MEDICAL-SURGICAL RN A PROPHECY
RELIAS TEST 2026 REVIEW SCRIPT
QUESTIONS AND ANSWERS COMPLETE
GRADED A+
⩥ Upon inspecting a patient's epidural insertion site, you notice swelling
around the catheter. What should you do?
Answer: A) Position the patient on their side
B) Place the patient in a prone position
C) Check the epidural line for kinks
***D) Contact the anesthesia provider
⩥ What set of findings indicates a patient is likely to be ready for phase
1 discharge?
Answer: A) Has received discharge instructions, pain level 9 out 10,
shortness of breath
B) Drowsy, blood pressure returned to preoperative levels, on 6 liters
oxygen via face mask
***C) Drowsy, oxygen saturation of 96%, able to cough, and move all
extremities
D) Fully alert, shallow breathing, on 3 liters via T-piece, can move 2
extremities
,⩥ What do you consider to be a safe dose of intravenous fentanyl for an
adult who does not have tolerance to opioids?
Answer: A) 1.5 miligrams
***B) 25 micrograms
C) 100 micrograms
D 25 miligrams
⩥ Your patient in the PACU has a blood pressure of 171/92 mmHg, a
heart rate of 120, respiratory rate of 24, is grimacing, restless, and
moaning in bed. What medication should you prepare to give FIRST?
Answer: A) 10 mg hydralazine IV push
***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
D) 5 mg metoprolol IV push
⩥ You are about to discharge a day surgery patient with aphasia and you
discover the family members are not available for the discharge
instructions and are not responding to your phone calls. Business hours
are over and the PACU is about to close. How will you handle the
situation?
Answer: ***A) Wait until the family returns
B) Leave the discharge education on voicemail and discharge patient
C) Discharge patient with non-emergency transport
D) Take patient home yourself
, ⩥ You received a patient from OR post hip replacement surgery. The
anesthesiologist is planning a nerve block in PACU, but the patient did
not sign the consent for the nerve block. How will you proceed?
Answer: A) Wake up the patient to sign the consent
B) Ask a friend to sign the consent
***C) Obtain the consent from medical POA
D) Proceed with the procedure
⩥ What position would help alleviate headaches after spinal anesthesia?
Answer: A) Prone
B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
⩥ ***WRONG***
What is a physical manifestation of neuromuscular blockade (Roc,
succinylcholine)?
Answer: A) Decreased consciousness
B) Decreased pupillary light reflex
C) Decreased respiratory effort
***WRONG***D) Decreased sensation of pain
RELIAS TEST 2026 REVIEW SCRIPT
QUESTIONS AND ANSWERS COMPLETE
GRADED A+
⩥ Upon inspecting a patient's epidural insertion site, you notice swelling
around the catheter. What should you do?
Answer: A) Position the patient on their side
B) Place the patient in a prone position
C) Check the epidural line for kinks
***D) Contact the anesthesia provider
⩥ What set of findings indicates a patient is likely to be ready for phase
1 discharge?
Answer: A) Has received discharge instructions, pain level 9 out 10,
shortness of breath
B) Drowsy, blood pressure returned to preoperative levels, on 6 liters
oxygen via face mask
***C) Drowsy, oxygen saturation of 96%, able to cough, and move all
extremities
D) Fully alert, shallow breathing, on 3 liters via T-piece, can move 2
extremities
,⩥ What do you consider to be a safe dose of intravenous fentanyl for an
adult who does not have tolerance to opioids?
Answer: A) 1.5 miligrams
***B) 25 micrograms
C) 100 micrograms
D 25 miligrams
⩥ Your patient in the PACU has a blood pressure of 171/92 mmHg, a
heart rate of 120, respiratory rate of 24, is grimacing, restless, and
moaning in bed. What medication should you prepare to give FIRST?
Answer: A) 10 mg hydralazine IV push
***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
D) 5 mg metoprolol IV push
⩥ You are about to discharge a day surgery patient with aphasia and you
discover the family members are not available for the discharge
instructions and are not responding to your phone calls. Business hours
are over and the PACU is about to close. How will you handle the
situation?
Answer: ***A) Wait until the family returns
B) Leave the discharge education on voicemail and discharge patient
C) Discharge patient with non-emergency transport
D) Take patient home yourself
, ⩥ You received a patient from OR post hip replacement surgery. The
anesthesiologist is planning a nerve block in PACU, but the patient did
not sign the consent for the nerve block. How will you proceed?
Answer: A) Wake up the patient to sign the consent
B) Ask a friend to sign the consent
***C) Obtain the consent from medical POA
D) Proceed with the procedure
⩥ What position would help alleviate headaches after spinal anesthesia?
Answer: A) Prone
B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
⩥ ***WRONG***
What is a physical manifestation of neuromuscular blockade (Roc,
succinylcholine)?
Answer: A) Decreased consciousness
B) Decreased pupillary light reflex
C) Decreased respiratory effort
***WRONG***D) Decreased sensation of pain
