2024 RELIAS ED RN A TEST QUESTIONS & ANSWERS | 70 QUESTIONS WITH 100% CORRECT VERIFIED A, Exams of Nursing

Download 2024 RELIAS ED RN A TEST QUESTIONS & ANSWERS | 70 QUESTIONS WITH 100% CORRECT VERIFIED A and more Exams Nursing in PDF only on Docsity! 1 2024 RELIAS ED RN A TEST QUESTIONS & ANSWERS | 70 QUESTIONS WITH 100% CORRECT VERIFIED ANSWERS | UPDATED GRADED A+ What is the current recommended dose of intravenous or intraosseous epinephrine in adult patients with cardiac arrest? 10 mg every 10 minutes 1 mg every 3-5 minutes 1 mg every 7 minutes 0.1 mg every 2 minutes - CORRECT ANSWER>>1 mg every 3-5 minutes A patient with a traumatic brain injury (TBI) is MOST likely to suffer from what condition? Diabetes mellitus Cerebral palsy Diabetes Insipidus Myxedema coma - CORRECT ANSWER>>Diabetes Insipidus A patient presents after sustaining a roll-over motor vehicle accident. They are complaining of pain around the mid-upper back. On your initial triage assessment, you find that patient has preserved motor function below L5 but is suffering from a loss of sensory function. The assessment findings are consistent with: Posterior cord syndrome Central cord syndrome Anterior cord syndrome Autonomic syndrome - CORRECT ANSWER>>Posterior cord syndrome A patient arrives with acute onset of central chest pain. The patient is tachycardic and tachypneic and appears very anxious and restless. What would be the MOST important initial intervention for this patient? Obtain electrocardiogram Administer nitroglycerin Administer oxygen Obtain venous blood gas - CORRECT ANSWER>>IDK, but its not administer nitroglycerin or obtain electrocardiogram!! A patient who is 27 weeks pregnant presents with painless bright red vaginal bleeding. What condition correlates with the presenting symptoms? Abruptio placenta Placenta Previa Ectopic pregnancy 2 Premature rupture of membranes (PROM) - CORRECT ANSWER>>Placenta Previa What is a common assessment finding in a patient with a tension pneumothorax? Petechial chest rash Distended neck veins Equal chest wall expansion Flattened neck veins - CORRECT ANSWER>>Distended Neck Veins A patient presents with a two-day history of fever, cough, mild shortness of breath (SOB), sore throat, myalgia, and new onset of loss of taste and smell. What is the patient MOST likely suffering from? Giardia Microsporidia COVID 19 Tuberculosis - CORRECT ANSWER>>COVID 19 The deficiency of anti-diuretic hormone (ADH) can lead to what endocrine disorders? Diabetes Insipidus Diabetes Mellitus Adrenal Insufficiency Syndrome of inappropriate secretion of ADH (SIADH) - CORRECT ANSWER>>Diabetes Insipidus A patient presents after an intentional overdose of propranolol approximately 2 hours ago. The patient has severe hypotension and bradycardia. IV fluids and vasopressors are initiated. What nursing assessment findings indicate the treatment has been effective? Decreasing pulse pressure Decreasing central venous pressure Increasing serum glucose Increasing serum cortisol - CORRECT ANSWER>>Increasing serum glucose A patient presents with acute onset of chest pain and goes into cardiac arrest immediately upon arrival. What is a possible reversible cause of cardiac arrest? Hypervolemia Alkalosis Hyperthermia Tension Pneumothorax - CORRECT ANSWER>>Tension Pneumothorax Which of the following represent categories utilized to triage patients during a mass casualty incident (MCI)? Green, orange, black, purple Green, blue, red, black Red, black, pink, yellow Green, yellow, red, black - CORRECT ANSWER>>Green, yellow, red, black 5 Bounding pulse Warm extremity Paresthesia of the foot Capillary refill pf toes <2 sec - CORRECT ANSWER>>Paresthesia of the foot You are assisting a novice nurse with a blood draw. You observe the nurse draw the blood, place the specimen tubes in a biohazard bag, and leave the room with the unlabeled specimen tubes. What would you do NEXT? Don't confront the nurse, go redraw the labs and label at the bedside. Do nothing because they can label them anywhere. Report them to your supervisor. Re-educate the nurse, then redraw thexabs, use patient identifiers and label at the bedside. - CORRECT ANSWER>>Re-educate What is the critical goal time from arrival to the ED to CT brain scan based on the American Heart Association stroke recommendations? 