RELIAS ED RN A
OBJECTIVE ASSESSMENT - EXAM
RELIAS ED RN A, Exam (Latest
2026/2027 Update) Questions &
Answers (Verified Solutions),
100% Guaranteed Pass ||
Complete A+ Guide
Emergency Department RN Certification Exam
100 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Cardiac Arrest & ACLS Protocols Emergency Pharmacology & Antidotes
Trauma Assessment & Hemorrhagic Shock Triage Systems & Mass Casualty Incidents
Stroke Recognition & Neurological Emergencies OB/GYN Emergencies & High-Risk Pregnancy
COVER PAGE - 1
, SECTION 1 | Cardiac & Respiratory Emergencies | Q1-Q20 | RELIAS ED RN A, Exam (Latest 2026/2027 Update) Quest
Q1 Question 1 of 100
Vitals Trend
SBP (mmHg)
Time (min)
A 58-year-old male arrives via EMS with crushing substernal chest pain radiating to his left
arm. He is diaphoretic, tachycardic at 110 bpm, and his blood pressure is 88/52 mmHg. The
12-lead ECG shows ST elevation in leads V1-V4. Which intervention should the nurse
anticipate as the highest priority?
Administer sublingual nitroglycerin every 5 minutes
Initiate fibrinolytic therapy within 30 minutes of arrival
Prepare the patient for emergent percutaneous coronary intervention
Begin thrombolytic therapy after confirming no contraindications
Correct Answer: C
Rationale:
The patient presents with an anterior ST-elevation myocardial infarction (STEMI) accompanied by
cardiogenic shock. Emergent percutaneous coronary intervention (PCI) is the preferred reperfusion strategy
when available, as it offers superior outcomes compared to fibrinolytics. While nitroglycerin may be used for
pain relief, it is contraindicated in hypotensive patients.
AS ED RN A, Exam (Latest 2026/2027 Update) Questions & Answers (Verified Solutions), 100% Guaranteed Pass || Complete A+ Guide - 2026/2027 | Passing Score: 80% | P
, SECTION 1 | Cardiac & Respiratory Emergencies | Q1-Q20 | RELIAS ED RN A, Exam (Latest 2026/2027 Update) Quest
Q2 Question 2 of 100
A 45-year-old woman with a history of asthma presents with severe dyspnea, audible
wheezing, and use of accessory muscles. Her SpO2 is 88% on room air, respiratory rate is
32, and she is unable to speak in full sentences. Which medication should the nurse
administer first?
Oral prednisone 40 mg
Nebulized albuterol 2.5 mg
Intravenous magnesium sulfate 2 g
Subcutaneous epinephrine 0.3 mg
Correct Answer: B
Rationale:
In an acute severe asthma exacerbation, rapid-acting beta-agonists such as albuterol are the first-line
treatment to relieve bronchospasm. Nebulized delivery is preferred in severe cases. Systemic corticosteroids
are important but take hours to exert anti-inflammatory effects, so they are not the immediate priority.
Q3 Question 3 of 100
During a code blue, the team leader orders epinephrine for a patient in pulseless ventricular
tachycardia. What is the current recommended dose and route for epinephrine in adult
cardiac arrest?
1 mg intravenous or intraosseous every 3 to 5 minutes
0.1 mg intravenous every 2 minutes
10 mg intravenous push every 10 minutes
1 mg intramuscular every 5 minutes
Correct Answer: A
Rationale:
The current ACLS guideline recommends 1 mg of epinephrine administered intravenously or intraosseously
every 3 to 5 minutes during cardiac arrest. Higher doses have not demonstrated improved survival and may
cause harm. Intramuscular epinephrine is reserved for anaphylaxis, not cardiac arrest.
AS ED RN A, Exam (Latest 2026/2027 Update) Questions & Answers (Verified Solutions), 100% Guaranteed Pass || Complete A+ Guide - 2026/2027 | Passing Score: 80% | P
, SECTION 1 | Cardiac & Respiratory Emergencies | Q1-Q20 | RELIAS ED RN A, Exam (Latest 2026/2027 Update) Quest
Q4 Question 4 of 100
A 72-year-old male with chronic heart failure presents with acute onset of dyspnea,
orthopnea, and pink frothy sputum. His vital signs show BP 190/110, HR 118, RR 34, and
SpO2 84% on room air. Which intervention is most appropriate as the initial nursing action?
Administer furosemide 80 mg intravenously
Apply continuous positive airway pressure at 10 cm H2O
Place the patient in a high Fowler's position and apply supplemental oxygen
Begin nitroglycerin infusion at 10 mcg/min
Correct Answer: C
Rationale:
This patient is experiencing acute cardiogenic pulmonary edema. The immediate priority is to improve
oxygenation and reduce venous return. High Fowler's position and supplemental oxygen are the correct first
steps. Non-invasive positive pressure ventilation may follow, but positioning and oxygen are the initial
interventions.
