Relias ED RN A exam with verified answers, Exams of Nursing

Download Relias ED RN A exam with verified answers and more Exams Nursing in PDF only on Docsity! Relias ED RN A exam with verified answers 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 answers 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 answers 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 answers 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 answers IDK, but its not administer nitroglycerin or obtain electrocardiogram!! Relias ED RN A exam with verified answers 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 Premature rupture of membranes (PROM) - correct answers 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 answers 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 answers 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 answers Diabetes Insipidus Relias ED RN A exam with verified answers An elderly patient is brought in with new onset of confusion and gradual onset of headache in the last 48hours. The patient states that they had a fall 3 days ago. Based on the history and presenting complaints, what diagnostic test do you anticipate the provider to order? MRI of the brain Complete Blood Count Finger stick blood sugar CT scan of the brain - correct answers CT scan of the brain A patient arrives with suspected appendicitis. What action, if observed, would require additional training for the unlicensed assistive personnel (UAP)? The UAP offers the patient a ginger ale. The UAP allows the patient to move to a position of comfort. The UAP helps the patient with a bedpan. The UAP reminds the patient to stay in bed. - correct answers The UAP offers the patient a ginger ale. What laboratory value would you monitor closely if your patient is vomiting coffee-ground emesis? White blood cells Serum potasgium Arterial Blood Gas Hemoglobin - correct answers Hemoglobin A patient who is 32 weeks pregnant presents with a three-day history of headache and significant swelling of the lower extremities and face. The patient's vital signs are BP: 160/90, HR: 105/min, RR:19/min, Spo2: 94% on RA, Temp: 97.3 F. What medication do you anticipate the provider to order FIRST? Furosemide (Lasix) Magnesium Sulfate Labetalol (Trandate) Acetaminophen (Tylenol) - correct answers Magnesium Sulfate Relias ED RN A exam with verified answers You are caring for a patient who has a history of alcohol use and seizures. You suddenly notice the patient becoming diaphoretic, anxious, tachycardic, and has clammy skin. What would you do NEXT? Check their blood glucose Turn them on their side Auscultate their lungs Administer propranolol - correct answers Check their blood glucose A patient who is 24 weeks pregnant presents with fever and right upper quadrant pain. The patient states that the pain is radiating to the right shoulder blade, and started an hour after having a pizza for lunch. She is tachycardic, tachypneic, and diaphoretic on the initial triage assessment. What is the MOST likely diagnosis for this patient? Pericarditis Cholecystitis Diverticulitis Pancreatitis - correct answers Cholecystitis A patient presents after falling from a height and fracturing their right tibia and fibula. What symptom would be reported to the provider IMMEDIATELY? Bounding pulse Warm extremity Paresthesia of the foot Capillary refill pf toes <2 sec - correct answers 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. Relias ED RN A exam with verified answers Re-educate the nurse, then redraw thexabs, use patient identifiers and label at the bedside. - correct answers 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 answers 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 answers 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 answers Petrolatum gauze What type of medication is used in the emergency care setting to help manage the symptoms of alcohol withdrawal? Benzodiazepines Valproic acid Relias ED RN A exam with verified answers 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 answers 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 answers 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 answers 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 answers Flomax The life-threatening and rare complication of hypothyroidism is known as: Relias ED RN A exam with verified answers Pheochromocytoma Adrenal crisis Thyroid storm Myxedema coma - correct answers Myxedema A new nurse observes their preceptor giving the incorrect dosage of a medication to a patient. Implementing the ethical principle veracity, what action would the new nurse take? Keep the information confidential to avoid repercussions from the preceptor. Inform the charge nurse about what happened and document it. Since the patient was not harmed, do not report the incident. Tell only the patient about the incident and have them decide what to do. - correct answers Inform the charge nurse about what happened and document it. Your patient has just had a paracentesis during which 5 liters of fluid were removed. Which assessment is the PRIORITY? Palpate for tenderness Blood pressure Observation of puncture site Signs of infection - correct answers Blood pressure What symptom is commonly seen in patients with alcohol withdrawal? Tachycardia Hypotension Bradycardia Hypothermia - correct answers Tachycardia A patient's family has decided to withdraw life-sustaining treatment. When communicating with the family of the patient, what reassurance would you provide? Life support is essential in the patient's quality of life. Relias ED RN A exam with verified answers Efforts will be made to make the patient comfortable. That the patient lived a full and complete life. Substantial amounts of pain medication will be provided. - correct answers Efforts with be made to make the patient comfortable. During cardiogenic shock what temporary intervention might be ordered to improve perfusion until definitive treatment is provided? Coronary artery bypass notropic iffusion Percutaneous intervention Continuous renal replacement therapy - correct answers Inotropic infusion You accidentally administered epinephrine 1:1000 intravenous push for a patient suffering from a severe anaphylactic reaction. You recognize this as a near-miss event and report this: Internally, per policy through the defined incident reporting system Externally, to the state board of nursing through the website Externally, to state board of pharmacy through the website Since it was a near miss reporting is not necessary - correct answers Internally, per policy through the defined incident reporting system. You are administering haloperidol (Haldol®) to a patient with acute symptoms of Schizophrenia. What changes in the electrocardiogram (ECG) are possible as a result of this medication? Depressed T wave O Prolonged QT interval Prolonged PR interval Elevated ST segment - correct answers Prolonged QT interval Relias ED RN A exam with verified answers Do nothing as the form has already been signed. Call the ethics committee. Report the provider to the Medical Board. - correct answers 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 answers The necessary treatment is not available at the current hospital. 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 answers 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 answers 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? Relias ED RN A exam with verified answers © Decreased level of consciousness Decreased urine output Increase in blood pressure of 140/85 Increase in temperature to 100.1 F - correct answers 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 answers 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 answers Adrenal Crisis A patient who is suspected of having hyperkalemia is MOST likely to have what ECG changes? • Tall, peaked T waves T wave inversion Prolonged QT interval ST-segment elevation - correct answers Tall, peaked T wave Relias ED RN A exam with verified answers What type of diet would a patient with diverticulitis follow? High residual diet High fiber diet Low sugar diet High calorie diet - correct answers 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 answers 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 answers 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 answers Mother is Rh negative