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Relias ED RN A Exam (Latest 2025 / 2026): Most
Comprehensive Qs & Ans - to Pass the Exam, 100% Verified
- Adaptive equipment for a severely contracted patient unable
to bear weight?
Answer : Patient Lift (e.g., Hoyer)
Accurate. A Hoyer lift is appropriate for safe, non-weight- bearing transfers in patients with contractures.
- Lab values for end-stage renal disease (ESRD) on
hemodialysis?
Answer : BUN 32, Creatinine 8.32
Accurate. These elevated levels (BUN normal 7-20 mg/dL, creatinine normal 0.6-1.2 mg/dL) are consistent with ESRD, though values may decrease post-dialysis.
- Order for an 85-year-old with atrial fibrillation, fall, and acute
confusion?
Answer : Hold warfarin (Coumadin) for the next 48 hours
Accurate. Holding warfarin reduces bleeding risk after a fall, especially with confusion suggesting possible head injury.
- Isolation for cough, weight loss, night sweats, and bloody
sputum?
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Answer : Airborne precautions
Accurate. These symptoms suggest tuberculosis, necessitating airborne precautions.
- First action for a patient having a seizure?
Answer : Position the patient on their side to maintain the
airway Accurate. This protects the airway and prevents aspiration during a seizure.
- Coworker accessing a patient’s record without authorization?
Answer : Tell her you cannot give her information and report
her actions to your manager Accurate. This upholds HIPAA and patient privacy by refusing disclosure and reporting the breach.
- Action for discomfort during urinary catheter balloon
inflation?
Answer : Deflate the balloon, advance the catheter further,
then reinflate Accurate. Discomfort indicates the balloon is likely in the urethra; advancing ensures proper placement in the bladder.
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- Hypoglycemia risk times for regular insulin and NPH?
Answer : Late afternoon and early morning
Accurate. Regular insulin peaks 2-4 hours and NPH 4-12 hours after administration, aligning with these times for twice- daily dosing.
- Purpose of a proton pump inhibitor (e.g., pantoprazole)?
Answer : Reduce gastric acid secretion
Accurate. PPIs inhibit stomach acid production.
- Action before suctioning a tracheostomy with secretions?
Answer : Hyperoxygenate patient
Accurate. Pre-oxygenation prevents hypoxia during suctioning.
- Dietary teaching for chronic renal failure?
Answer : Low potassium, low protein, moderate fat
Accurate. This diet reduces kidney workload and prevents complications like hyperkalemia.
- Most important nursing diagnosis for COPD?
Answer : Impaired gas exchange
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Accurate. This reflects COPD’s core issue of oxygenation impairment.
- Action for a patient with failure to thrive, dementia, and
neglect signs?
Answer : Notify the charge nurse and social worker of your
concerns Accurate. Suspected neglect requires escalation for investigation and patient support.
- Medication to hold before dialysis (Lisinopril, ondansetron,
famotidine, atorvastatin)?
Answer : Lisinopril (Prinivil)
Accurate. ACE inhibitors like Lisinopril can cause hypotension during dialysis; clarification is prudent.
- Best indication of an acute neurological problem?
Answer : Change in level of consciousness
Accurate. LOC changes are a primary sign of neurological issues.
- Diet for diverticulitis?