Download RELIAS ED RN A, EXAM 2022-2024 QUESTIONS AND 100% CORRECT ANSWERS and more Exams Nursing in PDF only on Docsity!
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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 โโ 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 โโ 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 โโ 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 โโ IDK, but itโs not administered 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) โโ 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
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Flattened neck veins โโ Distended Neck Veins 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? Giardia Microsporidia COVID 19 Tuberculosis โโ COVID 19 The deficiency of anti-diuretic hormone (ADH) can lead to what endocrine disorders? Diabetes Insipidus Diabetes Mellitus Adrenal Insufficiency Syndrome of inappropriate secretion of ADH (SIADH) โโ Diabetes Insipidus A patient presents after an intentional overdose of propranolol approximately 2 hours ago. The patient has severe hypotension and bradycardia. IV fluids and vasopressors are initiated. What nursing assessment findings indicate the treatment has been effective? Decreasing pulse pressure Decreasing central venous pressure Increasing serum glucose Increasing serum cortisol โโ Increasing serum glucose A patient presents with acute onset of chest pain and goes into cardiac arrest immediately upon arrival. What is a possible reversible cause of cardiac arrest? Hypervolemia Alkalosis Hyperthermia Tension Pneumothorax โโ Tension Pneumothorax Which of the following represent categories utilized to triage patients during a mass casualty incident (MCI)? Green, orange, black, purple Green, blue, red, black Red, black, pink, yellow Green, yellow, red, black โโ Green, yellow, red, black 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
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Ruptured ectopic pregnancy โโ Ruptured ectopic pregnancy A patient with a history of chronic alcohol use is brought in with possible esophageal varices. What medication is used to stop upper gastrointestinal (GI) bleeding in patients with this condition? Octreotide (Sand statinยฎ) Acetaminophen (Tylenolยฎ) Warfarin (Janto Venยฎ) Ibuprofen (Motrinยฎ) โโ Octreotide (Sand statin) 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 Patientsโ allergy history โโ 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. โโ 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 โโ 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 โโ 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.
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The UAP helps the patient with a bedpan.
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blood, place the specimen tubes in a biohazard bag, and leave the room with the unlabeled specimen tubes. What would you do NEXT?
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Don't confront the nurse, go redraw the labs and label at the bedside. Do nothing because they can label them anywhere. Report them to your supervisor. Re-educate the nurse, then redraw thexabs, use patient identifiers and label at the bedside. โโ Re-educate What is the critical goal time from arrival to the ED to CT brain scan based on the American Heart Association stroke recommendations? 10 minutes 25 minutes 45 minutes 60 minutes โโ 25min A patient presents with sudden onset of aphasia and left-sided weakness for the last 25 minutes. What action would be taken NEXT? Triage them to the screening area Complete a thorough triage evaluation, initiate the appropriate stroke resources Register the patient prior to triage, and collect smoking and drug use history Activate your department's code stroke protocol โโ Activate your departmentโs code stroke protocol Your patient's chest tube dressing has accidentally come off and you are preparing to place a new one. You have a slit drain sponge, 4 x 4 gauzes, tape, scissors, and antiseptic swabs. What else do you need? Kelly clamp Petrolatum gauze Tube connector Chest drainage system โโ Petrolatum gauze What type of medication is used in the emergency care setting to help manage the symptoms of alcohol withdrawal? Benzodiazepines Valproic acid Electrolytes Thiamine โโ Benzos A patient presents to the lobby stating she thinks she is in active labor. Your facility doesn't have a labor and delivery unit. What is the NEXT action you would take? Tell the patient she needs to go to the nearest hospital with a labor and delivery unit. Have an ED provider performs a medical screening exam to determine if she is in active labor. 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. โโ
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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 โโ 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 family. Get assistance. Notify the charge nurse. โโ 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 โโ 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. โโ 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 โโ 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
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Keep the information confidential to avoid repercussions from the preceptor. Inform the charge nurse about what happened and document it.
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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. โโ Inform the charge nurse about what happened and document it. Your patient has just had a paracentesis during which 5 liters of fluid were removed. Which assessment is the PRIORITY? Palpate for tenderness Blood pressure Observation of puncture site Signs of infection โโ Blood pressure What symptom is commonly seen in patients with alcohol withdrawal? Tachycardia Hypotension Bradycardia Hypothermia โโ Tachycardia A patient's family has decided to withdraw life-sustaining treatment. When communicating with the family of the patient, what reassurance would you provide? Life support is essential in the patient's quality of life. Efforts will be made to make the patient comfortable. That the patient lived a full and complete life. Substantial amounts of pain medication will be provided. โโ Efforts with be made to make the patient comfortable. During cardiogenic shock what temporary intervention might be ordered to improve perfusion until definitive treatment is provided? Coronary artery bypass notropic iffusion Percutaneous intervention Continuous renal replacement therapy โโ Inotropic infusion 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 โโ Internally, per policy through the defined incident reporting system. You are administering haloperidol (Haldolยฎ) to a patient with acute symptoms of Schizophrenia. What changes in the electrocardiogram (ECG) are possible as a result of this medication?
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Prolonged QT interval Prolonged PR interval Elevated ST segment โโ 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 โโ 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 Conjunctivitis Retinal detachment Glaucoma โโ Conjunctivitis A patient presents with possible organophosphate toxicity. What would you expect to find upon assessment? Diaphoresis Tachycardia Constipation Hot and dry skin โโ 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 โโ 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 โโ Thrombocytopenia What are you MOST likely to see during your initial assessment of a patient with chronic obstructive pulmonary disease (COPD)?
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Pursed lip breathing Absent breath sounds on one side
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Contusion and bruising to the head from a fall
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Puncture wound from stepping on a rusty nail Laceration of the face from breaking glass โโ Puncture wound from stepping on a nail 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? ยฉ Decreased level of consciousness Decreased urine output Increase in blood pressure of 140/ Increase in temperature to 100.1 F โโ Decreased level of consciousness 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? Elevated amylase A Elevated creatinine Elevated bilirubin Decreased hemoglobin โโ Elevated Bilirubin Acute deficiency of cortisol and aldosterone can lead to what severe life-threatening condition? Cushing syndrome Diabetes Insipidus. Adrenal Crisis Myxedema coma โโ 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 โโ 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 โโ IDK, but itโs not High residual or Low sugar!!
