RELIAS EMERGENCY DEPARTMENT EXAM 2023-2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT
DETAILED 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
, RELIAS EMERGENCY DEPARTMENT EXAM 2023-2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS
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
You see a fellow nurse placing an opioid medication in their pocket rather than administering it as
ordered. What would you do NEXT? - (answer) Tell your immediate supervisor
DETAILED 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
, RELIAS EMERGENCY DEPARTMENT EXAM 2023-2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS
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
You see a fellow nurse placing an opioid medication in their pocket rather than administering it as
ordered. What would you do NEXT? - (answer) Tell your immediate supervisor
