Relias ED RN A
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 35-year-old patient complains of night sweats, low-grade fever, weight loss, and a
productive cough
with pink-tinged sputum for 3-4 weeks. They have been staying at a local shelter since they
lost their job
6 months ago. What diagnosis is most likely?
Tuberculosis
Influenza
COVID 19
Liver cancer - ANS-TB
\A confused patient is trying to grasp at their IV with their right hand. Which is the LEAST
restrictive
measure to maintain patient safety?
2-point restraint on right arm and left leg
Safety "mitt" for both hands
2-point restraints on upper limbs
Safety "mitt" for right hand only - ANS-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?
Keep the information confidential to avoid repercussions from the preceptor.
Inform the charge nurse about what happened and document it.
Since the patient was not harmed, do not report the incident.
Tell only the patient about the incident and have them decide what to do. - ANS-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?
Obtain electrocardiogram
Administer nitroglycerin
Administer oxygen
Obtain venous blood gas - ANS-IDK, but its not administer nitroglycerin or 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.
The UAP allows the patient to move to a position of comfort.
The UAP helps the patient with a bedpan.
, The UAP reminds the patient to stay in bed. - ANS-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?
Complete set of vital signs
Neurological assessment
Head to toe assessment
Patients allergy history - ANS-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?
Pulse oximetry
Vital signs
Pulse pressure
O
Arterial blood gas - ANS-ABG
\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
Decreased urine output
Increase in blood pressure of 140/85
Increase in temperature to 100.1 F - ANS-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?
Measuring urine output
Monitoring cardiac rhythm
Cleaning of the burn wounds
Obtaining chest x-ray - ANS-Monitoring cardiac rhythm
\A patient is brought in for a potential overdose of heroin. What is the PRIORITY nursing
intervention?
Administering normal saline fluids
Maintaining airway and breathing
Starting an IV line
Administering naloxone - ANS-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
Initiation of massive transfusion protocol
Administration of IV fluids
Insertion of second IV line - ANS-Application of a pelvic binder
\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?
Placement of laryngeal mask
Tracheostomy
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 35-year-old patient complains of night sweats, low-grade fever, weight loss, and a
productive cough
with pink-tinged sputum for 3-4 weeks. They have been staying at a local shelter since they
lost their job
6 months ago. What diagnosis is most likely?
Tuberculosis
Influenza
COVID 19
Liver cancer - ANS-TB
\A confused patient is trying to grasp at their IV with their right hand. Which is the LEAST
restrictive
measure to maintain patient safety?
2-point restraint on right arm and left leg
Safety "mitt" for both hands
2-point restraints on upper limbs
Safety "mitt" for right hand only - ANS-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?
Keep the information confidential to avoid repercussions from the preceptor.
Inform the charge nurse about what happened and document it.
Since the patient was not harmed, do not report the incident.
Tell only the patient about the incident and have them decide what to do. - ANS-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?
Obtain electrocardiogram
Administer nitroglycerin
Administer oxygen
Obtain venous blood gas - ANS-IDK, but its not administer nitroglycerin or 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.
The UAP allows the patient to move to a position of comfort.
The UAP helps the patient with a bedpan.
, The UAP reminds the patient to stay in bed. - ANS-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?
Complete set of vital signs
Neurological assessment
Head to toe assessment
Patients allergy history - ANS-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?
Pulse oximetry
Vital signs
Pulse pressure
O
Arterial blood gas - ANS-ABG
\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
Decreased urine output
Increase in blood pressure of 140/85
Increase in temperature to 100.1 F - ANS-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?
Measuring urine output
Monitoring cardiac rhythm
Cleaning of the burn wounds
Obtaining chest x-ray - ANS-Monitoring cardiac rhythm
\A patient is brought in for a potential overdose of heroin. What is the PRIORITY nursing
intervention?
Administering normal saline fluids
Maintaining airway and breathing
Starting an IV line
Administering naloxone - ANS-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
Initiation of massive transfusion protocol
Administration of IV fluids
Insertion of second IV line - ANS-Application of a pelvic binder
\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?
Placement of laryngeal mask
Tracheostomy
