Relias ED RN A Test Questions & Answers | 70 Questions with 100% Correct Answers | Verifie, Exams of Educational Mathematics

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Relias ED RN A Test Questions & Answers | 70 Questions

with 100% Correct Answers | Verified | Updated 2023 | 23

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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

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

A 22-year old female who is 8 weeks pregnant presents with a sudden onset of left lower abdominal pain and vaginal bleeding. The patient's family member stated that she had a syncopal episode shortly after that. What is the MOST likely diagnosis for her? Ruptured appendix Placenta previa Abruptio placenta

Ruptured ectopic pregnancy - Correct answer Ruptured ectopic pregnancy

A patient with a history of chronic alcohol use is brought in with possible esophageal varices. What medication is used to stop upper gastrointestinal (GI) bleeding in patients with this condition? Octreotide (Sandostatin®) Acetaminophen (Tylenol®) Warfarin (Jantoven®)

Ibuprofen (Motrin®) - Correct answer Octreotide (Sandostatin)

A patient has sustained multiple traumatic injuries after a fall from a height. What is considered an important component of the primary survey assessment? Complete set of vital signs Neurological assessment Head to toe assessment

Patients allergy history - Correct answer Neurological Assessment

What do you anticipate is the BEST indicator of adequate hydration in an adult patient with 30% body surface area burn during initial fluid resuscitation? Blood pressure of 110/60 mm Hg Urine output of 0.5 mL/kg/hr Central venous pressure of 25 mm Hg

Urine output of 0.2 mL/kg/hr - Correct answer Urine output 0.5mL/kg/hr

What staff member would you ask to accompany you when transporting an intubated patient to imaging for a CT? Lift team Respiratory therapist Physician's assistant

Nursing assistant - Correct answer RT

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 answer 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 answer 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 answer 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 answer Magnesium Sulfate

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 answer 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 answer 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 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

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 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: Pheochromocytoma Adrenal crisis Thyroid storm

Myxedema coma - Correct answer 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 answer

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 answer Blood pressure

What symptom is commonly seen in patients with alcohol withdrawal? Tachycardia Hypotension Bradycardia

Hypothermia - Correct answer 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. 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 answer 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 answer 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 answer 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 answer Prolonged QT interval

A patient is brought in with possible foreign body obstruction and respiratory distress. The provider suctions the patient and unsuccessfully tries to insert an endotracheal tube (ETT). What type of procedure would you anticipate NEXT? Placement of laryngeal mask Tracheostomy Bronchoscopy

Chest tube insertion - Correct answer Trach

A patient is complaining of a burning sensation in both eyes with pain, redness, swelling, and purulent discharge. The visual assessment using the Snellen chart reveals no changes in vision. You anticipate that the patient has signs and symptoms of: Iritis Conjuntivitis Retinal detachment

Glaucoma - Correct answer Conjuntivitis

A patient presents with possible organophosphate toxicity. What would you expect to find upon assessment? Diaphoresis Tachycardia Constipation

Hot and dry skin - Correct answer Diaphoresis

What is the appropriate intervention for patients with Acute Respiratory Distress Syndrome (ARDS)? Increasing fluid volume Mechanical ventilation Bag mask valve (BMV) ventilation

Administering sedatives - Correct answer Mechanical ventilation

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 Sp 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. 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/

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?

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