Updated with 100% Correct and Verified Answers.
/
RELIAS ED RN A, EXAM 2022-2025: Questions and 100% Correct
Answers.
1.A patient who is 32 weeks pregnant arrives with a three-day history of headache and
notable swelling in her face and lower limbs. Her vital signs are as follows: BP: 160/90, HR:
105/min, RR: 19/min, SpO2: 94% on room air, Temp: 97.3°F. What medication should be
administered first?
A. Furosemide (Lasix)
B. Magnesium Sulfate
C. Labetalol (Trandate)
D. Acetaminophen (Tylenol)
Answer: B. Magnesium Sulfate
2. A patient with a history of alcohol use and seizures suddenly becomes diaphoretic,
anxious, tachycardic, and has clammy skin. What is the next step?
A. Check their blood glucose
B. Turn them on their side
C. Auscultate their lungs
D. Administer propranolol
Answer: A. Check their blood glucose
3. A pregnant patient at 24 weeks gestation presents with fever and right upper quadrant
pain that radiates to the right shoulder blade, which began an hour after eating pizza. She
is tachycardic, tachypneic, and diaphoretic. What is the most likely diagnosis?
A. Pericarditis
B. Cholecystitis
C. Diverticulitis
D. Pancreatitis
Answer: B. Cholecystitis
4. A patient who fell from a height sustained fractures in the right tibia and fibula. Which
symptom should be reported to the provider immediately?
A. Bounding pulse
B. Warm extremity
C. Paresthesia of the foot
D. Capillary refill of toes <2 sec
Answer: C. Paresthesia of the foot
, 5. While assisting a novice nurse with a blood draw, you observe them leaving the room
with unlabeled specimen tubes. What is the appropriate next step?
A. Do not confront them, but redraw the labs and label them at the bedside.
B. Do nothing, as they can label them elsewhere.
C. Report them to the supervisor.
D. Re-educate the nurse, then redraw the labs, use patient identifiers, and label them at the
bedside.
Answer: D. Re-educate the nurse, then redraw the labs, use patient identifiers, and label
them at the bedside.
6. According to American Heart Association stroke guidelines, what is the recommended
time from ED arrival to CT brain scan?
A. 10 minutes
B. 25 minutes
C. 45 minutes
D. 60 minutes
Answer: B. 25 minutes
7. A patient experiences sudden-onset aphasia and left-sided weakness for the last 25
minutes. What is the next action?
A. Triage them to the screening area
B. Perform a thorough triage evaluation and initiate stroke resources
C. Register the patient and collect smoking and drug history
D. Activate the department's stroke protocol
Answer: D. Activate the department's stroke protocol
8. A patient’s chest tube dressing has come off, and you are preparing to replace it. You
have a slit drain sponge, 4x4 gauzes, tape, scissors, and antiseptic swabs. What additional
item is needed?
A. Kelly clamp
B. Petrolatum gauze
C. Tube connector
D. Chest drainage system
Answer: B. Petrolatum gauze
9. Which class of medication is commonly used to manage alcohol withdrawal symptoms in
emergency settings?
A. Benzodiazepines
B. Valproic acid
C. Electrolytes
D. Thiamine
Answer: A. Benzodiazepines
10. A patient in active labor arrives at an ED without a labor and delivery unit. What is the
next step?
A. Direct them to the nearest hospital with a labor unit.