Relias Emergency Department RN A – Verified
Questions and Detailed Answers
What are you most likely to see during your initial assessment of a patient with
chronic obstructive pulmonary disease (COPD)? - ANSWER -pursed lip breathing
An elderly patient is brought in with new onset of confusion and gradual onset of
headache in the last 48 hours. The patient states that they had a fall 3 days ago.
Based on the history and presenting complaints, what diagnostic test do you
anticipate the provider to order? - ANSWER -CT scan of the brain
You are assisting a novice nurse with a blood draw. You observe the nurse draw
the blood, place the specimen tubes in a biohazard bag, and leave the room with
the unlabeled specimen tubes. What do you do next? - ANSWER -Re-educate the
nurse, then redraw the labs, use patient identifiers and label at the bedside.
What do you anticipate is the best indicator of adequate hydration in an adult
patient with 30% body surface area burn during initial fluid resuscitation? -
ANSWER -urine output of 0.5 ml/kg/hr
A patient who is 8 weeks pregnant presents to triage with vaginal bleeding and
lower abdominal pain. RhoGAM will be given for which situation? - ANSWER -
Mother is Rh negative
A patient is being treated in a hyperbaric oxygen chamber for carbon monoxide
poisoning. What measurement is the best indicator of treatment success? -
ANSWER -Arterial blood gas
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 the patient has preserved motor function below L5 but is suffering
from a loss of sensory function. The assessment findings are consistent with: -
ANSWER -posterior cord syndrome
A patient presents after falling from a height and fracturing their right tibia and
fibula. What symptom would be reported to the provider immediately? -
ANSWER -Paresthesia of the foot
, A patient presents with sudden onset of aphasia and left-sided weakness for the
last 25 minutes. What action would be taken next? - ANSWER -activate your
department's code stroke protocol
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? - ANSWER -Tuberculosis
The life-threatening and rare complication of hypothyroidism is known as: -
ANSWER -myxedema coma
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? - ANSWER -elevated bilirubin
The deficiency of anti-diuretic hormone (ADH) can lead to what endocrine
disorders? - ANSWER -Diabetes insipidus
A patient who is 24 weeks pregnant presents with fever and right upper quadrant
pain. The patient states that the pain is radiating to the right shoulder blade and
started an hour after having a pizza for lunch. She is tachycardic, tachypneic, and
diaphoretic on the initial triage assessment. What is the most likely diagnosis for
this patient? - ANSWER -Cholecystitis
What laboratory value would you monitor closely if your patient is vomiting
coffee-ground emesis - ANSWER -Hemoglobin
A patient arrives with suspected appendicitis. What action, if observed, would
require additional training for the unlicensed assistive personnel (UAP)? -
ANSWER -The UAP offers the patient a ginger ale.
A 22 year old female who is 8 weeks pregnant presents with a sudden onset of left
lower abdominal 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 -Ruptured ectopic pregnancy
Under what circumstances can the hospital transfer an unstable patient to another
facility and maintain compliance with the Emergency medical treatment and active
Questions and Detailed Answers
What are you most likely to see during your initial assessment of a patient with
chronic obstructive pulmonary disease (COPD)? - ANSWER -pursed lip breathing
An elderly patient is brought in with new onset of confusion and gradual onset of
headache in the last 48 hours. The patient states that they had a fall 3 days ago.
Based on the history and presenting complaints, what diagnostic test do you
anticipate the provider to order? - ANSWER -CT scan of the brain
You are assisting a novice nurse with a blood draw. You observe the nurse draw
the blood, place the specimen tubes in a biohazard bag, and leave the room with
the unlabeled specimen tubes. What do you do next? - ANSWER -Re-educate the
nurse, then redraw the labs, use patient identifiers and label at the bedside.
What do you anticipate is the best indicator of adequate hydration in an adult
patient with 30% body surface area burn during initial fluid resuscitation? -
ANSWER -urine output of 0.5 ml/kg/hr
A patient who is 8 weeks pregnant presents to triage with vaginal bleeding and
lower abdominal pain. RhoGAM will be given for which situation? - ANSWER -
Mother is Rh negative
A patient is being treated in a hyperbaric oxygen chamber for carbon monoxide
poisoning. What measurement is the best indicator of treatment success? -
ANSWER -Arterial blood gas
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 the patient has preserved motor function below L5 but is suffering
from a loss of sensory function. The assessment findings are consistent with: -
ANSWER -posterior cord syndrome
A patient presents after falling from a height and fracturing their right tibia and
fibula. What symptom would be reported to the provider immediately? -
ANSWER -Paresthesia of the foot
, A patient presents with sudden onset of aphasia and left-sided weakness for the
last 25 minutes. What action would be taken next? - ANSWER -activate your
department's code stroke protocol
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? - ANSWER -Tuberculosis
The life-threatening and rare complication of hypothyroidism is known as: -
ANSWER -myxedema coma
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? - ANSWER -elevated bilirubin
The deficiency of anti-diuretic hormone (ADH) can lead to what endocrine
disorders? - ANSWER -Diabetes insipidus
A patient who is 24 weeks pregnant presents with fever and right upper quadrant
pain. The patient states that the pain is radiating to the right shoulder blade and
started an hour after having a pizza for lunch. She is tachycardic, tachypneic, and
diaphoretic on the initial triage assessment. What is the most likely diagnosis for
this patient? - ANSWER -Cholecystitis
What laboratory value would you monitor closely if your patient is vomiting
coffee-ground emesis - ANSWER -Hemoglobin
A patient arrives with suspected appendicitis. What action, if observed, would
require additional training for the unlicensed assistive personnel (UAP)? -
ANSWER -The UAP offers the patient a ginger ale.
A 22 year old female who is 8 weeks pregnant presents with a sudden onset of left
lower abdominal 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 -Ruptured ectopic pregnancy
Under what circumstances can the hospital transfer an unstable patient to another
facility and maintain compliance with the Emergency medical treatment and active
