RELIAS Medical-Surgical Telemetry Exam || Actual Exam
for 2026 Exam Questions with 100% Correct Answers
| Verified | Updated (Actual Exam) 2026 -2027 LATEST
VERSION!!
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?
ANSWERS: 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?
ANSWERS: 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.
ANSWERS: Sepsis
,What type of personal protective equipment (PPE) is applied prior to
entering a room for a patient with C. diff?
ANSWERS: 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?
ANSWERS: 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?
ANSWERS: Ask the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem?
ANSWERS: 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?
ANSWERS: 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?
ANSWERS: Airborne precautions
Patients with diabetes are at high risk for complications from damage to what
body areas?
ANSWERS: 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?
ANSWERS: 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?
ANSWERS: Discuss code status with the patient and follow up with provider
to ensure the medical record reflects her wishes.
Your coworker posted photos on social media from a birthday party they
had for her in the unit breakroom. What should be your NEXT course of
action?
ANSWERS: No action is necessary because no PHI was displayed.
for 2026 Exam Questions with 100% Correct Answers
| Verified | Updated (Actual Exam) 2026 -2027 LATEST
VERSION!!
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?
ANSWERS: 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?
ANSWERS: 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.
ANSWERS: Sepsis
,What type of personal protective equipment (PPE) is applied prior to
entering a room for a patient with C. diff?
ANSWERS: 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?
ANSWERS: 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?
ANSWERS: Ask the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem?
ANSWERS: 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?
ANSWERS: 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?
ANSWERS: Airborne precautions
Patients with diabetes are at high risk for complications from damage to what
body areas?
ANSWERS: 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?
ANSWERS: 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?
ANSWERS: Discuss code status with the patient and follow up with provider
to ensure the medical record reflects her wishes.
Your coworker posted photos on social media from a birthday party they
had for her in the unit breakroom. What should be your NEXT course of
action?
ANSWERS: No action is necessary because no PHI was displayed.
