RELIAS ED RN A, EXAM 2025-2026
QUESTIONS AND CORRECT
ANSWERS GRADE A
A patient is brought in after being struck by lightning during a heavy
thunderstorm. What would be the PRIORITY intervention for this patient
upon arrival? Measuring urine output
Monitoring cardiac rhythm
Cleaning of the burn wounds
Obtaining chest x-ray - CORRECT ANSWER✔✔ Monitoring cardiac rhythm
A patient presents with a history of acute urinary retention. An indwelling
catheter is placed and the patient is sent for an ultrasound scan. The imaging
confirms benign prostatic hyperplasia as the cause of urinary retention.
What medication do you anticipate the provider to order?
Tamsulosin (Flomax®)
Vasopressin
Phenylephrine (Omidria®)
Methoxamine (Vasoxy|®) - CORRECT ANSWER✔✔ Flomax
The life-threatening and rare complication of hypothyroidism is known as:
Pheochromocytoma
Adrenal crisis
Thyroid storm
Myxedema coma - CORRECT ANSWER✔✔ Myxedema
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?
Keep the information confidential to avoid repercussions from the preceptor.
Inform the charge nurse about what happened and document it.
,Since the patient was not harmed, do not report the incident.
Tell only the patient about the incident and have them decide what to do. -
CORRECT ANSWER✔✔ Inform the charge nurse about what happened
and document it.
Your patient has just had a paracentesis during which 5 liters of fluid were
removed. Which assessment is the PRIORITY?
Palpate for tenderness
Blood pressure
Observation of puncture site
Signs of infection - CORRECT ANSWER✔✔ Blood pressure
What symptom is commonly seen in patients with alcohol withdrawal?
Tachycardia
Hypotension
Bradycardia
Hypothermia - CORRECT ANSWER✔✔ Tachycardia
A patient's family has decided to withdraw life-sustaining treatment. When
communicating with the family of the patient, what reassurance would you
provide?
Life support is essential in the patient's quality of life. Efforts will be
made to make the patient comfortable.
That the patient lived a full and complete life.
Substantial amounts of pain medication will be provided. - CORRECT
ANSWER✔✔ Efforts with be made to make the patient comfortable.
During cardiogenic shock what temporary intervention might be ordered to
improve perfusion until definitive treatment is provided? Coronary artery
bypass notropic iffusion
Percutaneous intervention
Continuous renal replacement therapy - CORRECT ANSWER✔✔
Inotropic infusion
, You accidentally administered epinephrine 1:1000 intravenous push for a
patient suffering from a severe anaphylactic reaction. You recognize this as a
near-miss event and report this:
Internally, per policy through the defined incident reporting system
Externally, to the state board of nursing through the website
Externally, to state board of pharmacy through the website
Since it was a near miss reporting is not necessary - CORRECT
ANSWER✔✔ Internally, per policy through the defined incident reporting
system.
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?
Depressed T wave
O
Prolonged QT interval
Prolonged PR interval
Elevated ST segment - CORRECT ANSWER✔✔ Prolonged QT interval
A patient is brought in with possible foreign body obstruction and respiratory
distress. The provider suctions the patient and unsuccessfully tries to insert
an endotracheal tube (ETT). What type of procedure would you anticipate
NEXT?
Placement of laryngeal mask
Tracheostomy
Bronchoscopy
Chest tube insertion - CORRECT ANSWER✔✔ Trach
A patient is complaining of a burning sensation in both eyes with pain,
redness, swelling, and purulent discharge. The visual assessment using the
Snellen chart reveals no changes in vision. You anticipate that the patient has
signs and symptoms of:
Iritis
Conjuntivitis
Retinal detachment
QUESTIONS AND CORRECT
ANSWERS GRADE A
A patient is brought in after being struck by lightning during a heavy
thunderstorm. What would be the PRIORITY intervention for this patient
upon arrival? Measuring urine output
Monitoring cardiac rhythm
Cleaning of the burn wounds
Obtaining chest x-ray - CORRECT ANSWER✔✔ Monitoring cardiac rhythm
A patient presents with a history of acute urinary retention. An indwelling
catheter is placed and the patient is sent for an ultrasound scan. The imaging
confirms benign prostatic hyperplasia as the cause of urinary retention.
What medication do you anticipate the provider to order?
Tamsulosin (Flomax®)
Vasopressin
Phenylephrine (Omidria®)
Methoxamine (Vasoxy|®) - CORRECT ANSWER✔✔ Flomax
The life-threatening and rare complication of hypothyroidism is known as:
Pheochromocytoma
Adrenal crisis
Thyroid storm
Myxedema coma - CORRECT ANSWER✔✔ Myxedema
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?
Keep the information confidential to avoid repercussions from the preceptor.
Inform the charge nurse about what happened and document it.
,Since the patient was not harmed, do not report the incident.
Tell only the patient about the incident and have them decide what to do. -
CORRECT ANSWER✔✔ Inform the charge nurse about what happened
and document it.
Your patient has just had a paracentesis during which 5 liters of fluid were
removed. Which assessment is the PRIORITY?
Palpate for tenderness
Blood pressure
Observation of puncture site
Signs of infection - CORRECT ANSWER✔✔ Blood pressure
What symptom is commonly seen in patients with alcohol withdrawal?
Tachycardia
Hypotension
Bradycardia
Hypothermia - CORRECT ANSWER✔✔ Tachycardia
A patient's family has decided to withdraw life-sustaining treatment. When
communicating with the family of the patient, what reassurance would you
provide?
Life support is essential in the patient's quality of life. Efforts will be
made to make the patient comfortable.
That the patient lived a full and complete life.
Substantial amounts of pain medication will be provided. - CORRECT
ANSWER✔✔ Efforts with be made to make the patient comfortable.
During cardiogenic shock what temporary intervention might be ordered to
improve perfusion until definitive treatment is provided? Coronary artery
bypass notropic iffusion
Percutaneous intervention
Continuous renal replacement therapy - CORRECT ANSWER✔✔
Inotropic infusion
, You accidentally administered epinephrine 1:1000 intravenous push for a
patient suffering from a severe anaphylactic reaction. You recognize this as a
near-miss event and report this:
Internally, per policy through the defined incident reporting system
Externally, to the state board of nursing through the website
Externally, to state board of pharmacy through the website
Since it was a near miss reporting is not necessary - CORRECT
ANSWER✔✔ Internally, per policy through the defined incident reporting
system.
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?
Depressed T wave
O
Prolonged QT interval
Prolonged PR interval
Elevated ST segment - CORRECT ANSWER✔✔ Prolonged QT interval
A patient is brought in with possible foreign body obstruction and respiratory
distress. The provider suctions the patient and unsuccessfully tries to insert
an endotracheal tube (ETT). What type of procedure would you anticipate
NEXT?
Placement of laryngeal mask
Tracheostomy
Bronchoscopy
Chest tube insertion - CORRECT ANSWER✔✔ Trach
A patient is complaining of a burning sensation in both eyes with pain,
redness, swelling, and purulent discharge. The visual assessment using the
Snellen chart reveals no changes in vision. You anticipate that the patient has
signs and symptoms of:
Iritis
Conjuntivitis
Retinal detachment
