Download RELIAS ED RN A, EXAM QUESTIONS AND 100% CORRECT ANSWERS| 2024/25 UPDATE and more Exams Nursing in PDF only on Docsity!
RELIAS ED RN A, EXAM QUESTIONS
AND 100% CORRECT ANSWERS|
2024/25 UPDATE
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 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) 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
appendix Placenta previa
Abruptio placenta
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.
Paresthesia of the foot Capillary refill pf toes <2 sec โโ Paresthesia of the foot 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 would you do NEXT?
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 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 familv. 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
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% โโ 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 โโ 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 โโ Monitoring cardiac rhythm A patient presents with a history of acute urinary retention. An indwelling catheter is placed and the patient is sent for an ultrasound scan. The imaging confirms benign prostatic hyperplasia as the cause of urinary retention. What medication do you anticipate the provider to order? Tamsulosin (Flomaxยฎ) Vasopressin Phenylephrine (Omidriaยฎ) Methoxamine (Vasoxy|ยฎ) โโ Flomax The life-threatening and rare complication of hypothyroidism is known as: Pheochromocytoma Adrenal crisis Thyroid
Keep the information confidential to avoid repercussions from the preceptor. Inform the charge nurse about what happened and document it.
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?
