RELIAS
RELIAS MEDICAL SURGICAL RN A EXAM
QUESTIONS AND ANSWERS UPDATED
(2024/2025) (VERIFIED ANSWERS)
Your patient takes regular insulin and NPH twice A-day for glucose control.
What times should the patient be taught to be alert for signs of
hypoglycemia? - ANS ✓Is late afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix) used for?
- ANS ✓Reduce gastric acid secretion
Your patient has a non productive cough and presence of secretions in his
tracheostomy. Prior to sectioning the patient, what should you do 1st? - ANS
✓Hyper oxygenate patient
dietary teaching for a patient with chronic renal failure should include
choices that are: - ANS ✓Low potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient
with chronic obstructive pulmonary disease(COPD) - ANS ✓Impaired gas
exchange
1
RELIAS MEDICAL
, RELIAS
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? -
ANS ✓Notify the charge nurse and social worker of your concerns.
You have a patient going for dialysis. There are medications include
Lisinopril(Prinivil), ondansetron (Zofran), famotidine(pepcid) and
atorvastatin(lipitor). Which medication would you possibly hold and seek
clarification? - ANS ✓LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - ANS
✓Change in level of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect
to be ordered for the patient? - ANS ✓Clear liquids
Which tool should you use to assess pain in your 80 year old patient with
severe dementia? - ANS ✓?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure
effective drain function? - ANS ✓Compress the drain, then plug the bulb to
establish suction.
Is a patient with peritonitis Presents with tachycardia, hypotension , and
dehydration. What other assessment finding would you anticipate as part
2
RELIAS MEDICAL
RELIAS MEDICAL SURGICAL RN A EXAM
QUESTIONS AND ANSWERS UPDATED
(2024/2025) (VERIFIED ANSWERS)
Your patient takes regular insulin and NPH twice A-day for glucose control.
What times should the patient be taught to be alert for signs of
hypoglycemia? - ANS ✓Is late afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix) used for?
- ANS ✓Reduce gastric acid secretion
Your patient has a non productive cough and presence of secretions in his
tracheostomy. Prior to sectioning the patient, what should you do 1st? - ANS
✓Hyper oxygenate patient
dietary teaching for a patient with chronic renal failure should include
choices that are: - ANS ✓Low potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient
with chronic obstructive pulmonary disease(COPD) - ANS ✓Impaired gas
exchange
1
RELIAS MEDICAL
, RELIAS
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? -
ANS ✓Notify the charge nurse and social worker of your concerns.
You have a patient going for dialysis. There are medications include
Lisinopril(Prinivil), ondansetron (Zofran), famotidine(pepcid) and
atorvastatin(lipitor). Which medication would you possibly hold and seek
clarification? - ANS ✓LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - ANS
✓Change in level of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect
to be ordered for the patient? - ANS ✓Clear liquids
Which tool should you use to assess pain in your 80 year old patient with
severe dementia? - ANS ✓?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure
effective drain function? - ANS ✓Compress the drain, then plug the bulb to
establish suction.
Is a patient with peritonitis Presents with tachycardia, hypotension , and
dehydration. What other assessment finding would you anticipate as part
2
RELIAS MEDICAL
