Relias Emergency Department Test
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?
wrong labetalol
Other choices:
tylenol
magnesium sulfate
furosemide
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?
wrong Insertion of second IV line
other choices:
initiation of massive transfusion protocol
application of pelvic binder
administration of IV fluids
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?
wrong Placement of laryngeal mask
other choices:
tracheostomy
bronchoscopy
chest tube insertion
Which of the following represent categories utilized to triage patients during a
mass casualty incident (MCI)?
Green, yellow, red, black
A patient presents with a two-day history of fever, cough, mild shortness of
breath (SOB), sore throat, myalgia, and new onset of loss of taste and smell. What
is the patient MOST likely suffering from?
COVID 19
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?
Monitor cardiac rhythm
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?
Thrombocytopenia
, 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?
inform the charge nurse about what happened and document it.
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 SpO2 reading of 89%. What intervention do
you anticipate implementing FIRST for this patient?
provide oxygen
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
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
A patient presents with possible organophosphate toxicity. What would you
expect to find upon assessment?
Diaphoresis
You see a fellow nurse placing an opioid medication in their pocket rather than
administering it as ordered. What would you do NEXT?
Tell your immediate supervisor
What staff member would you ask to accompany you when transporting an
intubated patient to imaging for a CT?
respiratory therapist
A patient's family has decided to withdraw life-sustaining treatment. When
communicating with the family of the patient, what reassurance would you
provide?
Efforts will be made to make the patient comfortable.
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
What medication is used in reversing the effects of opioid overdose?
Naloxone (Narcan)
Which of the following wounds has the highest risk for developing osteomyelitis?
Puncture wound from stepping on a rusty nail.
What type of diet would a patient with diverticulitis follow?
High fiber diet
You want to implement the new evidence-based practice guidelines in managing
patients to prevent falls on your unit. What provides the strongest evidence for
interventions?
systematic reviews
Your patient has just had a paracentesis during which 5 liters of fluid were
removed. Which assessment is the priority?
blood pressure
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?
wrong labetalol
Other choices:
tylenol
magnesium sulfate
furosemide
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?
wrong Insertion of second IV line
other choices:
initiation of massive transfusion protocol
application of pelvic binder
administration of IV fluids
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?
wrong Placement of laryngeal mask
other choices:
tracheostomy
bronchoscopy
chest tube insertion
Which of the following represent categories utilized to triage patients during a
mass casualty incident (MCI)?
Green, yellow, red, black
A patient presents with a two-day history of fever, cough, mild shortness of
breath (SOB), sore throat, myalgia, and new onset of loss of taste and smell. What
is the patient MOST likely suffering from?
COVID 19
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?
Monitor cardiac rhythm
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?
Thrombocytopenia
, 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?
inform the charge nurse about what happened and document it.
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 SpO2 reading of 89%. What intervention do
you anticipate implementing FIRST for this patient?
provide oxygen
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
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
A patient presents with possible organophosphate toxicity. What would you
expect to find upon assessment?
Diaphoresis
You see a fellow nurse placing an opioid medication in their pocket rather than
administering it as ordered. What would you do NEXT?
Tell your immediate supervisor
What staff member would you ask to accompany you when transporting an
intubated patient to imaging for a CT?
respiratory therapist
A patient's family has decided to withdraw life-sustaining treatment. When
communicating with the family of the patient, what reassurance would you
provide?
Efforts will be made to make the patient comfortable.
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
What medication is used in reversing the effects of opioid overdose?
Naloxone (Narcan)
Which of the following wounds has the highest risk for developing osteomyelitis?
Puncture wound from stepping on a rusty nail.
What type of diet would a patient with diverticulitis follow?
High fiber diet
You want to implement the new evidence-based practice guidelines in managing
patients to prevent falls on your unit. What provides the strongest evidence for
interventions?
systematic reviews
Your patient has just had a paracentesis during which 5 liters of fluid were
removed. Which assessment is the priority?
blood pressure
