Relias ED RN A Test questions with verified answers 2023/2024, Quizzes of Nursing

Download Relias ED RN A Test questions with verified answers 2023/2024 and more Quizzes Nursing in PDF only on Docsity! Relias ED RN A Test questions with verified answers 2023/2024 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? - ANS-Answer is NOT Abruptio placenta A confused patient is trying to grasp at their IV with their right hand. Which is the LEAST restrictive measure to maintain patient safety? - ANS-Safety "mitt" for right hand only 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? - ANS-Inform the charge nurse about what happened and document it. 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? - ANS-Administer oxygen Answer is NOT Obtain electrocardiogram A patient arrives with suspected appendicitis. What action, if observed, would require additional training for the unlicensed assistive personnel (UAP)? - ANS- The UAP offers the patient a ginger ale. A patient has sustained multiple traumatic injuries after a fall from a height. What is considered an important component of the primary survey assessment? - ANS- Neurological assessment A patient is being treated in a hyperbaric oxygen chamber for carbon monoxide poisoning. What measurement is the BEST indicator of treatment success? - ANS- Arterial blood gas 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? - ANS-Decreased level of consciousness 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? - ANS- Monitoring cardiac rhythm A patient is brought in for a potential overdose of heroin. What is the PRIORITY nursing intervention? - ANS-Maintaining airway and breathing 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? - ANS-Application of pelvic blinder 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? - ANS-Tracheostomy 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 physical violence. Why would this incident be reported to your supervisor? - ANS-You have the right to personal safety in the work environment. 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? - ANS-Answer is NOT Increasing serum cortisol 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? - ANS-Increasing serum cortisol Increasing serum glucose Decreasing pulse pressure Decreasing central venous pressure A patient presents after falling from a height and fracturing their right tibia and fibula. What symptom would be reported to the provider IMMEDIATELY? - ANS-Paresthesia of the foot A patient's family has decided to withdraw life-sustaining treatment. When communicating with the family of the patient, what reassurance would you provide? - ANS-Efforts will be made to make the patient comfortable. 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? - ANS-4200 mL An elderly patient is brought in with new onset of confusion and gradual onset of headache in the last 48 hours. 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? - ANS-CT scan of the brain During cardiogenic shock what temporary intervention might be ordered to improve perfusion until definitive treatment is provided? - ANS-Inotropic infusion The deficiency of anti-diuretic hormone (ADH) can lead to what endocrine disorders? - ANS-Answer is NOT Adrenal Insufficiency Answer is NOT Syndrome of inappropriate secretion of ADH (SIADH) The life-threatening and rare complication of hypothyroidism is known as: - ANS- Myxedema coma 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)? - ANS-The necessary treatment is not available at the current hospital. Upon triage of a patient, they state that they have suicidal ideation with intent. What would you do NEXT? - ANS-Institute suicide precautions. What are you MOST likely to see during your initial assessment of a patient with chronic obstructive pulmonary disease (COPD)? - ANS-Pursed lip breathing 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? - ANS- Urine output of 0.5 mL/kg/hr What is a common assessment finding in a patient with a tension pneumothorax? - ANS-Distended neck veins What is the appropriate intervention for patients with Acute Respiratory Distress Syndrome (ARDS)? - ANS-Mechanical ventilation What is the critical goal time from arrival to the ED to CT brain scan based on the American Heart Association stroke recommendations? - ANS-25 minutes What is the current recommended dose of intravenous or intraosseous epinephrine in adult patients with cardiac arrest? - ANS-1 mg every 3-5 minutes What laboratory value would you monitor closely if your patient is vomiting coffee-ground emesis? - ANS-Hemoglobin What medication is used in reversing the effects of opioid overdose? - ANS- Naloxone (Narcan®) What symptom is commonly seen in patients with alcohol withdrawal? - ANS- Tachycardia What type of diet would a patient with diverticulitis follow? - ANS-High fiber diet Answer is NOT high residual diet What type of medication is used in the emergency care setting to help manage the symptoms of alcohol withdrawal? - ANS-Benzodiazepines Which of the following wounds has the highest risk for developing osteomyelitis? - ANS-Puncture wound from stepping on a rusty nail 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? - ANS-Prolonged QT interval You are assessing a patient who had an altercation involving a clenched fist injury. You notice that his right hand is swollen significantly with pain and bruising. What would you be MOST concerned about for the patient? - ANS-Rheumatoid arthritis Loss of function Osteomyelitis Active bleeding 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? - ANS-Re-educate the nurse, then redraw the labs, use patient identifiers and label at the bedside. 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? - ANS-Answer is NOT Turn them on their side Answer is NOT Administer propranolol 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? - ANS- Assess the patient for injury. You see a fellow nurse placing an opioid medication in their pocket rather than administering it as ordered. What would you do NEXT? - ANS-Tell your immediate supervisor. You want to implement the new evidence-based practice guidelines in managing patients to prevent falls on your unit. What provides the STRONGEST evidence for interventions? - ANS-Systematic reviews Your patient has just had a paracentesis during which 5 liters of fluid were removed. Which assessment is the PRIORITY? - ANS-Blood pressure 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? - ANS-Petrolatum gauze