RELIAS ED RN A TEST SCRIPT 2026
QUESTIONS WITH FULL ANSWERS GRADED A+
◉ 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. 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®). 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. 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. 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. 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. 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.. 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. Answer: Hemoglobin
QUESTIONS WITH FULL ANSWERS GRADED A+
◉ 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. 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®). 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. 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. 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. 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. 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.. 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. Answer: Hemoglobin
