Relias ED RN A Test 2023
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? - answers-Answer is NOT Abruptio placenta
A confused patient is trying to grasp at their IV with their right hand. Which is the
LEAST restrictive measure to maintain patient safety? - answers-Safety "mitt" for
right hand only
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? - answers-Inform the charge nurse about what happened and document
it.
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? - answers-Administer oxygen
Answer is NOT Obtain electrocardiogram
A patient arrives with suspected appendicitis. What action, if observed, would require
additional training for the unlicensed assistive personnel (UAP)? - answers-The UAP
offers the patient a ginger ale.
A patient has sustained multiple traumatic injuries after a fall from a height. What is
considered an important component of the primary survey assessment? -
answers-Neurological assessment
A patient is being treated in a hyperbaric oxygen chamber for carbon monoxide
poisoning. What measurement is the BEST indicator of treatment success? -
answers-Arterial blood gas
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? - answers-Decreased level of consciousness
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? -
answers-Monitoring cardiac rhythm
, A patient is brought in for a potential overdose of heroin. What is the PRIORITY
nursing intervention? - answers-Maintaining airway and breathing
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? - answers-Application of pelvic blinder
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? -
answers-Tracheostomy
A patient is frustrated at the length of time they have been waiting to be triaged.
They start to yell obscenities and threaten you with physical violence. Why would this
incident be reported to your supervisor? - answers-You have the right to personal
safety in the work environment.
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? - answers-Answer is NOT Increasing serum cortisol
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? - answers-Increasing serum cortisol
Increasing serum glucose
Decreasing pulse pressure
Decreasing central venous pressure
A patient presents after falling from a height and fracturing their right tibia and fibula.
What symptom would be reported to the provider IMMEDIATELY? -
answers-Paresthesia of the foot
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: -
answers-Answer is NOT Anterior cord syndrome
Answer is NOT central cord syndrome
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? - answers-Answer is NOT Abruptio placenta
A confused patient is trying to grasp at their IV with their right hand. Which is the
LEAST restrictive measure to maintain patient safety? - answers-Safety "mitt" for
right hand only
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? - answers-Inform the charge nurse about what happened and document
it.
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? - answers-Administer oxygen
Answer is NOT Obtain electrocardiogram
A patient arrives with suspected appendicitis. What action, if observed, would require
additional training for the unlicensed assistive personnel (UAP)? - answers-The UAP
offers the patient a ginger ale.
A patient has sustained multiple traumatic injuries after a fall from a height. What is
considered an important component of the primary survey assessment? -
answers-Neurological assessment
A patient is being treated in a hyperbaric oxygen chamber for carbon monoxide
poisoning. What measurement is the BEST indicator of treatment success? -
answers-Arterial blood gas
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? - answers-Decreased level of consciousness
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? -
answers-Monitoring cardiac rhythm
, A patient is brought in for a potential overdose of heroin. What is the PRIORITY
nursing intervention? - answers-Maintaining airway and breathing
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? - answers-Application of pelvic blinder
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? -
answers-Tracheostomy
A patient is frustrated at the length of time they have been waiting to be triaged.
They start to yell obscenities and threaten you with physical violence. Why would this
incident be reported to your supervisor? - answers-You have the right to personal
safety in the work environment.
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? - answers-Answer is NOT Increasing serum cortisol
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? - answers-Increasing serum cortisol
Increasing serum glucose
Decreasing pulse pressure
Decreasing central venous pressure
A patient presents after falling from a height and fracturing their right tibia and fibula.
What symptom would be reported to the provider IMMEDIATELY? -
answers-Paresthesia of the foot
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: -
answers-Answer is NOT Anterior cord syndrome
Answer is NOT central cord syndrome
