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Relias ED RN A Test EXAM WELL ESTABLISHED QUESTIONS AND ANSWERS GRADED A+

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Relias ED RN A Test EXAM WELL ESTABLISHED QUESTIONS AND ANSWERS GRADED A+ 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? - ANSWER - Application of pelvic blinder A patient presents with possible organophosphate toxicity. What would you expect to find upon assessment? - ANSWER - Diaphoresis What symptom is commonly seen in patients with alcohol withdrawal? - ANSWER - Tachycardia 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: - ANSWER - Answer is NOT Anterior cord syndrome Answer is NOT central cord syndrome You are caring for a patient who has a history of alcohol use and seizures. You suddenly notice the patient becoming diaphoretic, anxious, tachycardic, and has clammy skin. What would you do NEXT? - ANSWER - Answer is NOT Turn them on their side Answer is NOT Administer propranolol A confused patient is trying to grasp at their IV with their right hand. Which is the LEAST restrictive measure to maintain patient safety? - ANSWER - Safety "mitt" for right hand only A patient's family has decided to withdraw life-sustaining treatment. When communicating with the family of the patient, what reassurance would you provide? - ANSWER - Efforts will be made to make the patient comfortable. A patient is frustrated at the length of time they have been waiting to be triaged. They start to yell obscenities and threaten you with physical violence. Why would this incident be reported to your supervisor? - ANSWER - You have the right to personal safety in the work environment. A patient who is 8 weeks pregnant presents to triage with vaginal bleeding and lower abdominal pain. RhoGAM will be given for which situation? - ANSWER - Mother is Rh negative What is the critical goal time from arrival to the ED to CT brain scan based on the American Heart Association stroke recommendations? - ANSWER - 25 minutes 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? - ANSWER - 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? - ANSWER - Systematic reviews Upon triage of a patient, they state that they have suicidal ideation with intent. What would you do NEXT? - ANSWER - Institute suicide precautions.

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