Prophecy Relias Emergency Department
(ED) RN A Exam (NEW 2023/ 2024) 150+
Questions and Verified Answers| Grade A
QUESTION
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 d rug use history
Activate your department's code stroke protocol
Answer:
Activate your deptartment's code stroke protocol
QUESTION
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
Answer:
Petrolatum gauze
QUESTION
What type of medication is used in the emergency care setting to help manage the symptoms of
alcohol withdrawal?
Benzodiazepines
Valproic acid
Electrolytes
Thiamine
,Answer:
Benzos
QUESTION
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.
Answer:
Have an ED provider preform a MSE
QUESTION
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
Answer:
Application of a pelvic binder
QUESTION
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.
,Answer:
Assess the pt for injury
QUESTION
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
Answer:
Maintaining airway and breathing.
QUESTION
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.
Answer:
Tell your immediate supervisor
QUESTION
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
Answer:
, ABG
QUESTION
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
Answer:
1
QUESTION
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%
Answer:
SBP reaches 160
QUESTION
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
Answer:
(ED) RN A Exam (NEW 2023/ 2024) 150+
Questions and Verified Answers| Grade A
QUESTION
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 d rug use history
Activate your department's code stroke protocol
Answer:
Activate your deptartment's code stroke protocol
QUESTION
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
Answer:
Petrolatum gauze
QUESTION
What type of medication is used in the emergency care setting to help manage the symptoms of
alcohol withdrawal?
Benzodiazepines
Valproic acid
Electrolytes
Thiamine
,Answer:
Benzos
QUESTION
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.
Answer:
Have an ED provider preform a MSE
QUESTION
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
Answer:
Application of a pelvic binder
QUESTION
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.
,Answer:
Assess the pt for injury
QUESTION
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
Answer:
Maintaining airway and breathing.
QUESTION
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.
Answer:
Tell your immediate supervisor
QUESTION
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
Answer:
, ABG
QUESTION
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
Answer:
1
QUESTION
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%
Answer:
SBP reaches 160
QUESTION
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
Answer:
