RELIAS EN ED RN A TEST WITH COMPLETE SOLUTIONS

RELIAS EN ED RN A TEST WITH COMPLETE SOLUTIONS 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 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 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. 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 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? - 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? - Provide oxygen 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 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 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 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. What is the appropriate intervention for patients with Acute Respiratory Distress Syndrome (ARDS)? - Mechanical ventilation What is a common assessment finding in a patient with a tension pneumothorax? - Distended neck veins What is the current recommended dose of intravenous or intraosseous epinephrine in adult patients with cardiac arrest? - 1 mg every 3-5 minutes What type of medication is used in the emergency care setting to help manage the symptoms of alcohol withdrawal? - Benzodiazepines A patient who is 27 weeks pregnant presents with painless bright red vaginal bleeding. What condition correlates with the presenting symptoms? - Placenta Previa A patient who is 32 weeks pregnant presents with a three-day history of headache and significant swelling of the lower extremities and face. The patient's vital signs are BP: 160/90, HR: 105/min, RR: 19/min, Spo2: 94% on RA, Temp: 97.3 F. What medication do you anticipate the provider to order FIRST? - Labetalol (Trandate®) 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? - Rheumatoid arthritis Loss of function Osteomyelitis Active bleeding 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