Relias ED RN A Exam Questions and Answers 2024

Relias ED RN A Exam Questions and Answers 2024

1. 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?: Petrolatum gauze 2. You want to implement the new evidence-based practice guidelines in man- aging patients to prevent falls on your unit. What provides the STRONGEST evidence for interventions?: Systematic reviews 3. Upon triage of a patient, they state that they have suicidal ideation with intent. What would you do NEXT?: Institute suicide precautions. 4. Which of the following wounds has the highest risk for developing os- teomyelitis?: Puncture wound from stepping on a rusty nail 5. What type of diet would a patient with diverticulitis follow?: High fiber diet Answer is NOT high residual diet 6. 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?: CT scan of the brain 7. What medication is used in reversing the effects of opioid overdose?: Nalox- one (Narcan) 8. What are you MOST likely to see during your initial assessment of a patient with chronic obstructive pulmonary disease (COPD)?: Pursed lip breathing 9. Under what circumstances can the hospital transfer an unstable patient to another facility and maintain compliance with the Emergency Medical Treat- ment and Active Labor Act (EMTALA)?: The necessary treatment is not available at the current hospital. 10. The life-threatening and rare complication of hypothyroidism is known as:: Myxedema coma 11. 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?: Tension Pneumothorax 12. 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 13. 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. 14. You see a fellow nurse placing an opioid medication in their pocket rather than administering it as ordered.What would you do NEXT?: Tell your immedi- ate supervisor. 15. You are administering haloperidol (Haldol) to a patient with acute symp- toms of Schizophrenia. What changes in the electrocardiogram (ECG) are possible as a result of this medication?: Prolonged QT interval 16. A patient presents with a 5-day history of runny nose, headache, and pro- ductive cough. The patient is unable to speak full sentences, reports having a history of moderate to severe COPD, and has a SpO2 reading of 89%. What intervention do you anticipate implementing FIRST for this patient?: Provide oxygen 17. 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?: Cholecystitis 18. 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?: Administer oxygen Answer is NOT Obtain electrocardiogram 19. 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?: Decreased level of consciousness 20. A new nurse observes their preceptor giving the incorrect dosage of a medication to a patient. Implementing the ethical principle veracity, what action would the new nurse take?: Inform the charge nurse about what happened and document it. 21. What is the appropriate intervention for patients with Acute Respiratory Distress Syndrome (ARDS)?: Mechanical ventilation 22. What is a common assessment finding in a patient with a tension pneu- mothorax?: Distended neck veins 23. What is the current recommended dose of intravenous or intraosseous epinephrine in adult patients with cardiac arrest?: 1 mg every 3-5 minutes 24. What type of medication is used in the emergency care setting to help manage the symptoms of alcohol withdrawal?: Benzodiazepines 25. A patient who is 27 weeks pregnant presents with painless bright red vaginal bleeding. What condition correlates with the presenting symptoms?- : Placenta Previa 26. A patient who is 32 weeks pregnant presents with a threeday history