RELIAS MEDICAL SURGICAL RN B
COMPREHENSIVE TEST PAPER 2026
COMPLETE ANSWERS ACCURATE
⫸ What lab values are expected to be in a patient with end stage renal
disease on hemodialysis Answer: BUN 32, CREATNINE 8.32
⫸ 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? You're? Answer: Hold wayfaring
(coumadin) for the next 48 hours
⫸ Your new admission presents with a cough, unintentional weight
loss, frequent knot sweats, and bloody sputum. What type of isolation
precautions should you initiate, if any? Answer: Airborne precautions
⫸ Upon entering your patient's room you note that they are having a
seizure. What is your 1st action? Answer: Position the patient on their
side to maintain the airway
⫸ 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?
Answer: Tell her you cannot give her information and report her actions
to your manager.
, ⫸ Your male patient complaints of discomfort while inflating the
balloon during insertion of a endwelling urinary catheter. What would be
the most appropriate action? Answer: Deflate the balloon, advance the
catheter further, then reinflate the balloon.
⫸ Your patient takes regular insulin and NPH twice A-day for glucose
control. What times should the patient be taught to be alert for signs of
hypoglycemia? Answer: Is late afternoon and early morning
⫸ What is a proton pump inhibitor, such as pantoprazole (protonix)
used for? Answer: Reduce gastric acid secretion
⫸ Your patient has a non productive cough and presence of secretions
in his tracheostomy. Prior to sectioning the patient, what should you do
1st? Answer: Hyperoxygenate patient
⫸ dietary teaching for a patient with chronic renal failure should include
choices that are: Answer: Low potassium, low protein, moderate fat
⫸ Which of the following nursing diagnosis is most important for a
patient with chronic obstructive pulmonary disease(COPD) Answer:
Impaired gas exchange
⫸ 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.
COMPREHENSIVE TEST PAPER 2026
COMPLETE ANSWERS ACCURATE
⫸ What lab values are expected to be in a patient with end stage renal
disease on hemodialysis Answer: BUN 32, CREATNINE 8.32
⫸ 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? You're? Answer: Hold wayfaring
(coumadin) for the next 48 hours
⫸ Your new admission presents with a cough, unintentional weight
loss, frequent knot sweats, and bloody sputum. What type of isolation
precautions should you initiate, if any? Answer: Airborne precautions
⫸ Upon entering your patient's room you note that they are having a
seizure. What is your 1st action? Answer: Position the patient on their
side to maintain the airway
⫸ 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?
Answer: Tell her you cannot give her information and report her actions
to your manager.
, ⫸ Your male patient complaints of discomfort while inflating the
balloon during insertion of a endwelling urinary catheter. What would be
the most appropriate action? Answer: Deflate the balloon, advance the
catheter further, then reinflate the balloon.
⫸ Your patient takes regular insulin and NPH twice A-day for glucose
control. What times should the patient be taught to be alert for signs of
hypoglycemia? Answer: Is late afternoon and early morning
⫸ What is a proton pump inhibitor, such as pantoprazole (protonix)
used for? Answer: Reduce gastric acid secretion
⫸ Your patient has a non productive cough and presence of secretions
in his tracheostomy. Prior to sectioning the patient, what should you do
1st? Answer: Hyperoxygenate patient
⫸ dietary teaching for a patient with chronic renal failure should include
choices that are: Answer: Low potassium, low protein, moderate fat
⫸ Which of the following nursing diagnosis is most important for a
patient with chronic obstructive pulmonary disease(COPD) Answer:
Impaired gas exchange
⫸ 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.
