Relias ED RN A Test Questions & Answers | 70 Questions with 100% Correct Answers | Verifie, Exams of Educational Mathematics

Download Relias ED RN A Test Questions & Answers | 70 Questions with 100% Correct Answers | Verifie and more Exams Educational Mathematics in PDF only on Docsity! Relias ED RN A Test Questions & Answers | 70 Questions with 100% Correct Answers | Verified | Updated 2023 | 23 Pages What is the current recommended dose of intravenous or intraosseous epinephrine in adult patients with cardiac arrest? 10 mg every 10 minutes 1 mg every 3-5 minutes 1 mg every 7 minutes 0.1 mg every 2 minutes - Correct answer 1 mg every 3-5 minutes A patient with a traumatic brain injury (TBI) is MOST likely to suffer from what condition? Diabetes mellitus Cerebral palsy Diabetes Insipidus Myxedema coma - Correct answer Diabetes Insipidus 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: Posterior cord syndrome Central cord syndrome Anterior cord syndrome Autonomic syndrome - Correct answer Posterior cord syndrome 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 - Correct answer IDK, but its not administer nitroglycerin or obtain electrocardiogram!! A patient who is 27 weeks pregnant presents with painless bright red vaginal bleeding. What condition correlates with the presenting symptoms? Abruptio placenta Placenta Previa Ectopic pregnancy Premature rupture of membranes (PROM) - Correct answer Placenta Previa What is a common assessment finding in a patient with a tension pneumothorax? Petechial chest rash Distended neck veins Equal chest wall expansion Flattened neck veins - Correct answer Distended Neck Veins Ibuprofen (Motrin®) - Correct answer Octreotide (Sandostatin) 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 - Correct answer Neurological Assessment 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? Blood pressure of 110/60 mm Hg Urine output of 0.5 mL/kg/hr Central venous pressure of 25 mm Hg Urine output of 0.2 mL/kg/hr - Correct answer Urine output 0.5mL/kg/hr What staff member would you ask to accompany you when transporting an intubated patient to imaging for a CT? Lift team Respiratory therapist Physician's assistant Nursing assistant - Correct answer RT An elderly patient is brought in with new onset of confusion and gradual onset of headache in the last 48hours. 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? MRI of the brain Complete Blood Count Finger stick blood sugar CT scan of the brain - Correct answer CT scan of the brain 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. - Correct answer The UAP offers the patient a ginger ale. What laboratory value would you monitor closely if your patient is vomiting coffee-ground emesis? White blood cells Serum potasgium Arterial Blood Gas Hemoglobin - Correct answer Hemoglobin 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? Furosemide (Lasix) Magnesium Sulfate Labetalol (Trandate) Acetaminophen (Tylenol) - Correct answer Magnesium Sulfate You are caring for a patient who has a history of alcohol use and seizures. You suddenly notice the patient becoming diaphoretic, anxious, tachycardic, and has clammy skin. What would you do NEXT? Check their blood glucose Turn them on their side Auscultate their lungs Administer propranolol - Correct answer Check their blood glucose 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? Pericarditis Cholecystitis Diverticulitis Pancreatitis - Correct answer Cholecystitis Call the nearest hospital with a labor and delivery unit to see if they will accept the patient. Get a wheelchair for the patient and inform her that there will be a 3 hour wait time. - Correct answer Have an ED provider preform a MSE 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 - Correct answer Application of a pelvic binder 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? Assess the patient for injury. Call the familv. Get assistance. Notify the charge nurse. - Correct answer Assess the pt for injury 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 - Correct answer Maintaining airway and breathing. You see a fellow nurse placing an opioid medication in their pocket rather than administering it as ordered. What would you do NEXT? Don't say anything. Tell another coworker. Confront your coworker. Tell your immediate supervisor. - Correct answer Tell your immediate supervisor 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 - Correct answer ABG A patient presents with a facial burn with significant facial swelling and acute respiratory distress. Based on a 1-4 triage acuity scale with 1 being most critical, what is the appropriate category based on the patient presentation? 