Relias ED RN A Test Questions and Answers for Nursing Students | Exams Nursing | Docsity (2024)

Download Relias ED RN A Test Questions and Answers for Nursing Students and more Exams Nursing in PDF only on Docsity! Relias ED RN A Test Question & Answers 2024 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? - Correct Answers ✅Petrolatum gauze You want to implement the new evidence-based practice guidelines in managing patients to prevent falls on your unit. What provides the STRONGEST evidence for interventions? - Correct Answers ✅Systematic reviews Upon triage of a patient, they state that they have suicidal ideation with intent. What would you do NEXT? - Correct Answers ✅Institute suicide precautions. Which of the following wounds has the highest risk for developing osteomyelitis? - Correct Answers ✅Puncture wound from stepping on a rusty nail What type of diet would a patient with diverticulitis follow? - Correct Answers ✅High fiber diet Answer is NOT high residual diet 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? - Correct Answers ✅CT scan of the brain What medication is used in reversing the effects of opioid overdose? - Correct Answers ✅Naloxone (Narcan®) Relias ED RN A Test Question & Answers 2024 What are you MOST likely to see during your initial assessment of a patient with chronic obstructive pulmonary disease (COPD)? - Correct Answers ✅Pursed lip breathing Under what circ*mstances can the hospital transfer an unstable patient to another facility and maintain compliance with the Emergency Medical Treatment and Active Labor Act (EMTALA)? - Correct Answers ✅The necessary treatment is not available at the current hospital. The life-threatening and rare complication of hypothyroidism is known as: - Correct Answers ✅Myxedema coma 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? - Correct Answers ✅Tension Pneumothorax 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? - Correct Answers ✅Systolic blood pressure reaches 160 mm Hg A patient arrives with suspected appendicitis. What action, if observed, would require additional training for the unlicensed assistive personnel (UAP)? - Correct Answers ✅The UAP offers the patient a ginger ale. You see a fellow nurse placing an opioid medication in their pocket rather than administering it as ordered. What would you do NEXT? - Correct Answers ✅Tell your immediate supervisor. Relias ED RN A Test Question & Answers 2024 You are assessing a patient who had an altercation involving a clenched fist injury. You notice that his right hand is swollen significantly with pain and bruising. What would you be MOST concerned about for the patient? - Correct Answers ✅Rheumatoid arthritis Loss of function Osteomyelitis Active bleeding 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? - Correct Answers ✅Thrombocytopenia 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? - Correct Answers ✅1 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? - Correct Answers ✅Monitoring cardiac rhythm A patient is being treated in a hyperbaric oxygen chamber for carbon monoxide poisoning. What measurement is the BEST indicator of treatment success? - Correct Answers ✅Arterial blood gas Relias ED RN A Test Question & Answers 2024 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? - Correct Answers ✅Urine output of 0.5 mL/kg/hr A patient with a traumatic brain injury (TBI) is MOST likely to suffer from what condition? - Correct Answers ✅Answer is NOT myxedema coma Answer is NOT Cerebral palsy 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? - Correct Answers ✅Octreotide (Sandostatin®) A patient is brought in for a potential overdose of heroin. What is the PRIORITY nursing intervention? - Correct Answers ✅Maintaining airway and breathing Your patient has just had a paracentesis during which 5 liters of fluid were removed. Which assessment is the PRIORITY? - Correct Answers ✅Blood pressure During cardiogenic shock what temporary intervention might be ordered to improve perfusion until definitive treatment is provided? - Correct Answers ✅Inotropic infusion What laboratory value would you monitor closely if your patient is vomiting coffee-ground emesis? - Correct Answers ✅Hemoglobin Relias ED RN A Test Question & Answers 2024 A patient has sustained multiple traumatic injuries after a fall from a height. What is considered an important component of the primary survey assessment? - Correct Answers ✅Neurological assessment A patient presents after falling from a height and fracturing their right tibia and fibula. What symptom would be reported to the provider IMMEDIATELY? - Correct Answers ✅Paresthesia of the foot A 22-year old female who is 8 weeks pregnant presents with a sudden onset of left lower abdominal pain and vagin*l bleeding. The patient's family member stated that she had a syncopal episode shortly after that. What is the MOST likely diagnosis for her? - Correct Answers ✅Answer is NOT Abruptio placenta 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? - Correct Answers ✅Assess the patient for injury. 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? - Correct Answers ✅Tracheostomy 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? - Correct Answers ✅Elevated bilirubin 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 Relias ED RN A Test Question & Answers 2024 The deficiency of anti-diuretic hormone (ADH) can lead to what endocrine disorders? - Correct Answers ✅Answer is NOT Adrenal Insufficiency Answer is NOT Syndrome of inappropriate secretion of ADH (SIADH) 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? - Correct Answers ✅Answer is NOT Increasing serum cortisol 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? - Correct Answers ✅4200 mL 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 take? - Correct Answers ✅Report the provider to their supervisor 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? - Correct Answers ✅Increasing serum cortisol Increasing serum glucose Decreasing pulse pressure Decreasing central venous pressure Relias ED RN A Test Question & Answers 2024 A patient presents with a partial thickness burn to the anterior portion of the chest. Based on the rule of nine estimations, what is the patient's estimated total body surface area burned? - Correct Answers ✅18%