Relias ED RN A Test
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? - -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? - -
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? - -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? - -
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)? - -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? - -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? - -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? - -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? - -Monitoring cardiac rhythm
- A patient is brought in for a potential overdose of heroin. What is the
PRIORITY nursing intervention? - -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? - -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? - -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? - -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? - -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? - -
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? - -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: - -Answer is NOT Anterior cord syndrome
Answer is NOT central cord syndrome
- 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? - -
Elevated bilirubin
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? - -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? - -
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? - -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? - -
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)? - -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? - -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? - -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? - -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? - -Monitoring cardiac rhythm
- A patient is brought in for a potential overdose of heroin. What is the
PRIORITY nursing intervention? - -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? - -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? - -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? - -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? - -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? - -
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? - -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: - -Answer is NOT Anterior cord syndrome
Answer is NOT central cord syndrome
- 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? - -
Elevated bilirubin
