RELIAS EMERGENCY DEPARTMENT TEST QUESTIONS AND CORRECT ANSWERS

RELIAS EMERGENCY DEPARTMENT
TEST QUESTIONS AND CORRECT
ANSWERS
AA2patientA2whoA2isA232A2weeksA2pregnantA2presentsA2withA2aA2three-
dayA2historyA2ofA2headacheA2andA2significantA2swellingA2ofA2theA2lowerA2extremitiesA2andA
2face.A2TheA2patient'sA2vitalA2signsA2areA2BP:A2160/90,A2HR:A2105/min,A2RR:A219/
min,A2Spo2:A294%A2onA2RA,A2Temp:A297.3A2F.A2WhatA2medicationA2doA2youA2anticipateA2t
heA2providerA2toA2orderA2FIRST?A2-A2Ans--*wrong*A2labetalol
OtherA2choices:
tylenol
magnesiumA2sulfate
furosemide

AA2patientA2isA2broughtA2inA2withA2aA2historyA2ofA2aA2head-
onA2motorA2vehicleA2accident.A2TheA2patientA2wasA2notA2wearingA2aA2seatA2beltA2andA2was
A2travelingA2atA2120A2mphA2withA2theA2deploymentA2ofA2anA2airbag.A2TheyA2complainA2ofA2
severeA2lowerA2abdominalA2andA2hipA2pain.A2AA2secondaryA2traumaA2surveyA2revealsA2an
A2unstableA2hipA2onA2lateralA2compression.A2WhatA2wouldA2beA2aA2PRIORITYA2interventio
nA2inA2managingA2thisA2patient?A2-A2Ans--*wrong*A2InsertionA2ofA2secondA2IVA2line
otherA2choices:
initiationA2ofA2massiveA2transfusionA2protocol
applicationA2ofA2pelvicA2binder
administrationA2ofA2IVA2fluids

AA2patientA2isA2broughtA2inA2withA2possibleA2foreignA2bodyA2obstructionA2andA2respiratoryA
2distress.A2TheA2providerA2suctionsA2theA2patientA2andA2unsuccessfullyA2triesA2toA2insertA2
anA2endotrachealA2tubeA2(ETT).A2WhatA2typeA2ofA2procedureA2wouldA2youA2anticipateA2NE
XT?A2-A2Ans--*wrong*A2PlacementA2ofA2laryngealA2mask
otherA2choices:
tracheostomy
bronchoscopy
chestA2tubeA2insertion

WhichA2ofA2theA2followingA2representA2categoriesA2utilizedA2toA2triageA2patientsA2duringA2a
A2massA2casualtyA2incidentA2(MCI)?A2-A2Ans--Green,A2yellow,A2red,A2black


AA2patientA2presentsA2withA2aA2two-
dayA2historyA2ofA2fever,A2cough,A2mildA2shortnessA2ofA2breathA2(SOB),A2soreA2throat,A2my
algia,A2andA2newA2onsetA2ofA2lossA2ofA2tasteA2andA2smell.A2WhatA2isA2theA2patientA2MOSTA
2likelyA2sufferingA2from?A2-A2Ans--COVIDA219

, AA2patientA2isA2broughtA2inA2afterA2beingA2struckA2byA2lightningA2duringA2aA2heavyA2thunde
rstorm.A2WhatA2wouldA2beA2theA2PRIORITYA2interventionA2forA2thisA2patientA2uponA2arrival
?A2-A2Ans--MonitorA2cardiacA2rhythm

AA2patientA2withA2aA2historyA2ofA2advanced-
stageA2leukemiaA2presentsA2withA2aA2historyA2ofA2increasingA2shortnessA2ofA2breathA2inA2t
heA2lastA24A2days.A2TheA2patientA2isA2anemicA2andA2hasA2multipleA2bruisesA2onA2theirA2extr
emities.A2WhatA2isA2theA2MOSTA2likelyA2causeA2ofA2bruising?A2-A2Ans--Thrombocytopenia

AA2newA2nurseA2observesA2theirA2preceptorA2givingA2theA2incorrectA2dosageA2ofA2aA2medic
ationA2toA2aA2patient.A2ImplementingA2theA2ethicalA2principleA2veracity,A2whatA2actionA2wo
uldA2theA2newA2nurseA2take?A2-A2Ans--
informA2theA2chargeA2nurseA2aboutA2whatA2happenedA2andA2documentA2it.

AA2patientA2presentsA2withA2aA25-
dayA2historyA2ofA2runnyA2nose,A2headacheA2andA2productiveA2cough.A2TheA2patientA2isA2u
nableA2toA2speakA2fullA2sentences,A2reportsA2havingA2aA2historyA2ofA2moderateA2toA2sever
eA2COPD,A2andA2hasA2aA2SpO2A2readingA2ofA289%.A2WhatA2interventionA2doA2youA2anticip
ateA2implementingA2FIRSTA2forA2thisA2patient?A2-A2Ans--provideA2oxygen

YouA2exitA2yourA2patient'sA2roomA2andA2asA2youA2walkA2away,A2youA2hearA2aA2thud.A2Upon
A2inspection,A2youA2findA2yourA2patientA2onA2theA2floor.A2WhatA2wouldA2youA2doA2FIRST?
A2-A2Ans--AssessA2theA2patientA2forA2injury


AnA2adultA2patientA2whoA2isA270A2kgA2hasA2aA2full-
thicknessA2burnA2overA230%A2ofA2theirA2bodyA2surfaceA2area.A2WhatA2isA2theA2anticipatedA
2fluidA2replacementA2forA2aA2patientA2inA2theA2firstA28A2hoursA2isA2basedA2onA2theA2Parklan
dA2formula?A2-A2Ans--4200A2ml

AA2patientA2presentsA2withA2possibleA2organophosphateA2toxicity.A2WhatA2wouldA2youA2ex
pectA2toA2findA2uponA2assessment?A2-A2Ans--Diaphoresis

YouA2seeA2aA2fellowA2nurseA2placingA2anA2opioidA2medicationA2inA2theirA2pocketA2ratherA2t
hanA2administeringA2itA2asA2ordered.A2WhatA2wouldA2youA2doA2NEXT?A2-A2Ans--
TellA2yourA2immediateA2supervisor

WhatA2staffA2memberA2wouldA2youA2askA2toA2accompanyA2youA2whenA2transportingA2anA2i
ntubatedA2patientA2toA2imagingA2forA2aA2CT?A2-A2Ans--respiratoryA2therapist

AA2patient'sA2familyA2hasA2decidedA2toA2withdrawA2life-
sustainingA2treatment.A2WhenA2communicatingA2withA2theA2familyA2ofA2theA2patient,A2what
A2reassuranceA2wouldA2youA2provide?A2-A2Ans--
EffortsA2willA2beA2madeA2toA2makeA2theA2patientA2comfortable.