RELIAS EMERGENCY DEPARTMENT
EXAM QUESTIONS AND ANSWERS
A patient who is 32 weeks pregnant presents with a three-day history of headache
and significant swelling of the lower extremities and face. The patient's vital signs are
BP: 160/90, HR: 105/min, RR: 19/min, Spo2: 94% on RA, Temp: 97.3 F. What
medication do you anticipate the provider to order FIRST? - Answer- *wrong*
labetalol
Other choices:
tylenol
magnesium sulfate
furosemide
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? - Answer- *wrong* Insertion of second IV line
other choices:
initiation of massive transfusion protocol
application of pelvic binder
administration of IV fluids
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? - Answer- *wrong*
Placement of laryngeal mask
other choices:
tracheostomy
bronchoscopy
chest tube insertion
Which of the following represent categories utilized to triage patients during a mass
casualty incident (MCI)? - Answer- Green, yellow, red, black
, 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? - Answer- COVID 19
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? - Answer-
Monitor cardiac rhythm
A patient with a history of advanced-stage leukemia presents with a history of
increasing shortness of breath in the last 4 days. The patient is anemic and has
multiple bruises on their extremities. What is the MOST likely cause of bruising? -
Answer- Thrombocytopenia
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? - Answer- inform the charge nurse about what happened and document
it.
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? - Answer- provide oxygen
You exit your patient's room and as you walk away, you hear a thud. Upon
inspection, you find your patient on the floor. What would you do FIRST? - Answer-
Assess the patient for injury
An adult patient who is 70 kg has a full-thickness burn over 30% of their body
surface area. What is the anticipated fluid replacement for a patient in the first 8
hours is based on the Parkland formula? - Answer- 4200 ml
A patient presents with possible organophosphate toxicity. What would you expect to
find upon assessment? - Answer- Diaphoresis
EXAM QUESTIONS AND ANSWERS
A patient who is 32 weeks pregnant presents with a three-day history of headache
and significant swelling of the lower extremities and face. The patient's vital signs are
BP: 160/90, HR: 105/min, RR: 19/min, Spo2: 94% on RA, Temp: 97.3 F. What
medication do you anticipate the provider to order FIRST? - Answer- *wrong*
labetalol
Other choices:
tylenol
magnesium sulfate
furosemide
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? - Answer- *wrong* Insertion of second IV line
other choices:
initiation of massive transfusion protocol
application of pelvic binder
administration of IV fluids
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? - Answer- *wrong*
Placement of laryngeal mask
other choices:
tracheostomy
bronchoscopy
chest tube insertion
Which of the following represent categories utilized to triage patients during a mass
casualty incident (MCI)? - Answer- Green, yellow, red, black
, 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? - Answer- COVID 19
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? - Answer-
Monitor cardiac rhythm
A patient with a history of advanced-stage leukemia presents with a history of
increasing shortness of breath in the last 4 days. The patient is anemic and has
multiple bruises on their extremities. What is the MOST likely cause of bruising? -
Answer- Thrombocytopenia
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? - Answer- inform the charge nurse about what happened and document
it.
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? - Answer- provide oxygen
You exit your patient's room and as you walk away, you hear a thud. Upon
inspection, you find your patient on the floor. What would you do FIRST? - Answer-
Assess the patient for injury
An adult patient who is 70 kg has a full-thickness burn over 30% of their body
surface area. What is the anticipated fluid replacement for a patient in the first 8
hours is based on the Parkland formula? - Answer- 4200 ml
A patient presents with possible organophosphate toxicity. What would you expect to
find upon assessment? - Answer- Diaphoresis
