dry mouth
B. Slow pulse
C. Sweating and confusion
D. High blood pressure
Sweating and confusion are classic early signs of low blood sugar.
7. When moving a patient from bed to chair, the nurse should:
A. Drag the patient across the bed
B. Use proper body mechanics to prevent injury
C. Lift the patient without assistance
, D. Ask the patient to move entirely on their own
Proper body mechanics protect both the caregiver and patient from
injury.
8. What is the recommended position for a patient with shortness of
breath?
A. Supine
B. Prone
C. High Fowler’s position
D. Lateral recumbent
High Fowler’s position allows maximal lung expansion.
9. Which laboratory value indicates the patient may have anemia?
A. WBC 8,000/mm³
B. Platelets 250,000/mm³
C. Hemoglobin 8 g/dL
D. Blood glucose 90 mg/dL
Low hemoglobin indicates reduced oxygen-carrying capacity.
10. The nurse observes a patient fall. What is the priority action?
A. Notify the family
B. Document the incident
C. Assess the patient for injury and provide necessary care
D. Restrain the patient immediately
Immediate assessment ensures that injuries are identified and
treated.
11. What is the most effective method to prevent pressure ulcers?
A. Frequent bathing
B. Regular repositioning of the patient
C. High-calorie diet
D. Bedrest for long periods
