Relias Emergency Department Test 2023 (69 Questions and Answers)

Relias Emergency Department Test 2023 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? Correct Ans *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? Correct Ans *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? Correct Ans *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)? Correct Ans 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? Correct Ans 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? Correct Ans 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? Correct Ans 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? Correct Ans 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? Correct Ans 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? Correct Ans 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? Correct Ans 4200 ml A patient presents with possible organophosphate toxicity. What would you expect to find upon assessment? Correct Ans Diaphoresis You see a fellow nurse placing an opioid medication in their pocket rather than administering it as ordered. What would you do NEXT? Correct Ans Tell your immediate supervisor What staff member would you ask to accompany you when transporting an intubated patient to imaging for a CT? Correct Ans 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? Correct Ans 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? Correct Ans decreased level of consciousness What medication is used in reversing the effects of opioid overdose? Correct Ans Naloxone (Narcan) Which of the following wounds has the highest risk for developing osteomyelitis? Correct Ans Puncture wound from stepping on a rusty nail. What type of diet would a patient with diverticulitis follow? Correct Ans 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? Correct Ans systematic reviews Your patient has just had a paracentesis during which 5 liters of fluid were removed. Which assessment is the priority? Correct Ans blood pressure A patient has sustained multiple traumatic injuries after a fall from a height. What is considered an important component of the primary survey assessment? Correct Ans Neurological assessment Your patient's chest tube dressing has accidentally come off and you are preparing to place a new one. You have a slit drain spring, 4x4 gauzes, tape, scissors, and antiseptic swabs. What else do you need? Correct Ans Petroleum gauze What are you most likely to see during your initial assessment of a patient with chronic obstructive pulmonary disease (COPD)? Correct Ans pursed lip breathing An elderly patient is brought in with new onset of confusion and gradual onset of headache in the last 48 hours. 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? Correct Ans CT scan of the brain You are assisting a novice nurse with a blood draw. You observe the nurse draw the blood, place the specimen tubes in a biohazard bag, and leave the room with the unlabeled specimen tubes. What do you do next? Correct Ans Re-educate the nurse, then redraw the labs, use patient identifiers and label at the bedside. 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? Correct Ans urine output of 0.5 ml/kg/hr A patient who is 8 weeks pregnant presents to triage with vaginal bleeding and lower abdominal pain. RhoGAM will be given for which situation? Correct Ans Mother is Rh negative A patient is being treated in a hyperbaric oxygen chamber for carbon monoxide poisoning. What measurement is the best indicator of treatment success? Correct Ans Arterial blood gas 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 the patient has preserved motor function below L5 but is suffering from a loss of sensory function. The assessment findings are consistent with: Correct Ans posterior cord syndrome A patient presents after falling from a height and fracturing their right tibia and fibula. What symptom would be reported to the provider immediately? Correct Ans Paresthesia of the foot A patient presents with sudden onset of aphasia and left-sided weakness for the last 25 minutes. What action would be taken next? Correct Ans activate your department's code stroke protocol 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? Correct Ans Tuberculosis The life-threatening and rare complication of hypothyroidism is known as: Correct Ans myxedema coma 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? Correct Ans elevated bilirubin The deficiency of anti-diuretic hormone (ADH) can lead to what endocrine disorders? Correct Ans Diabetes insipidus