Relies ED RN Test Questions and Answers 70 Questions with 100% Correct Answers-Verified So, Exams of Nursing

Download Relies ED RN Test Questions and Answers 70 Questions with 100% Correct Answers-Verified So and more Exams Nursing in PDF only on Docsity! Relies ED RN Test Questions and Answers 70 Questions with 100% Correct Answers-Verified Solved BY Expert 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 Insipid us Myxedema coma - Correct answer Diabetes Insipid us 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 tachycardia and tachypnea and appears very anxious and restless. What would be the MOST important initial intervention for this patient? Diabetes Mellitus Adrenal Insufficiency Syndrome of inappropriate secretion of ADH (SIADH) - Correct answer Diabetes Insipid us 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 sync opal episode shortly after that. What is the MOST likely diagnosis for her? Ruptured appendix Placenta prevail Abruption 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 (Sand statin®) Acetaminophen (Tylenol®) Warfarin (Jan oven®) Ibuprofen (Motrin®) - Correct answer Octreotide (Sand statin) A patient has sustained multiple traumatic injuries after a fall from a height. What is considered an important component of the primary survey assessment? 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 potassium 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, tachycardia, and have 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 tachycardia, tachypnea, 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 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 Benzes 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 waits 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 family. 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 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 (Midair®) 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. 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 Trash A patient is complaining of a burning sensation in both eyes with pain, redness, swelling, and purulent discharge. The visual assessment using the Snelling chart reveals no changes in vision. You anticipate that the patient has signs and symptoms of: Iritic Conjunctivitis Retinal detachment Glaucoma - Correct answer Conjunctivitis 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 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 140/85 Increase in temperature to 100.1 F - Correct answer Decreased level of consciousness 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. Roam 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