MEDICAL-SURGICAL RN A PROPHECY
RELIAS FINAL PAPER 2026 QUESTIONS AND
ANSWERS GRADED A+
◉Your coworker posted photos on social media from a birthday
party they had for her in the unit breakroom. What should be your
NEXT course of action? Answer: No action is necessary because no
PHI was displayed.
◉Your new patient understands very limited English. How should
you communicate with them when completing the admission
assessment? Answer: Use the organization's interpreter services.
◉You are caring for a patient with a history of diabetes mellitus. You
walk into the room and find the patient lethargic and diaphoretic.
What is your first action? Answer: Obtain capillary blood glucose
level.
◉Your patient is 4 hours post open appendectomy and has not
voided yet. You note his lower abdomen is distended. What should
you do NEXT? Answer: Perform a bladder scan
, ◉A patient with peritonitis presents with tachycardia, hypotension,
and dehydration. What other assessment finding would you
anticipate as part of your physical assessment? Answer: Severe
abdominal pain or rebound tenderness
◉What is the EARLIEST sign indicating increased intracranial
pressure (ICP)? Answer: Level of consciousness
◉In addition to pain, pallor, and pulselessness, a neurovascular
assessment also includes checking for: Answer: Paresthesia and
paralysis
◉You received a report on a patient that sustained a right
hemisphere CVA 48 hours ago. What do you expect the patient to
exhibit? Answer: Left sided weakness of the leg, arm, and face.
◉You are ordered to give digoxin (Lanoxin). Your patients vital signs
are: BP 130/70, Temp 97.9F, HR 52, RR 16, O2 Sat 100% on room air.
What should you do NEXT? Answer: Hold digoxin (Lanoxin) and call
the provider
◉Upon entry to your patient's room, you find her sitting in High
Fowler's position and complaining of shortness of breath. Her
respiratory rate is 34 breaths/min and O2 sat is 84%. Which mode
of oxygen delivery would MOST likely reverse these symptoms?
Answer: Non-rebreather mask
RELIAS FINAL PAPER 2026 QUESTIONS AND
ANSWERS GRADED A+
◉Your coworker posted photos on social media from a birthday
party they had for her in the unit breakroom. What should be your
NEXT course of action? Answer: No action is necessary because no
PHI was displayed.
◉Your new patient understands very limited English. How should
you communicate with them when completing the admission
assessment? Answer: Use the organization's interpreter services.
◉You are caring for a patient with a history of diabetes mellitus. You
walk into the room and find the patient lethargic and diaphoretic.
What is your first action? Answer: Obtain capillary blood glucose
level.
◉Your patient is 4 hours post open appendectomy and has not
voided yet. You note his lower abdomen is distended. What should
you do NEXT? Answer: Perform a bladder scan
, ◉A patient with peritonitis presents with tachycardia, hypotension,
and dehydration. What other assessment finding would you
anticipate as part of your physical assessment? Answer: Severe
abdominal pain or rebound tenderness
◉What is the EARLIEST sign indicating increased intracranial
pressure (ICP)? Answer: Level of consciousness
◉In addition to pain, pallor, and pulselessness, a neurovascular
assessment also includes checking for: Answer: Paresthesia and
paralysis
◉You received a report on a patient that sustained a right
hemisphere CVA 48 hours ago. What do you expect the patient to
exhibit? Answer: Left sided weakness of the leg, arm, and face.
◉You are ordered to give digoxin (Lanoxin). Your patients vital signs
are: BP 130/70, Temp 97.9F, HR 52, RR 16, O2 Sat 100% on room air.
What should you do NEXT? Answer: Hold digoxin (Lanoxin) and call
the provider
◉Upon entry to your patient's room, you find her sitting in High
Fowler's position and complaining of shortness of breath. Her
respiratory rate is 34 breaths/min and O2 sat is 84%. Which mode
of oxygen delivery would MOST likely reverse these symptoms?
Answer: Non-rebreather mask
