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Relias ED RN A / Questions & Answers / Summer 2023

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Relias ED RN A / Questions & Answers / Summer 2023

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Relias ED RN A / Questions &
Answers
1. What is the current recommended dose of intra- 1 mg every 3-5
venous or intraosseous epinephrine in adult patients minutes
with cardiac arrest?
10 mg every 10 minutes
1 mg every 3-5 minutes
1 mg every 7 minutes
0.1 mg every 2 minutes

2. A patient with a traumatic brain injury (TBI) is MOST Diabetes Insipidus
likely to suffer from what condition?
Diabetes mellitus
Cerebral palsy
Diabetes Insipidus
Myxedema coma

3. A patient presents after sustaining a roll-over motor Posterior cord syn-
vehicle accident. They are complaining of pain around drome
the mid-upper back. On your initial triage assessment,
you find that patient has preserved motor function be-
low L5 but is suffering from a loss of sensory function.
The assessment findings are consistent with:
Posterior cord syndrome
Central cord syndrome
Anterior cord syndrome
Autonomic syndrome

4. A patient arrives with acute onset of central chest IDK, but its not ad-
pain. The patient is tachycardic and tachypneic and minister nitroglyc-
appears very anxious and restless. What would be the erin or obtain elec-
MOST important initial intervention for this patient? trocardiogram!!
Obtain electrocardiogram
Administer nitroglycerin
Administer oxygen
Obtain venous blood gas

5. A patient who is 27 weeks pregnant presents with Placenta Previa
painless bright red vaginal bleeding. What condition
correlates with the presenting symptoms?
Abruptio placenta


, Relias ED RN A

Placenta Previa
Ectopic pregnancy
Premature rupture of membranes (PROM)

6. What is a common assessment finding in a patient Distended Neck
with a tension pneumothorax? Veins
Petechial chest rash
Distended neck veins
Equal chest wall expansion
Flattened neck veins

7. A patient presents with a two-day history of fever, COVID 19
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?
Giardia
Microsporidia
COVID 19
Tuberculosis

8. The deficiency of anti-diuretic hormone (ADH) can Diabetes Insipidus
lead to what endocrine disorders?
Diabetes Insipidus
Diabetes Mellitus
Adrenal Insufficiency
Syndrome of inappropriate secretion of ADH (SIADH)

9. A patient presents after an intentional overdose of Increasing serum
propranolol approximately 2 hours ago. The patient glucose
has severe hypotension and bradycardia. IV fluids and
vasopressors are initiated. What nursing assessment
findings indicate the treatment has been effective?
Decreasing pulse pressure
Decreasing central venous pressure
Increasing serum glucose
Increasing serum cortisol

10. A patient presents with acute onset of chest pain Tension Pneu-
and goes into cardiac arrest immediately upon arrival. mothorax
What is a possible reversible cause of cardiac arrest?


, Relias ED RN A

Hypervolemia
Alkalosis
Hyperthermia
Tension Pneumothorax

11. Which of the following represent categories utilized to Green, yellow, red,
triage patients during a mass casualty incident (MCI)? black
Green, orange, black, purple
Green, blue, red, black
Red, black, pink, yellow
Green, yellow, red, black

12. A 22-year old female who is 8 weeks pregnant pre- Ruptured ectopic
sents with a sudden onset of left lower abdominal pregnancy
pain and vaginal bleeding. The patient's family mem-
ber 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

13. A patient with a history of chronic alcohol use is Octreotide (San-
brought in with possible esophageal varices. What dostatin)
medication is used to stop upper gastrointestinal (GI)
bleeding in patients with this condition?
Octreotide (Sandostatin)
Acetaminophen (Tylenol)
Warfarin (Jantoven)
Ibuprofen (Motrin)

14. A patient has sustained multiple traumatic injuries Neurological As-
after a fall from a height. What is considered an impor- sessment
tant component of the primary survey assessment?
Complete set of vital signs
Neurological assessment
Head to toe assessment
Patients allergy history

15.

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