RELIAS MEDICAL SURGICAL RN FORM A &B EXAM
WITH 100% CORRECT ANSWERS (BRAND NEW!!)
RELIAS MEDICAL SURGICAL RN FORM A &B EXAM 2025
QUESTIONS AND CORRECT ANSWERS
,1.Which of the following is the most important nursing intervention for a patient who is
receiving a blood transfusion and begins experiencing chills, fever,and anxiety?
A. Stop the transfusion immediately and call the healthcare provider.
B.Increase the rate of the transfusion to alleviate symptoms.
C. Administer acetaminophen and continue the transfusion.
D. Administer a sedative to calm the patient.
Answer: A. Stop the transfusion immediately and call the healthcare provider.
Rationale: The symptoms suggest a possible blood transfusion reaction. Stopping the transfusion
immediately is the priority action, followed by notifying the healthcare provider to manage the reaction
appropriately.
2.A nurse is caring for a patient who is post-operative following a cholecystectomy. Which
of the following should the nurse prioritize during the immediate post-operative period?
A. Ensuring the patient is consuming a high-fat diet.
B. Monitoring for signs of infection at the incision site.
C. Encouraging deep breathing and coughing exercises.
D.Administering pain medication only if the patient complains of severe pain.
Answer: C. Encouraging deep breathing and coughing exercises.
Rationale: Preventing respiratory complications, such as pneumonia, is a priority after
surgery.Encouraging deep breathing and coughing exercises helps to expand the lungs and clear
secretions.
3. A client with chronic obstructive pulmonary disease (COPD) is admitted with increased
shortness of breath. What is the most important action for the nurse to take first?
A. Administer supplemental oxygen.
B. Assess the client's respiratory rate and breath sounds.
C. Notify the healthcare provider.
D. Administer a bronchodilator as prescribed.
Answer: B. Assess the client's respiratory rate and breath sounds.
, Rationale: The first step in managing an exacerbation of COPD is assessing the patient's current
respiratory status, including rate and breath sounds. This will guide further interventions like oxygen or
bronchodilators.
4. A nurse is caring for a client who has had a stroke and is experiencing dysphagia.
Which of the following actions should the nurse take to prevent aspiration?
A.Place the patient in a supine position during meals.
B. Offer food in large bites to encourage quicker swallowing.
C. Encourage the patient to drink liquids quickly between bites.
D.Position the patient upright during meals and offer small, frequent bites.
Answer:D.Position the patient upright during meals and offer small,frequent bites.
Rationale: For patients with dysphagia, positioning them upright promotes safe swallowing,and
offering small, frequent bites reduces the risk of aspiration.
5.A patient is being treated for dehydration. Which of the following findings would
indicate improvement in the patient's condition?
A.Increased blood pressure.
B.Decreased heart rate.
C.Increased urine output.
D. Increased specific gravity of urine.
Answer: C. Increased urine output.
Rationale: Increased urine output is anindication that the body is adequately hydrated and fluid balance
is improving.
6.Which of the following is the most appropriate action when caring for a patient who
is receiving an IV infusion of potassium chloride (KCI)?
A. Monitor the patient's potassium level every day.
B. Infuse the KCI solution rapidly to correct the deficit quickly.
C. Ensure that the IV site is patent and check for signs of infiltration.
D.Do not administer KCl if the patient's potassium level is elevated.
WITH 100% CORRECT ANSWERS (BRAND NEW!!)
RELIAS MEDICAL SURGICAL RN FORM A &B EXAM 2025
QUESTIONS AND CORRECT ANSWERS
,1.Which of the following is the most important nursing intervention for a patient who is
receiving a blood transfusion and begins experiencing chills, fever,and anxiety?
A. Stop the transfusion immediately and call the healthcare provider.
B.Increase the rate of the transfusion to alleviate symptoms.
C. Administer acetaminophen and continue the transfusion.
D. Administer a sedative to calm the patient.
Answer: A. Stop the transfusion immediately and call the healthcare provider.
Rationale: The symptoms suggest a possible blood transfusion reaction. Stopping the transfusion
immediately is the priority action, followed by notifying the healthcare provider to manage the reaction
appropriately.
2.A nurse is caring for a patient who is post-operative following a cholecystectomy. Which
of the following should the nurse prioritize during the immediate post-operative period?
A. Ensuring the patient is consuming a high-fat diet.
B. Monitoring for signs of infection at the incision site.
C. Encouraging deep breathing and coughing exercises.
D.Administering pain medication only if the patient complains of severe pain.
Answer: C. Encouraging deep breathing and coughing exercises.
Rationale: Preventing respiratory complications, such as pneumonia, is a priority after
surgery.Encouraging deep breathing and coughing exercises helps to expand the lungs and clear
secretions.
3. A client with chronic obstructive pulmonary disease (COPD) is admitted with increased
shortness of breath. What is the most important action for the nurse to take first?
A. Administer supplemental oxygen.
B. Assess the client's respiratory rate and breath sounds.
C. Notify the healthcare provider.
D. Administer a bronchodilator as prescribed.
Answer: B. Assess the client's respiratory rate and breath sounds.
, Rationale: The first step in managing an exacerbation of COPD is assessing the patient's current
respiratory status, including rate and breath sounds. This will guide further interventions like oxygen or
bronchodilators.
4. A nurse is caring for a client who has had a stroke and is experiencing dysphagia.
Which of the following actions should the nurse take to prevent aspiration?
A.Place the patient in a supine position during meals.
B. Offer food in large bites to encourage quicker swallowing.
C. Encourage the patient to drink liquids quickly between bites.
D.Position the patient upright during meals and offer small, frequent bites.
Answer:D.Position the patient upright during meals and offer small,frequent bites.
Rationale: For patients with dysphagia, positioning them upright promotes safe swallowing,and
offering small, frequent bites reduces the risk of aspiration.
5.A patient is being treated for dehydration. Which of the following findings would
indicate improvement in the patient's condition?
A.Increased blood pressure.
B.Decreased heart rate.
C.Increased urine output.
D. Increased specific gravity of urine.
Answer: C. Increased urine output.
Rationale: Increased urine output is anindication that the body is adequately hydrated and fluid balance
is improving.
6.Which of the following is the most appropriate action when caring for a patient who
is receiving an IV infusion of potassium chloride (KCI)?
A. Monitor the patient's potassium level every day.
B. Infuse the KCI solution rapidly to correct the deficit quickly.
C. Ensure that the IV site is patent and check for signs of infiltration.
D.Do not administer KCl if the patient's potassium level is elevated.