10 minutes 25 minutes 45 minutes 60 minutes - CORRECT ANSWER>>25min A patient presents with sudden onset of aphasia and left-sided weakness for the last 25 minutes. What action would be taken NEXT? Triage them to the screening area Complete a thorough triage evaluation, initiate the appropriate stroke resources Register the patient prior to triage, and collect smoking and drug use history Activate your department's code stroke protocol - CORRECT ANSWER>>Activate your deptartment's code stroke protocol Your patient's chest tube dressing has accidentally come off and you are preparing to place a new one. You have a slit drain sponge, 4 x 4 gauzes, tape, scissors, and antiseptic swabs. What else do you need? Kelly clamp Petrolatum gauze Tube connector Chest drainage system - CORRECT ANSWER>>Petrolatum gauze What type of medication is used in the emergency care setting to help manage the symptoms of alcohol withdrawal? Benzodiazepines Valproic acid Electrolytes Thiamine - CORRECT ANSWER>>Benzos 6 A patient presents to the lobby stating she thinks she is in active labor. Your facility doesn't have a labor and delivery unit. What is the NEXT action you would take? Tell the patient she needs to go to the nearest hospital with a labor and delivery unit. Have an ED provider perform a medical screening exam to determine if she is in active labor. Call the nearest hospital with a labor and delivery unit to see if they will accept the patient. Get a wheelchair for the patient and inform her that there will be a 3 hour wait time. - CORRECT ANSWER>>Have an ED provider preform a MSE A patient is brought in with a history of a head-on motor vehicle accident. The patient was not wearing a seat belt and was traveling at 120 mph with the deployment of an airbag. They complain of severe lower abdominal and hip pain. A secondary trauma survey reveals an unstable hip on lateral compression. What would be a PRIORITY intervention in managing this patient? Application of pelvic blinder Initiation of massive transfusion protocol Administration of IV fluids Insertion of second IV line - CORRECT ANSWER>>Application of a pelvic binder You exit your patient's room and as you walk away you hear a thud. Upon inspection, you find your patient on the floor. What would you do FIRST? Assess the patient for injury. Call the familv. Get assistance. Notify the charge nurse. - CORRECT ANSWER>>Assess the pt for injury A patient is brought in for a potential overdose of heroin. What is the PRIORITY nursing intervention? Administering normal saline fluids Maintaining airway and breathing Starting an IV line Administering naloxone - CORRECT ANSWER>>Maintaining airway and breathing. You see a fellow nurse placing an opioid medication in their pocket rather than administering it as ordered. What would you do NEXT? Don't say anything. Tell another coworker. Confront your coworker. Tell your immediate supervisor. - CORRECT ANSWER>>Tell your immediate supervisor A patient is being treated in a hyperbaric oxygen chamber for carbon monoxide poisoning. What measurement is the BEST indicator of treatment success? Pulse oximetry Vital signs Pulse pressure 7 O Arterial blood gas - CORRECT ANSWER>>ABG A patient presents with a facial burn with significant facial swelling and acute respiratory distress. Based on a 1-4 triage acuity scale with 1 being most critical, what is the appropriate category based on the patient presentation? 1 2 3 4 - CORRECT ANSWER>>1 A patient presents with an episode of hypertensive crisis, a blood pressure of 220/118, and the provider has put in the order for nitroprusside. What demonstrates that the treatment has been effective? Systolic blood pressure reaches 160 mm Hg Systolic blood pressure reaches 210 mm Hg Patients states that he no longer has chest pain Oxygen saturation increased from 94% to 99% - CORRECT ANSWER>>SBP reaches 160 You want to implement the new evidence-based practice guidelines in managing patients to prevent falling on your unit. What provides the STRONGEST evidence for interventions? Systematic reviews Retrospective study Single randomized control trial Observational study - CORRECT ANSWER>>Systematic reviews A patient is brought in after being struck by lightning during a heavy thunderstorm. What would be the PRIORITY intervention for this patient upon arrival? Measuring urine output Monitoring cardiac rhythm Cleaning of the burn wounds Obtaining chest x-ray - CORRECT ANSWER>>Monitoring cardiac rhythm A patient presents with a history of acute urinary retention. An indwelling catheter is placed and the patient is sent for an ultrasound scan. The imaging confirms benign prostatic hyperplasia as the cause of urinary retention. What medication do you anticipate the provider to order? Tamsulosin (Flomax®) Vasopressin Phenylephrine (Omidria®) Methoxamine (Vasoxy|®) - CORRECT ANSWER>>Flomax The life-threatening and rare complication of hypothyroidism is known as: 10 A patient with a history of advanced-stage leukemia presents with a history of increasing shortness of breath in the last 4 days. The patient is anemic and has multiple bruises on their extremities. What is the MOST likely cause of bruising? Anemia Thrombocytopenia Lymphadenopathy Septicemia - CORRECT ANSWER>>Thrombocytopenia What are you MOST likely to see during your initial