Relias ED RN A Test questins and verified answers 2025
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? - ANS>> 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? -
ANS>> Systematic reviews
Upon triage of a patient, they state that they have suicidal ideation with intent. What would you
do NEXT? - ANS>> Institute suicide precautions.
Which of the following wounds has the highest risk for developing osteomyelitis? - ANS>>
Puncture wound from stepping on a rusty nail
What type of diet would a patient with diverticulitis follow? - ANS>> 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? - ANS>>
CT scan of the brain
What medication is used in reversing the effects of opioid overdose? - ANS>> Naloxone
(Narcan®)
What are you MOST likely to see during your initial assessment of a patient with chronic
obstructive pulmonary disease (COPD)? - ANS>> 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)? -
ANS>> The necessary treatment is not available at the current hospital.
The life-threatening and rare complication of hypothyroidism is known as: - ANS>> 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? - ANS>> 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? - ANS>> 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)? - ANS>> 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? - ANS>> 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? -
ANS>> 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? - ANS>> 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? - ANS>> 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? - ANS>> Administer oxygen
Answer is NOT Obtain electrocardiogram
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? - ANS>> 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? -
ANS>> Systematic reviews
Upon triage of a patient, they state that they have suicidal ideation with intent. What would you
do NEXT? - ANS>> Institute suicide precautions.
Which of the following wounds has the highest risk for developing osteomyelitis? - ANS>>
Puncture wound from stepping on a rusty nail
What type of diet would a patient with diverticulitis follow? - ANS>> 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? - ANS>>
CT scan of the brain
What medication is used in reversing the effects of opioid overdose? - ANS>> Naloxone
(Narcan®)
What are you MOST likely to see during your initial assessment of a patient with chronic
obstructive pulmonary disease (COPD)? - ANS>> 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)? -
ANS>> The necessary treatment is not available at the current hospital.
The life-threatening and rare complication of hypothyroidism is known as: - ANS>> 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? - ANS>> 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? - ANS>> 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)? - ANS>> 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? - ANS>> 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? -
ANS>> 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? - ANS>> 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? - ANS>> 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? - ANS>> Administer oxygen
Answer is NOT Obtain electrocardiogram
