RELIAS ED RN A, EXAM 2023-2024 QUESTIONS WITH 100% CORRECT ANSWERS, Exams of Nursing

Download RELIAS ED RN A, EXAM 2023-2024 QUESTIONS WITH 100% CORRECT ANSWERS and more Exams Nursing in PDF only on Docsity! RELIAS ED RN A, EXAM 2023-2024 QUESTIONS WITH 100% CORRECT 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 ✔✔ 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 ✔✔ 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 ✔✔ 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 ✔✔ 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) ✔✔ 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 Abruptio placenta Ruptured ectopic pregnancy ✔✔ 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®) ✔✔ 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 ✔✔ 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 ✔✔ 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 ✔✔ 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 ✔✔ 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. ✔✔ 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 ✔✔ 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) ✔✔ 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 ✔✔ 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 Cholecystit is Diverticulit is Pancreatitis ✔✔ Cholecystitis A patient presents after falling from a height and fracturing their right tibia 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. ✔✔ 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 ✔✔ 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. ✔✔ 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 ✔✔ 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. ✔✔ 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 ✔✔ 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 ✔✔ 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% ✔✔ 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 ✔✔ 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 ✔✔ 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®) Glaucoma ✔✔ Conjuntivitis A patient presents with possible organophosphate toxicity. What would you expect to find upon assessment? Diaphoresi s Tachycardi a Constipati on Hot and dry skin ✔✔ 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 ✔✔ 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 Thrombocytope nia Lymphadenopat hy Septicemia ✔✔ 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 ✔✔ 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 ✔✔ 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. ✔✔ 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. ✔✔ 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 ✔✔ 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 ✔✔ 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 ✔✔ 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 ✔✔ Elevated Bilirubin Acute deficiency of cortisol and aldosterone can lead to what severe life- threatening condition? Cushing syndrome Diabetes Insipidus. Adrenal Crisis Myxedema coma ✔✔ 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 ✔✔ 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 ✔✔ IDK, but its not High residual or Low sugar!!