AS ED RN A, Exam (Latest 2026/2027 Update) Questions & Answers (Verified Solutions), 100% Guaranteed Pass || Complete A+ Guide - 2026/2027 | Passing Score: 80% | P
OBJECTIVE ASSESSMENT - EXAM
RELIAS ED RN A, Exam (Latest
2026/2027 Update) Questions &
Answers (Verified Solutions),
100% Guaranteed Pass ||
Complete A+ Guide
Emergency Department RN Certification Exam
100 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Cardiac Arrest & ACLS Protocols Emergency Pharmacology & Antidotes
Trauma Assessment & Hemorrhagic Shock Triage Systems & Mass Casualty Incidents
Stroke Recognition & Neurological Emergencies OB/GYN Emergencies & High-Risk Pregnancy
COVER PAGE - 1
, SECTION 1 | Cardiac & Respiratory Emergencies | Q1-Q20 | RELIAS ED RN A, Exam (Latest 2026/2027 Update) Quest
Q1 Question 1 of 100
Vitals Trend
SBP (mmHg)
Time (min)
A 58-year-old male arrives via EMS with crushing substernal chest pain radiating to his left
arm. He is diaphoretic, tachycardic at 110 bpm, and his blood pressure is 88/52 mmHg. The
12-lead ECG shows ST elevation in leads V1-V4. Which intervention should the nurse
anticipate as the highest priority?
Administer sublingual nitroglycerin every 5 minutes
Initiate fibrinolytic therapy within 30 minutes of arrival
Prepare the patient for emergent percutaneous coronary intervention
Begin thrombolytic therapy after confirming no contraindications
Correct Answer: C
Rationale:
The patient presents with an anterior ST-elevation myocardial infarction (STEMI) accompanied by
cardiogenic shock. Emergent percutaneous coronary intervention (PCI) is the preferred reperfusion strategy
when available, as it offers superior outcomes compared to fibrinolytics. While nitroglycerin may be used for
pain relief, it is contraindicated in hypotensive patients.
AS ED RN A, Exam (Latest 2026/2027 Update) Questions & Answers (Verified Solutions), 100% Guaranteed Pass || Complete A+ Guide - 2026/2027 | Passing Score: 80% | P
, SECTION 1 | Cardiac & Respiratory Emergencies | Q1-Q20 | RELIAS ED RN A, Exam (Latest 2026/2027 Update) Quest
Q2 Question 2 of 100
A 45-year-old woman with a history of asthma presents with severe dyspnea, audible
wheezing, and use of accessory muscles. Her SpO2 is 88% on room air, respiratory rate is
32, and she is unable to speak in full sentences. Which medication should the nurse
administer first?
Oral prednisone 40 mg
Nebulized albuterol 2.5 mg
Intravenous magnesium sulfate 2 g
Subcutaneous epinephrine 0.3 mg
Correct Answer: B
Rationale:
In an acute severe asthma exacerbation, rapid-acting beta-agonists such as albuterol are the first-line
treatment to relieve bronchospasm. Nebulized delivery is preferred in severe cases. Systemic corticosteroids
are important but take hours to exert anti-inflammatory effects, so they are not the immediate priority.
Q3 Question 3 of 100
During a code blue, the team leader orders epinephrine for a patient in pulseless ventricular
tachycardia. What is the current recommended dose and route for epinephrine in adult
cardiac arrest?
1 mg intravenous or intraosseous every 3 to 5 minutes
0.1 mg intravenous every 2 minutes
10 mg intravenous push every 10 minutes
1 mg intramuscular every 5 minutes
Correct Answer: A
Rationale:
The current ACLS guideline recommends 1 mg of epinephrine administered intravenously or intraosseously
every 3 to 5 minutes during cardiac arrest. Higher doses have not demonstrated improved survival and may
cause harm. Intramuscular epinephrine is reserved for anaphylaxis, not cardiac arrest.
AS ED RN A, Exam (Latest 2026/2027 Update) Questions & Answers (Verified Solutions), 100% Guaranteed Pass || Complete A+ Guide - 2026/2027 | Passing Score: 80% | P
, SECTION 1 | Cardiac & Respiratory Emergencies | Q1-Q20 | RELIAS ED RN A, Exam (Latest 2026/2027 Update) Quest
Q4 Question 4 of 100
A 72-year-old male with chronic heart failure presents with acute onset of dyspnea,
orthopnea, and pink frothy sputum. His vital signs show BP 190/110, HR 118, RR 34, and
SpO2 84% on room air. Which intervention is most appropriate as the initial nursing action?
Administer furosemide 80 mg intravenously
Apply continuous positive airway pressure at 10 cm H2O
Place the patient in a high Fowler's position and apply supplemental oxygen
Begin nitroglycerin infusion at 10 mcg/min
Correct Answer: C
Rationale:
This patient is experiencing acute cardiogenic pulmonary edema. The immediate priority is to improve
oxygenation and reduce venous return. High Fowler's position and supplemental oxygen are the correct first
steps. Non-invasive positive pressure ventilation may follow, but positioning and oxygen are the initial
interventions.
AS ED RN A, Exam (Latest 2026/2027 Update) Questions & Answers (Verified Solutions), 100% Guaranteed Pass || Complete A+ Guide - 2026/2027 | Passing Score: 80% | P
