Relias ED RN A Test Questions And Answers

Relias ED RN A Test Questions And Answers 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? - ANS 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? - ANS Systematic reviews Upon triage of a patient, they state that they have suicidal ideation with intent. What would you do NEXT? - ANS Institute suicide precautions. Which of the following wounds has the highest risk for developing osteomyelitis? - ANS Puncture wound from stepping on a rusty nail What type of diet would a patient with diverticulitis follow? - ANS 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? - ANS CT scan of the brain What medication is used in reversing the effects of opioid overdose? - ANS Naloxone (Narcan®) What are you MOST likely to see during your initial assessment of a patient with chronic obstructive pulmonary disease (COPD)? - ANS Pursed lip breathing Under what circumstances can the hospital transfer an unstable patient to another facility and maintain compliance with the Emergency Medical Treatment and Active Labor Act (EMTALA)? - ANS The necessary treatment is not available at the current hospital. The life-threatening and rare complication of hypothyroidism is known as: - ANS 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? - ANS 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? - ANS 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)? - ANS 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? - ANS Tell your immediate supervisor. 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? - ANS Prolonged QT interval 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 SpO2 reading of 89%. What intervention do you anticipate implementing FIRST for this patient? - ANS Provide oxygen