RELIAS MEDICAL SURGICAL RN A EXAM LATEST 2026/2027 AND
STUDY GUIDE APPROVED QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (RELIABLE ANSWERS) NEWEST
UPDATED VERSION 2026 EDITION |GUARANTEED SUCCESS A+ (BRAND
NEW!) |JUST RELEASED
1. 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?
A) Walker
B) Gait belt
C) Transfer board
D) Patient lift (Hoyer lift)
Correct Answer: D) Patient lift (Hoyer lift)
Rationale: A patient lift is the safest option for a patient who is severely
contracted and unable to bear weight. Manual lifting increases the risk of injury
to both the patient and the caregiver. A Hoyer lift provides mechanical assistance
for a safe, dignified transfer that minimizes shear and friction on the patient's
skin. Walkers and gait belts require some weight-bearing ability, while transfer
boards are used for sliding patients who can assist with the transfer .
2. What lab values are expected to be in a patient with end-stage renal disease on
hemodialysis?
A) BUN 15, Creatinine 1.2
B) BUN 32, Creatinine 8.32
,C) BUN 45, Creatinine 2.5
D) BUN 80, Creatinine 15.0
Correct Answer: B) BUN 32, Creatinine 8.32
Rationale: Patients with end-stage renal disease (ESRD) have significantly
elevated BUN and creatinine levels due to the kidneys' inability to filter waste
products. A BUN of 32 mg/dL and creatinine of 8.32 mg/dL are consistent with
ESRD. Normal BUN is 7-20 mg/dL, and normal creatinine is 0.6-1.2 mg/dL.
These elevated values indicate severe renal impairment requiring dialysis .
3. 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?
A) CT scan of the head
B) Hold warfarin (Coumadin) for 48 hours
C) Administer anticoagulants
D) Start anti-seizure medications
Correct Answer: B) Hold warfarin (Coumadin) for the next 48 hours
Rationale: This patient with atrial fibrillation on anticoagulation has
experienced a fall and is now showing acute confusion, which could indicate a
subdural hematoma or intracranial bleed. The priority is to hold the
anticoagulant to prevent further bleeding while the provider evaluates for a
possible bleed. Holding warfarin is critical to reduce the risk of hemorrhage
expansion. A stat head CT should also be anticipated to rule out intracranial
bleeding .
,4. Your new admission presents with a cough, unintentional weight loss, frequent
night sweats, and bloody sputum. What type of isolation precautions should you
initiate, if any?
A) Standard precautions
B) Contact precautions
C) Airborne precautions
D) Droplet precautions
Correct Answer: C) Airborne precautions
Rationale: The patient's symptoms of cough, weight loss, night sweats, and
hemoptysis are classic signs of tuberculosis (TB). TB is transmitted via airborne
particles that remain suspended in the air and can be inhaled by others.
Airborne precautions require a negative pressure room, N95 respirator mask,
and proper PPE. These precautions are essential to prevent transmission to other
patients and healthcare workers .
5. Upon entering your patient's room you note that they are having a seizure. What
is your 1st action?
A) Administer anti-seizure medication
B) Restrain the patient
C) Position the patient on their side to maintain the airway
D) Call for help
Correct Answer: C) Position the patient on their side to maintain the airway
, Rationale: The priority during a seizure is to protect the airway and prevent
aspiration. Positioning the patient on their side (recovery position) allows
secretions to drain and prevents the tongue from obstructing the airway. This is
the first and most critical intervention. Restraints should never be used during a
seizure as they can cause injury. Calling for help and administering medications
are important but come after ensuring airway safety .
6. You find your coworker looking through your patient's medical record. She
states, "How is Mr. Smith doing? He is my best friend's dad. We are so worried
about him." What is the best course of action?
A) Share the information since she is concerned
B) Tell her to wait for the report
C) Ignore her and continue your duties
D) Tell her you cannot give her information and report her actions to your manager
Correct Answer: D) Tell her you cannot give her information and report her actions
to your manager
Rationale: Accessing patient information without a legitimate need to know
violates HIPAA regulations and patient privacy rights. Even though the
coworker knows the patient personally, she is not involved in his care and has no
right to access his medical records. This is a clear violation of confidentiality and
must be reported to management to ensure compliance and protect patient
privacy .
7. Your male patient complains of discomfort while inflating the balloon during
insertion of an indwelling urinary catheter. What would be the most appropriate
action?