assessment of a patient with chronic obstructive pulmonary disease (COPD)? Pursed lip breathing Absent breath sounds on one side Fever Blood tinged sputum - CORRECT ANSWER>>Pursed lip breathing A patient presents with a 5-day history of runny nose, headache, and productive cough. The patient is unable to speak full sentences, reports having a history of moderate to severe COPD, and has a Sp02 reading of 89%. What intervention do you anticipate implementing FIRST for this patient? • Provide oxygen Obtain venous blood gas (VBG) Obtain vital signs Obtain ECG - CORRECT ANSWER>>Provide Oxygen A patient with dementia has a family member with MPOA, who is unable to be reached. The provider needs a consent signed and allows the patient to sign. What is the MOST appropriate action you would take? • Report the provider to their supervisor. Do nothing as the form has already been signed. Call the ethics committee. Report the provider to the Medical Board. - CORRECT ANSWER>>Report the provider to their supervisor Under what circumstances can the hospital transfer an unstable patient to another facility and maintain compliance with the Emergency Medical Treatment and Active Labor Act (EMTALA)? The patient has no health insurance coverage. The receiving facility is conducting research on specific disease condition. The necessary treatment is not available at the current hospital. The family members are requesting to transfer the patient near to them. - CORRECT ANSWER>>The necessary treatment is not available at the current hospital. 11 A 35-year-old patient complains of night sweats, low-grade fever, weight loss, and a productive cough with pink-tinged sputum for 3-4 weeks. They have been staying at a local shelter since they lost their job 6 months ago. What diagnosis is most likely? Tuberculosis Influenza COVID 19 Liver cancer - CORRECT ANSWER>>TB Which of the following wounds has the highest risk for developing osteomyelitis? Closed fracture of tibia resulting from trauma Contusion and bruising to the head from a fall Puncture wound from stepping on a rusty nail Laceration of the face from breaking glass - CORRECT ANSWER>>Puncture wound from stepping on a nail A patient is being treated with an anticoagulant for pulmonary embolism (PE). What patient assessment finding indicates that a heparin infusion would be stopped IMMEDIATELY? © Decreased level of consciousness Decreased urine output Increase in blood pressure of 140/85 Increase in temperature to 100.1 F - CORRECT ANSWER>>Decreased level of consciousness A patient presents with a 1-day history of pain in the right upper abdomen with nausea and vomiting. The provider suspects that the patient has cholecystitis. What lab value supports the diagnosis? Elevated amylase A Elevated creatinine Elevated bilirubin Decreased hemoglobin - CORRECT ANSWER>>Elevated Bilirubin Acute deficiency of cortisol and aldosterone can lead to what severe life-threatening condition? Cushing syndrome Diabetes Insipidus. Adrenal Crisis Myxedema coma - CORRECT ANSWER>>Adrenal Crisis A patient who is suspected of having hyperkalemia is MOST likely to have what ECG changes? 12 • Tall, peaked T waves T wave inversion Prolonged QT interval ST-segment elevation - CORRECT ANSWER>>Tall, peaked T wave What type of diet would a patient with diverticulitis follow? High residual diet High fiber diet Low sugar diet High calorie diet - CORRECT ANSWER>>IDK, but its not High residual or Low sugar!! A confused patient is trying to grasp at their IV with their right hand. Which is the LEAST restrictive measure to maintain patient safety? 2-point restraint on right arm and left leg Safety "mitt" for both hands 2-point restraints on upper limbs Safety "mitt" for right hand only - CORRECT ANSWER>>Safety "mitt" for right hand only A patient is frustrated at the length of time they have been waiting to be triaged. They start to yell obscenities and threaten you with violence. Why would this incident be reported to your supervisor? The patient is responsible for their actions even though they are ill You have the right to personal safety at work As no physical injury actually occurred, no further action is necessary This type of behavior is expected and accepted in the ED - CORRECT ANSWER>>You have a right to personal safety at work A patient who is 8 weeks pregnant presents to triage with vaginal bleeding and lower abdominal pain. RhoGAM will be given for which situation? Father is negative Father is positive Mother is positive Mother is Rh negative - CORRECT ANSWER>>Mother is Rh negative An adult patient who is 70 kg has a full-thickness burn over 30% of their body surface area. What is the anticipated fluid replacement for a patient in the first 8 hours is based on the Parkland formula? 4200 mL 4800 mL 6300 mL 8400 mL - CORRECT ANSWER>>4200 mL