Relias ED RN A Test
Your patient's chest tube dressing has accidentally come off and you are preparing to place a new one.
You have a slit drain sponge, 4 x 4 gauzes, tape, scissors, and antiseptic swabs. What else do you need? -
correct answerPetrolatum gauze
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
answerSystematic reviews
Upon triage of a patient, they state that they have suicidal ideation with intent. What would you do
NEXT? - correct answerInstitute suicide precautions.
Which of the following wounds has the highest risk for developing osteomyelitis? - correct
answerPuncture wound from stepping on a rusty nail
What type of diet would a patient with diverticulitis follow? - correct answerHigh fiber diet
Answer is NOT high residual diet
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 answerCT scan of the
brain
What medication is used in reversing the effects of opioid overdose? - correct answerNaloxone
(Narcan®)
What are you MOST likely to see during your initial assessment of a patient with chronic obstructive
pulmonary disease (COPD)? - correct answerPursed lip breathing
, Under what circumstances can the hospital transfer an unstable patient to another facility and maintain
compliance with the Emergency Medical Treatment and Active Labor Act (EMTALA)? - correct
answerThe necessary treatment is not available at the current hospital.
The life-threatening and rare complication of hypothyroidism is known as: - correct answerMyxedema
coma
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? - correct answerTension Pneumothorax
A patient presents with an episode of hypertensive crisis, a blood pressure of 220/118, and the provider
has put in the order for nitroprusside. What demonstrates that the treatment has been effective? -
correct answerSystolic blood pressure reaches 160 mm Hg
A patient arrives with suspected appendicitis. What action, if observed, would require additional training
for the unlicensed assistive personnel (UAP)? - correct answerThe UAP offers the patient a ginger ale.
You see a fellow nurse placing an opioid medication in their pocket rather than administering it as
ordered. What would you do NEXT? - correct answerTell your immediate supervisor.
You are administering haloperidol (Haldol®) to a patient with acute symptoms of Schizophrenia. What
changes in the electrocardiogram (ECG) are possible as a result of this medication? - correct
answerProlonged QT interval
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
answerProvide oxygen
A patient who is 24 weeks pregnant presents with fever and right upper quadrant pain. The patient
states that the pain is radiating to the right shoulder blade, and started an hour after having a pizza for
lunch. She is tachycardic, tachypneic, and diaphoretic on the initial triage assessment. What is the MOST
likely diagnosis for this patient? - correct answerCholecystitis
Your patient's chest tube dressing has accidentally come off and you are preparing to place a new one.
You have a slit drain sponge, 4 x 4 gauzes, tape, scissors, and antiseptic swabs. What else do you need? -
correct answerPetrolatum gauze
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
answerSystematic reviews
Upon triage of a patient, they state that they have suicidal ideation with intent. What would you do
NEXT? - correct answerInstitute suicide precautions.
Which of the following wounds has the highest risk for developing osteomyelitis? - correct
answerPuncture wound from stepping on a rusty nail
What type of diet would a patient with diverticulitis follow? - correct answerHigh fiber diet
Answer is NOT high residual diet
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 answerCT scan of the
brain
What medication is used in reversing the effects of opioid overdose? - correct answerNaloxone
(Narcan®)
What are you MOST likely to see during your initial assessment of a patient with chronic obstructive
pulmonary disease (COPD)? - correct answerPursed lip breathing
, Under what circumstances can the hospital transfer an unstable patient to another facility and maintain
compliance with the Emergency Medical Treatment and Active Labor Act (EMTALA)? - correct
answerThe necessary treatment is not available at the current hospital.
The life-threatening and rare complication of hypothyroidism is known as: - correct answerMyxedema
coma
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? - correct answerTension Pneumothorax
A patient presents with an episode of hypertensive crisis, a blood pressure of 220/118, and the provider
has put in the order for nitroprusside. What demonstrates that the treatment has been effective? -
correct answerSystolic blood pressure reaches 160 mm Hg
A patient arrives with suspected appendicitis. What action, if observed, would require additional training
for the unlicensed assistive personnel (UAP)? - correct answerThe UAP offers the patient a ginger ale.
You see a fellow nurse placing an opioid medication in their pocket rather than administering it as
ordered. What would you do NEXT? - correct answerTell your immediate supervisor.
You are administering haloperidol (Haldol®) to a patient with acute symptoms of Schizophrenia. What
changes in the electrocardiogram (ECG) are possible as a result of this medication? - correct
answerProlonged QT interval
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
answerProvide oxygen
A patient who is 24 weeks pregnant presents with fever and right upper quadrant pain. The patient
states that the pain is radiating to the right shoulder blade, and started an hour after having a pizza for
lunch. She is tachycardic, tachypneic, and diaphoretic on the initial triage assessment. What is the MOST
likely diagnosis for this patient? - correct answerCholecystitis