STUDY GUIDE APPROVED QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (RELIABLE ANSWERS) NEWEST
UPDATED VERSION 2026 EDITION |GUARANTEED SUCCESS A+ (BRAND
NEW!) |JUST RELEASED
1. 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?
A) Walker
B) Gait belt
C) Transfer board
D) Patient lift (Hoyer lift)
Correct Answer: D) Patient lift (Hoyer lift)
Rationale: A patient lift is the safest option for a patient who is severely
contracted and unable to bear weight. Manual lifting increases the risk of injury
to both the patient and the caregiver. A Hoyer lift provides mechanical assistance
for a safe, dignified transfer that minimizes shear and friction on the patient's
skin. Walkers and gait belts require some weight-bearing ability, while transfer
boards are used for sliding patients who can assist with the transfer .
2. What lab values are expected to be in a patient with end-stage renal disease on
hemodialysis?
A) BUN 15, Creatinine 1.2
B) BUN 32, Creatinine 8.32
,C) BUN 45, Creatinine 2.5
D) BUN 80, Creatinine 15.0
Correct Answer: B) BUN 32, Creatinine 8.32
Rationale: Patients with end-stage renal disease (ESRD) have significantly
elevated BUN and creatinine levels due to the kidneys' inability to filter waste
products. A BUN of 32 mg/dL and creatinine of 8.32 mg/dL are consistent with
ESRD. Normal BUN is 7-20 mg/dL, and normal creatinine is 0.6-1.2 mg/dL.
These elevated values indicate severe renal impairment requiring dialysis .
3. 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?
A) CT scan of the head
B) Hold warfarin (Coumadin) for 48 hours
C) Administer anticoagulants
D) Start anti-seizure medications
Correct Answer: B) Hold warfarin (Coumadin) for the next 48 hours
Rationale: This patient with atrial fibrillation on anticoagulation has
experienced a fall and is now showing acute confusion, which could indicate a
subdural hematoma or intracranial bleed. The priority is to hold the
anticoagulant to prevent further bleeding while the provider evaluates for a
possible bleed. Holding warfarin is critical to reduce the risk of hemorrhage
expansion. A stat head CT should also be anticipated to rule out intracranial
bleeding .
,4. Your new admission presents with a cough, unintentional weight loss, frequent
night sweats, and bloody sputum. What type of isolation precautions should you
initiate, if any?
A) Standard precautions
B) Contact precautions
C) Airborne precautions
D) Droplet precautions
Correct Answer: C) Airborne precautions
Rationale: The patient's symptoms of cough, weight loss, night sweats, and
hemoptysis are classic signs of tuberculosis (TB). TB is transmitted via airborne
particles that remain suspended in the air and can be inhaled by others.
Airborne precautions require a negative pressure room, N95 respirator mask,
and proper PPE. These precautions are essential to prevent transmission to other
patients and healthcare workers .
5. Upon entering your patient's room you note that they are having a seizure. What
is your 1st action?
A) Administer anti-seizure medication
B) Restrain the patient
C) Position the patient on their side to maintain the airway
D) Call for help
Correct Answer: C) Position the patient on their side to maintain the airway
, Rationale: The priority during a seizure is to protect the airway and prevent
aspiration. Positioning the patient on their side (recovery position) allows
secretions to drain and prevents the tongue from obstructing the airway. This is
the first and most critical intervention. Restraints should never be used during a
seizure as they can cause injury. Calling for help and administering medications
are important but come after ensuring airway safety .
6. You find your coworker looking through your patient's medical record. She
states, "How is Mr. Smith doing? He is my best friend's dad. We are so worried
about him." What is the best course of action?
A) Share the information since she is concerned
B) Tell her to wait for the report
C) Ignore her and continue your duties
D) Tell her you cannot give her information and report her actions to your manager
Correct Answer: D) Tell her you cannot give her information and report her actions
to your manager
Rationale: Accessing patient information without a legitimate need to know
violates HIPAA regulations and patient privacy rights. Even though the
coworker knows the patient personally, she is not involved in his care and has no
right to access his medical records. This is a clear violation of confidentiality and
must be reported to management to ensure compliance and protect patient
privacy .
7. Your male patient complains of discomfort while inflating the balloon during
insertion of an indwelling urinary catheter. What would be the most appropriate
action?
