Relias ED RN A 2024
What is the current recommended dose of intravenous or intraosseous epinephrine in adult patients
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 - ANS-1 mg every 3-5 minutes
A patient with a traumatic brain injury (TBI) is MOST likely to suffer from what condition?
Diabetes mellitus
Cerebral palsy
Diabetes Insipidus
Myxedema coma - ANS-Diabetes Insipidus
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 patient has preserved motor
function below 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 - ANS-Posterior cord syndrome
A patient arrives with acute onset of central chest pain. The patient is tachycardic and tachypneic and
appears very anxious and restless. What would be the MOST important initial intervention for this
patient?
Obtain electrocardiogram
Administer nitroglycerin
Administer oxygen
Obtain venous blood gas - ANS-IDK, but its not administer nitroglycerin or obtain electrocardiogram!!
,A patient who is 27 weeks pregnant presents with painless bright red vaginal bleeding. What condition
correlates with the presenting symptoms?
Abruptio placenta
Placenta Previa
Ectopic pregnancy
Premature rupture of membranes (PROM) - ANS-Placenta Previa
What is a common assessment finding in a patient with a tension pneumothorax?
Petechial chest rash
Distended neck veins
Equal chest wall expansion
Flattened neck veins - ANS-Distended Neck Veins
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?
Giardia
Microsporidia
COVID 19
Tuberculosis - ANS-COVID 19
The deficiency of anti-diuretic hormone (ADH) can lead to what endocrine disorders?
Diabetes Insipidus
Diabetes Mellitus
Adrenal Insufficiency
Syndrome of inappropriate secretion of ADH (SIADH) - ANS-Diabetes Insipidus
A patient presents after an intentional overdose of propranolol approximately 2 hours ago. The patient
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 - ANS-Increasing serum glucose
A patient presents with acute onset of chest pain and goes into cardiac arrest immediately upon arrival.
What is a possible reversible cause of cardiac arrest?
Hypervolemia
Alkalosis
Hyperthermia
Tension Pneumothorax - ANS-Tension Pneumothorax
Which of the following represent categories utilized to triage patients during a mass casualty incident
(MCI)?
Green, orange, black, purple
Green, blue, red, black
Red, black, pink, yellow
Green, yellow, red, black - ANS-Green, yellow, red, black
A 22-year old female who is 8 weeks pregnant presents with a sudden onset of left lower abdominal
pain and vaginal bleeding. The patient's family member 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 - ANS-Ruptured ectopic pregnancy
A patient with a history of chronic alcohol use is brought in with possible esophageal varices. What
medication is used to stop upper gastrointestinal (GI) bleeding in patients with this condition?
Octreotide (Sandostatin®)
What is the current recommended dose of intravenous or intraosseous epinephrine in adult patients
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 - ANS-1 mg every 3-5 minutes
A patient with a traumatic brain injury (TBI) is MOST likely to suffer from what condition?
Diabetes mellitus
Cerebral palsy
Diabetes Insipidus
Myxedema coma - ANS-Diabetes Insipidus
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 patient has preserved motor
function below 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 - ANS-Posterior cord syndrome
A patient arrives with acute onset of central chest pain. The patient is tachycardic and tachypneic and
appears very anxious and restless. What would be the MOST important initial intervention for this
patient?
Obtain electrocardiogram
Administer nitroglycerin
Administer oxygen
Obtain venous blood gas - ANS-IDK, but its not administer nitroglycerin or obtain electrocardiogram!!
,A patient who is 27 weeks pregnant presents with painless bright red vaginal bleeding. What condition
correlates with the presenting symptoms?
Abruptio placenta
Placenta Previa
Ectopic pregnancy
Premature rupture of membranes (PROM) - ANS-Placenta Previa
What is a common assessment finding in a patient with a tension pneumothorax?
Petechial chest rash
Distended neck veins
Equal chest wall expansion
Flattened neck veins - ANS-Distended Neck Veins
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?
Giardia
Microsporidia
COVID 19
Tuberculosis - ANS-COVID 19
The deficiency of anti-diuretic hormone (ADH) can lead to what endocrine disorders?
Diabetes Insipidus
Diabetes Mellitus
Adrenal Insufficiency
Syndrome of inappropriate secretion of ADH (SIADH) - ANS-Diabetes Insipidus
A patient presents after an intentional overdose of propranolol approximately 2 hours ago. The patient
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 - ANS-Increasing serum glucose
A patient presents with acute onset of chest pain and goes into cardiac arrest immediately upon arrival.
What is a possible reversible cause of cardiac arrest?
Hypervolemia
Alkalosis
Hyperthermia
Tension Pneumothorax - ANS-Tension Pneumothorax
Which of the following represent categories utilized to triage patients during a mass casualty incident
(MCI)?
Green, orange, black, purple
Green, blue, red, black
Red, black, pink, yellow
Green, yellow, red, black - ANS-Green, yellow, red, black
A 22-year old female who is 8 weeks pregnant presents with a sudden onset of left lower abdominal
pain and vaginal bleeding. The patient's family member 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 - ANS-Ruptured ectopic pregnancy
A patient with a history of chronic alcohol use is brought in with possible esophageal varices. What
medication is used to stop upper gastrointestinal (GI) bleeding in patients with this condition?
Octreotide (Sandostatin®)