1 2 3 4 - Correct answer 1 A patient presents with an episode of hypertensive crisis, a blood pressure of 220/118, and the provider has put in the order for nitroprusside. What demonstrates that the treatment has been effective? Systolic blood pressure reaches 160 mm Hg Systolic blood pressure reaches 210 mm Hg Patients states that he no longer has chest pain Oxygen saturation increased from 94% to 99% - Correct answer SBP reaches 160 You want to implement the new evidence-based practice guidelines in managing patients to prevent falling on your unit. What provides the STRONGEST evidence for interventions? Systematic reviews Retrospective study Single randomized control trial Observational study - Correct answer Systematic reviews 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 - Correct answer Monitoring cardiac rhythm You accidentally administered epinephrine 1:1000 intravenous push for a patient suffering from a severe anaphylactic reaction. You recognize this as a near-miss event and report this: Internally, per policy through the defined incident reporting system Externally, to the state board of nursing through the website Externally, to state board of pharmacy through the website Since it was a near miss reporting is not necessary - Correct answer Internally, per policy through the defined incident reporting system. You are administering haloperidol (Haldol®) to a patient with acute symptoms of Schizophrenia. What changes in the electrocardiogram (ECG) are possible as a result of this medication? Depressed T wave O Prolonged QT interval Prolonged PR interval Elevated ST segment - Correct answer Prolonged QT interval 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 Bronchoscopy Chest tube insertion - Correct answer Trach A patient is complaining of a burning sensation in both eyes with pain, redness, swelling, and purulent discharge. The visual assessment using the Snellen chart reveals no changes in vision. You anticipate that the patient has signs and symptoms of: Iritis Conjuntivitis Retinal detachment Glaucoma - Correct answer Conjuntivitis A patient presents with possible organophosphate toxicity. What would you expect to find upon assessment? Diaphoresis Tachycardia Constipation Hot and dry skin - Correct answer Diaphoresis What is the appropriate intervention for patients with Acute Respiratory Distress Syndrome (ARDS)? Increasing fluid volume Mechanical ventilation Bag mask valve (BMV) ventilation Administering sedatives - Correct answer Mechanical ventilation 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? Anemia Thrombocytopenia Lymphadenopathy Septicemia - Correct answer Thrombocytopenia What are you MOST likely to see during your initial assessment of a patient with chronic obstructive pulmonary disease (COPD)? Pursed lip breathing Absent breath sounds on one side Fever Blood tinged sputum - Correct answer Pursed lip breathing 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 Sp02 reading of 89%. What intervention do you anticipate implementing FIRST for this patient? • Provide oxygen Obtain venous blood gas (VBG) Obtain vital signs Obtain ECG - Correct answer Provide Oxygen A patient with dementia has a family member with MPOA, who is unable to be reached. The provider needs a consent signed and allows the patient to sign. What is the MOST appropriate action you would Elevated bilirubin Decreased hemoglobin - Correct answer Elevated Bilirubin Acute deficiency of cortisol and aldosterone can lead to what severe life-threatening condition? Cushing syndrome Diabetes Insipidus. Adrenal Crisis Myxedema coma - Correct answer Adrenal Crisis A patient who is suspected of having hyperkalemia is MOST likely to have what ECG changes? • Tall, peaked T waves T wave inversion Prolonged QT interval ST-segment elevation - Correct answer Tall, peaked T wave What type of diet would a patient with diverticulitis follow? High residual diet High fiber diet Low sugar diet High calorie diet - Correct answer IDK, but its not High residual or Low sugar!! 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 - Correct answer Safety "mitt" for right hand only 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 violence. Why would this incident be reported to your supervisor? The patient is responsible for their actions even though they are ill You have the right to personal safety at work As no physical injury actually occurred, no further action is necessary This type of behavior is expected and accepted in the ED - Correct answer You have a right to personal safety at work A patient who is 8 weeks pregnant presents to triage with vaginal bleeding and lower abdominal pain. RhoGAM will be given for which situation? Father is negative Father is positive Mother is positive Mother is Rh negative - Correct answer Mother is Rh negative 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? 4200 mL 4800 mL 6300 mL 8400 mL - Correct answer 4200 mL