Relias ED RN A Test Written Questions With Complete Answers A+ Guaranteed Success.

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 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? - correct answer Systematic reviews Upon triage of a patient, they state that they have suicidal ideation with intent. What would you do NEXT? - correct answer Institute suicide precautions. Which of the following wounds has the highest risk for developing osteomyelitis? - correct answer Puncture wound from stepping on a rusty nail What type of diet would a patient with diverticulitis follow? - correct answer 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 answer CT scan of the brain What medication is used in reversing the effects of opioid overdose? - correct answer Naloxone (Narcan®) What are you MOST likely to see during your initial assessment of a patient with chronic obstructive pulmonary disease (COPD)? - correct answer 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)? - correct answer The necessary treatment is not available at the current hospital. The life-threatening and rare complication of hypothyroidism is known as: - correct answer 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 answer 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 answer 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 answer 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 answer 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? - correct answer 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? - correct answer 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? - correct answer 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? - correct answer 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? - correct answer 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? - correct answer Inform the charge nurse about what happened and document it. What is the appropriate intervention for patients with Acute Respiratory Distress Syndrome (ARDS)? - correct answer Mechanical ventilation What is a common assessment finding in a patient with a tension pneumothorax? - correct answer Distended neck veins What is the current recommended dose of intravenous or intraosseous epinephrine in adult patients