RELIAS RN MEDICAL SURGICAL FORM A
SCRIPT 2026 QUESTIONS AND SOLUTIONS
COMPREHENSIVE STUDY SHEET FULL
PRACTICE SET
◉ Which tool should you use to assess pain in you 80-year-old
patient with severe dementia?
Answer: PAINAD scale
◉ 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 has a stage 4 pressure injury to his
coccyx. You were told in report that he lives at home with family
members. What should you do?
Answer: Notify the charge nurse and social worker of your concerns.
◉ 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?
Answer: Stat CT of head
,◉ Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of
urine from the indwelling urinary catheter in the last 2 hours. What
is your patient MOST likely experiencing.
Answer: Sepsis
◉ What type of personal protective equipment (PPE) is applied
prior to entering a room for a patient with C. diff?
Answer: Gown and gloves
◉ Your patient continues to pull at their IV site located in their left
forearm despite verbal reminders and increased observation. The
nursing assistant recommends using soft mitt restraints on the
patient. What is your recommendation?
Answer: Request an order for soft mitts as they are the least
restrictive
◉ Your patient was admitted for a hypertensive crisis and has a
history of HTN, Parkinson's disease, depression, and alcohol use. On
his second hospitalized day, you notice he is more anxious and
restless than his baseline. What would be your FIRST nursing
intervention?
Answer: Ask the patient when his last drink of alcohol was.
◉ What is the BEST indication of an acute neurological problem?
Answer: Change in level of consciousness
, ◉ While in a supine position your patient states, "I'm tired and
cannot catch my breath." Physical assessment reveals jugular vein
distention and a third heart sound (S3). These symptoms are
indicative of what condition?
Answer: Heart failure
◉ 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?
Answer: Airborne precautions
◉ Patients with diabetes are at high risk for complications from
damage to what body areas?
Answer: Nerve and kidney damage
◉ If your patient with a known history of diabetes is displaying
symptoms of diaphoresis, cool skin, lethargy, and shakiness. What is
your first action?
Answer: Check the patient's blood glucose level.
◉ 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?
SCRIPT 2026 QUESTIONS AND SOLUTIONS
COMPREHENSIVE STUDY SHEET FULL
PRACTICE SET
◉ Which tool should you use to assess pain in you 80-year-old
patient with severe dementia?
Answer: PAINAD scale
◉ 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 has a stage 4 pressure injury to his
coccyx. You were told in report that he lives at home with family
members. What should you do?
Answer: Notify the charge nurse and social worker of your concerns.
◉ 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?
Answer: Stat CT of head
,◉ Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of
urine from the indwelling urinary catheter in the last 2 hours. What
is your patient MOST likely experiencing.
Answer: Sepsis
◉ What type of personal protective equipment (PPE) is applied
prior to entering a room for a patient with C. diff?
Answer: Gown and gloves
◉ Your patient continues to pull at their IV site located in their left
forearm despite verbal reminders and increased observation. The
nursing assistant recommends using soft mitt restraints on the
patient. What is your recommendation?
Answer: Request an order for soft mitts as they are the least
restrictive
◉ Your patient was admitted for a hypertensive crisis and has a
history of HTN, Parkinson's disease, depression, and alcohol use. On
his second hospitalized day, you notice he is more anxious and
restless than his baseline. What would be your FIRST nursing
intervention?
Answer: Ask the patient when his last drink of alcohol was.
◉ What is the BEST indication of an acute neurological problem?
Answer: Change in level of consciousness
, ◉ While in a supine position your patient states, "I'm tired and
cannot catch my breath." Physical assessment reveals jugular vein
distention and a third heart sound (S3). These symptoms are
indicative of what condition?
Answer: Heart failure
◉ 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?
Answer: Airborne precautions
◉ Patients with diabetes are at high risk for complications from
damage to what body areas?
Answer: Nerve and kidney damage
◉ If your patient with a known history of diabetes is displaying
symptoms of diaphoresis, cool skin, lethargy, and shakiness. What is
your first action?
Answer: Check the patient's blood glucose level.
◉ 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?
