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Relias Medical-Surgical Exam – Practice Questions with Verified Answers (Med-Surg Nursing, NCLEX Prep) 2026/2027

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This Relias Medical-Surgical exam study guide contains practice questions with verified answers covering core med-surg nursing topics including celiac disease (wheat bread avoidance), postoperative pain management (morphine PCA, respiratory depression), dehydration (KCI IV push caution), increased intracranial pressure (first sign change in LOC), chest pain (MONA – morphine, oxygen, nitrates, aspirin), C. diff (soap and water hand hygiene), bronchoscopy complications (bloody sputum), Jackson-Pratt drain management, oxygen safety, 24-hour urine collection, pancreatitis (lipase/amylase), upper GI bleed (melena), COPD (wheezing, impaired gas exchange), digoxin (hold for bradycardia), hemorrhagic CVA (heparin contraindicated), pulmonary embolism (symptoms, post-op BKA), warfarin (avoid spinach, INR 6 give vitamin K), CHF (S3, JVD, pulmonary edema, leg edema), V-tach, asystole, myocardial infarction in women, narcotic count, bladder scan, Lasix calculation, dialysis lab improvements, metformin and contrast dye, wound dehiscence, TB skin test reading, informed consent interpreter, HIPAA violation, DNR/family wishes, urinary catheter insertion, crepitus/subcutaneous emphysema, Protonix for stress ulcer prophylaxis, Narcan for opioid reversal, hypoglycemia (orange juice), ESRD labs (BUN 32, creatinine 8.32), chronic renal failure diet (low potassium, low protein, moderate fat), acute pancreatitis causes (alcoholism, gallstones), peritoneal dialysis hyperglycemia, blood transfusion refusal, diverticulitis (clear liquids), floating to another unit, patient lift for contracted patient, PAINAD scale for dementia, atrial fibrillation with fall (stat CT head), failure to thrive with pressure injury (report charge nurse and social worker), C. diff PPE (gown and gloves), soft mitt restraints, alcohol withdrawal, airborne precautions for TB/symptoms, diabetes complications (nerve and kidney damage), code status discussion, social media and HIPAA, interpreter services, peritonitis (rebound tenderness), neurovascular assessment (paresthesia, paralysis), right hemisphere CVA (left-sided weakness), nonrebreather mask for hypoxia, MRSA contact precautions (gown and gloves), G-tube intolerance (vomiting, diarrhea), seizure first action (side lying), anorexia nervosa with suicidal ideation (stay with patient, ask about plan), tracheostomy suctioning (hyperoxygenate first), PPSV23 vaccine (adults 65+), terminal cancer pain (palliative care consult), VTE prophylaxis (Lovenox + IPC), clarifying unclear orders, sucralfate (1 hour before meals and bedtime), PRBCs for low hemoglobin, tardive dyskinesia (chlorpromazine), and more. Ideal for Relias med-surg exam preparation and NCLEX review.

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Voorbeeld van de inhoud

RELIAS MEDICAL SURGICAL TELEMETRY EXAM
TEST BANK COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+

1. Which of the following food items would you question in the
menu of your patient who is diagnosed with celiac disease? -
ANSWER --Wheat bread


2. A postoperative laparoscopic appendectomy patient is receiving
morphine PCA for pain findings with alert you to the potential of a
narcotic overdose? - ANSWER --A respiratory rate of 8 breaths per
minute


- ANSWER --Paced rhythm


3. Your patient was admitted with severe dehydration. Which of the
following orders would you question - ANSWER --KCI 40 mEq IV
push STAT


4. What is the first sign of increased intracranial pressure? -
ANSWER --
5. Change in LOC


6. A patient suddenly complains of new onset of chest pain. The
doctor is suspecting a possible?... What is most likely to be
ordered? - ANSWER -Morphine Duramorph, oxygen, nitrates,
7. Aceticsalicylic acid, bayer buffered aspirin

,8. The Glasgow, scale ranges from: - ANSWER --3 to 15


9. You deserve the nurse aid removing her gloves and immediately
using alcohol hand sanitizer in a room with a patient who has C-
Diff. What education should you provide to the nurse aide -
ANSWER --And washing with soap and water is mandatory
because alcohol based hand sanitizers do not kill C-diff


10. Heart rate - ANSWER --80


11. Which of the following assessment findings should you
report immediately to the physician for a patient who just had a
bronchoscopy and biopsy? - ANSWER --Sputum with streaks of
blood
12. NOT: increased salivation


13. Your patient was just returned from surgery with a Jackson-
Pratt JP drain in place which of the following is the best nursing
action? -
14. ANSWER --Compress the drain, then plug the bulb to
establish suction

,15. Patient is admitted for shortness of breath. Do you notice
the spouse adjusting the oxygen on the wall and she states "she
always takes care of my husband" what would be an appropriate
response? - ANSWER -Educate the spouse on oxygen use as a
medical device in the hospital


16. Deposition has ordered for your patience to begin a 24 hour
urine collection. Your patient voids for the first time two hours
after the orders received. What should be done with this urine
sample? - ANSWER -Discarded, then begin the 24 hour collection


17. Which of the following lab values would you expect to see in
a patient diagnosed with?.... - ANSWER --Lipase - 196


18. You were caring for a patient admitted with abdominal pain.
Your patient has a bowel movement and you know dark tarry
stool what would be the diagnosis? - ANSWER --Upper G.I. bleed


19. Your COPD patient is complaining of wheezing and increased
shortness of breath - ANSWER --Assess your patient for a change
in condition


20. What information is vital for you to know prior to
administering an ordered dose of digoxin - ANSWER --Heart rate

, 21. Your patient has been diagnosed with a hemorrhagic CVA -
ANSWER -Heparin infusion per pharmacy protocol


22. A 56-year-old man has an acute onset of shortness of
breath, chest pain, apprehension, rapid pulse, cough with bloody
sputum, diaphoresis, and syncope. The symptoms are indicative
of: - ANSWER --Pulmonary embolism? NOT: tuberculosis


23. You're reviewing the menu list of a patient on Warfran what
food should they not eat? - ANSWER --Spinach


24. Which of the following issues should be reported up the
chain of command - ANSWER --A coworker arriving to work under
the influence of alcohol


25. You're providing discharge instructions to a CHF patient. -
ANSWER -Increase shortness of breath


26. cardiac rhythm - ANSWER --V-Tach

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