MEDICAL-SURGICAL RN A PROPHECY
RELIAS TEST 2026 FINAL PAPER
QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ Which electrolyte imbalance increases the risk for
digoxin/digitalis/digibind toxicity?
Answer: hypokalemia
⩥ A client with peptic ulcer disease has a new NG tube in place with
orders for NG tube monitoring for the nurse. What is an expected
finding?
Answer: scant blood may be seen for the first 12-24 hrs
⩥ Suspected stomach perforation due to a peptic ulcer s/s:
Answer: -rigid abdomen
-tachycardia
-rebound tenderness
⩥ Complications of enteral feedings:
Answer: Overfeeding: abd distention, N/V
,Diarrhea
Aspiration Pneumonia
⩥ Nursing actions to prevent overfeeding r/t enteral feedings:
Answer: -check residual Q 4-6 hr
-withhold as prescribed then resume
⩥ Nursing actions for diarrhea r/t enteral feedings:
Answer: -slow the rate & contact provider
-contact dietitian
-provide skin care & protection
⩥ Nursing actions for aspiration pneumonia r/t enteral feedings:
Answer: -stop the feeding
-turn the client to his side
-suction the airway
-admin O2 if indicated
-auscultate breath sounds for increased congestion
-notify provider & get chest xray
⩥ Preprocedure & Postprocedure following a kidney biopsy nsg actions:
,Answer: Pre:
NPO 4-6 hr prior, review coag studies
POST:
-monitor vitals
-assess dressings & urinary output (hematuria)
-review Hgb & Hct
-admin PRN pain meds
-remain supine
⩥ Following a kidney biopsy, a client has cloudy & smelly urine, and an
urgency to urinate, the nurse suspects what?
Answer: infection
⩥ Most immediate risk to the client following a kidney biopsy:
Answer: hemorrhage
⩥ Ongoing monitoring of a client with Cushing's disease includes:
Answer: -monitoring liver enzymes
-monitoring fluid & elecs (hyperkalemia)
-weight
-WBC, neutrophils, platelets, Hgb & Hct
, ⩥ Client care following a thyroidectomy:
Answer: -High fowler's
-support head & neck w/pillows
-avoid neck extension
-check surgical dressing & back of neck for bleeding
-have trach supplies available
-coughing & deep breathing
-check for laryngeal damage by asking client to speak when awake from
anesthesia
-admin pain meds
-tingling of toes or around mouth, & muscle twitching indicates
hypocalcemia & tetany
-have IV cal gluconate or cal chloride ready
-if drain, surgeon will remove after 2 days
⩥ Hypoglycemia s/s:
Answer: -shakiness
-confusion
-diaphoresis
-palpitations
-headache
RELIAS TEST 2026 FINAL PAPER
QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ Which electrolyte imbalance increases the risk for
digoxin/digitalis/digibind toxicity?
Answer: hypokalemia
⩥ A client with peptic ulcer disease has a new NG tube in place with
orders for NG tube monitoring for the nurse. What is an expected
finding?
Answer: scant blood may be seen for the first 12-24 hrs
⩥ Suspected stomach perforation due to a peptic ulcer s/s:
Answer: -rigid abdomen
-tachycardia
-rebound tenderness
⩥ Complications of enteral feedings:
Answer: Overfeeding: abd distention, N/V
,Diarrhea
Aspiration Pneumonia
⩥ Nursing actions to prevent overfeeding r/t enteral feedings:
Answer: -check residual Q 4-6 hr
-withhold as prescribed then resume
⩥ Nursing actions for diarrhea r/t enteral feedings:
Answer: -slow the rate & contact provider
-contact dietitian
-provide skin care & protection
⩥ Nursing actions for aspiration pneumonia r/t enteral feedings:
Answer: -stop the feeding
-turn the client to his side
-suction the airway
-admin O2 if indicated
-auscultate breath sounds for increased congestion
-notify provider & get chest xray
⩥ Preprocedure & Postprocedure following a kidney biopsy nsg actions:
,Answer: Pre:
NPO 4-6 hr prior, review coag studies
POST:
-monitor vitals
-assess dressings & urinary output (hematuria)
-review Hgb & Hct
-admin PRN pain meds
-remain supine
⩥ Following a kidney biopsy, a client has cloudy & smelly urine, and an
urgency to urinate, the nurse suspects what?
Answer: infection
⩥ Most immediate risk to the client following a kidney biopsy:
Answer: hemorrhage
⩥ Ongoing monitoring of a client with Cushing's disease includes:
Answer: -monitoring liver enzymes
-monitoring fluid & elecs (hyperkalemia)
-weight
-WBC, neutrophils, platelets, Hgb & Hct
, ⩥ Client care following a thyroidectomy:
Answer: -High fowler's
-support head & neck w/pillows
-avoid neck extension
-check surgical dressing & back of neck for bleeding
-have trach supplies available
-coughing & deep breathing
-check for laryngeal damage by asking client to speak when awake from
anesthesia
-admin pain meds
-tingling of toes or around mouth, & muscle twitching indicates
hypocalcemia & tetany
-have IV cal gluconate or cal chloride ready
-if drain, surgeon will remove after 2 days
⩥ Hypoglycemia s/s:
Answer: -shakiness
-confusion
-diaphoresis
-palpitations
-headache
