MEDICAL SURGICAL RN A PROPHECY
RELIAS EXAM WITH QUESTIONS AND
ANSWERS|| ALREADY GRADED A+||
GUARANTEED PASS|| LATEST UPDATE 2026
What is clubbing of the fingers MOST likely associated with? - ANSWER-
Chronic oxygen deficiency
A patient on warfarin (Coumadin/Jantoven) has an INR of 6. Which medication
would you anticipate administering? - ANSWER-Vitamin K
To reduce the risk of infection and phlebitis in an adult patient with a peripheral
IV, what is the MINIMUM duration the catheter should remain in place before
ROUTINE replacement? - ANSWER-72 hours
You are caring for a patient post lobectomy with a chest tube in place for
drainage. What is a priority in care for this patient? - ANSWER-Encourage the
patient to cough and deep breathe.
What patient population is the pneumococcal vaccine, PPSV23 indicated for? -
ANSWER-Adults aged 65 years and older
Your patient with stave IV terminal lung cancer continues to experience
increasing pain as each day passes. What would you anticipate the provider
ordering for this patient? - ANSWER-Palliative care consult
, The provider gives you a telephone order to explain a surgical procedure to your
patient and obtain surgical consent. How should you respond? - ANSWER-
Inform the provider that explaining the procedure is outside the nurse's scope of
practice.
An older adult patient arrives on the unit looking emaciated, disheveled, and
with soiled clothes. The patient claims that his daughter cares for him at home.
What would you suspect? - ANSWER-Neglect
You just left your patient's room with her husband at bedside. You then receive
a phone call from someone states that she is your patient's mother and demands
updates about your patient. What should you do NEXT? - ANSWER-Verify
your patient's consent to release information to her mother.
The provider orders Heparin 4 units/kg SQ. Your patient weighs 176 pounds.
How many units should you administer? - ANSWER-320 units
What diagnostic finding would support a diagnosis of deep vein thrombosis? -
ANSWER-Positive D-dimer
You are caring for a combative 85-year-old male with a history of dementia,
CHF, UTI, and anemia. The family states he appears to be more confused than
his baseline. What tests do you expect the provider to order? - ANSWER-
Urinalysis with cultures, CBC
A patient has recently been diagnosed with terminal cancer. Her responses are
caustic and abrasive. What is the BEST way to respond? - ANSWER-
Acknowledge her feelings, understanding this is expected in the grieving
process.
You notice your patient who recently had a stroke is coughing intermittently
during meals. What is the MOST likely cause of this? - ANSWER-He could be
aspirating.
RELIAS EXAM WITH QUESTIONS AND
ANSWERS|| ALREADY GRADED A+||
GUARANTEED PASS|| LATEST UPDATE 2026
What is clubbing of the fingers MOST likely associated with? - ANSWER-
Chronic oxygen deficiency
A patient on warfarin (Coumadin/Jantoven) has an INR of 6. Which medication
would you anticipate administering? - ANSWER-Vitamin K
To reduce the risk of infection and phlebitis in an adult patient with a peripheral
IV, what is the MINIMUM duration the catheter should remain in place before
ROUTINE replacement? - ANSWER-72 hours
You are caring for a patient post lobectomy with a chest tube in place for
drainage. What is a priority in care for this patient? - ANSWER-Encourage the
patient to cough and deep breathe.
What patient population is the pneumococcal vaccine, PPSV23 indicated for? -
ANSWER-Adults aged 65 years and older
Your patient with stave IV terminal lung cancer continues to experience
increasing pain as each day passes. What would you anticipate the provider
ordering for this patient? - ANSWER-Palliative care consult
, The provider gives you a telephone order to explain a surgical procedure to your
patient and obtain surgical consent. How should you respond? - ANSWER-
Inform the provider that explaining the procedure is outside the nurse's scope of
practice.
An older adult patient arrives on the unit looking emaciated, disheveled, and
with soiled clothes. The patient claims that his daughter cares for him at home.
What would you suspect? - ANSWER-Neglect
You just left your patient's room with her husband at bedside. You then receive
a phone call from someone states that she is your patient's mother and demands
updates about your patient. What should you do NEXT? - ANSWER-Verify
your patient's consent to release information to her mother.
The provider orders Heparin 4 units/kg SQ. Your patient weighs 176 pounds.
How many units should you administer? - ANSWER-320 units
What diagnostic finding would support a diagnosis of deep vein thrombosis? -
ANSWER-Positive D-dimer
You are caring for a combative 85-year-old male with a history of dementia,
CHF, UTI, and anemia. The family states he appears to be more confused than
his baseline. What tests do you expect the provider to order? - ANSWER-
Urinalysis with cultures, CBC
A patient has recently been diagnosed with terminal cancer. Her responses are
caustic and abrasive. What is the BEST way to respond? - ANSWER-
Acknowledge her feelings, understanding this is expected in the grieving
process.
You notice your patient who recently had a stroke is coughing intermittently
during meals. What is the MOST likely cause of this? - ANSWER-He could be
aspirating.
