MEDICAL-SURGICAL RN A PROPHECY
RELIAS (QUESTIONS AND
ANSWERS)2022-2023
1.2 milligrams is equal to how many micrograms?
• 1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you
ensure effective drain function?
• Compress the drain, then plug the bulb to establish suction
Your male patient complains of discomfort while inflating the balloon during
insertion of an indwelling urinary catheter. What would be the MOST
appropriate action?
• Deflate the balloon, advance the catheter further, then reinflate the
balloon
Your patient has symptomatic anemia but is refusing a blood transfusion for
religious reason. What is an appropriate response?
• Respect his wishes and notify the provider
Your patient is admitted with diverticulitis. What type of diet do you expect
to be ordered for the patient?
• broth, jello, soft fruit no skin,
You were hired to work the medical unit and when you arrive at work the
charge nurse has assigned you to the post-surgical unit since they are
understaffed. Which is the MOST appropriate action?
• Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
• Acid Reduction
Which adaptive equipment would be MOST appropriate to use for a severely
contracted patient who is unable to bear weight when transferring from the
bed to the chair?
• Patient lift (e.g., Hoyer)
, Which tool should you use to assess pain in you 80-year-old patient with
severe dementia?
• PAINAD scale
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?
1. 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?
• 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.
• Sepsis
What type of personal protective equipment (PPE) is applied prior to entering
a room for a patient with C. diff?
• 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?
• 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?
• Ask the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem?
• Change in level of consciousness
RELIAS (QUESTIONS AND
ANSWERS)2022-2023
1.2 milligrams is equal to how many micrograms?
• 1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you
ensure effective drain function?
• Compress the drain, then plug the bulb to establish suction
Your male patient complains of discomfort while inflating the balloon during
insertion of an indwelling urinary catheter. What would be the MOST
appropriate action?
• Deflate the balloon, advance the catheter further, then reinflate the
balloon
Your patient has symptomatic anemia but is refusing a blood transfusion for
religious reason. What is an appropriate response?
• Respect his wishes and notify the provider
Your patient is admitted with diverticulitis. What type of diet do you expect
to be ordered for the patient?
• broth, jello, soft fruit no skin,
You were hired to work the medical unit and when you arrive at work the
charge nurse has assigned you to the post-surgical unit since they are
understaffed. Which is the MOST appropriate action?
• Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
• Acid Reduction
Which adaptive equipment would be MOST appropriate to use for a severely
contracted patient who is unable to bear weight when transferring from the
bed to the chair?
• Patient lift (e.g., Hoyer)
, Which tool should you use to assess pain in you 80-year-old patient with
severe dementia?
• PAINAD scale
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?
1. 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?
• 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.
• Sepsis
What type of personal protective equipment (PPE) is applied prior to entering
a room for a patient with C. diff?
• 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?
• 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?
• Ask the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem?
• Change in level of consciousness
