RELIAS ED RN A FINAL EXAM ACTUAL QUESTIONS AND
ANSWERS RATED 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? - ✔✔Monitoring
cardiac rhythm
✔✔A patient is being treated in a hyperbaric oxygen chamber for carbon monoxide
poisoning. What measurement is the BEST indicator of treatment success? - ✔✔Arterial
blood gas
✔✔What do you anticipate is the BEST indicator of adequate hydration in an adult
patient with 30% body surface area burn during initial fluid resuscitation? - ✔✔Urine
output of 0.5 mL/kg/hr
✔✔A patient with a traumatic brain injury (TBI) is MOST likely to suffer from what
condition? - ✔✔Answer is NOT myxedema coma
Answer is NOT Cerebral palsy
✔✔A patient with a history of chronic alcohol use is brought in with possible esophageal
varices. What medication is used to stop upper gastrointestinal (GI) bleeding in patients
with this condition? - ✔✔Octreotide (Sandostatin®)
✔✔A patient is brought in for a potential overdose of heroin. What is the PRIORITY
nursing intervention? - ✔✔Maintaining airway and breathing
✔✔Your patient has just had a paracentesis during which 5 liters of fluid were removed.
Which assessment is the PRIORITY? - ✔✔Blood pressure
✔✔During cardiogenic shock what temporary intervention might be ordered to improve
perfusion until definitive treatment is provided? - ✔✔Inotropic infusion
✔✔What laboratory value would you monitor closely if your patient is vomiting coffee-
ground emesis? - ✔✔Hemoglobin
✔✔A patient has sustained multiple traumatic injuries after a fall from a height. What is
considered an important component of the primary survey assessment? -
✔✔Neurological assessment
✔✔A patient presents after falling from a height and fracturing their right tibia and fibula.
What symptom would be reported to the provider IMMEDIATELY? - ✔✔Paresthesia of
the foot
, ✔✔A 22-year old female who is 8 weeks pregnant presents with a sudden onset of left
lower abdominal pain and vaginal bleeding. The patient's family member stated that she
had a syncopal episode shortly after that. What is the MOST likely diagnosis for her? -
✔✔Answer is NOT Abruptio placenta
✔✔You exit your patient's room and as you walk away you hear a thud. Upon
inspection, you find your patient on the floor. What would you do FIRST? - ✔✔Assess
the patient for injury.
✔✔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? -
✔✔Tracheostomy
✔✔A patient presents with a 1-day history of pain in the right upper abdomen with
nausea and vomiting. The provider suspects that the patient has cholecystitis. What lab
value supports the diagnosis? - ✔✔Elevated bilirubin
✔✔You are assisting a novice nurse with a blood draw. You observe the nurse draw the
blood, place the specimen tubes in a biohazard bag, and leave the room with the
unlabeled specimen tubes. What would you do NEXT? - ✔✔Re-educate the nurse, then
redraw the labs, use patient identifiers and label at the bedside.
✔✔A patient presents with a two-day history of fever, cough, mild shortness of breath
(SOB), sore throat, myalgia, and new onset of loss of taste and smell. What is the
patient MOST likely suffering from? - ✔✔COVID 19
✔✔A patient is brought in with a history of a head-on motor vehicle accident. The
patient was not wearing a seat belt and was traveling at 120 mph with the deployment
of an airbag. They complain of severe lower abdominal and hip pain. A secondary
trauma survey reveals an unstable hip on lateral compression. What would be a
PRIORITY intervention in managing this patient? - ✔✔Application of pelvic blinder
✔✔A patient presents with possible organophosphate toxicity. What would you expect
to find upon assessment? - ✔✔Diaphoresis
✔✔What symptom is commonly seen in patients with alcohol withdrawal? -
✔✔Tachycardia
✔✔A patient presents after sustaining a roll-over motor vehicle accident. They are
complaining of pain around the mid-upper back. On your initial triage assessment, you
find that patient has preserved motor function below L5 but is suffering from a loss of
ANSWERS RATED 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? - ✔✔Monitoring
cardiac rhythm
✔✔A patient is being treated in a hyperbaric oxygen chamber for carbon monoxide
poisoning. What measurement is the BEST indicator of treatment success? - ✔✔Arterial
blood gas
✔✔What do you anticipate is the BEST indicator of adequate hydration in an adult
patient with 30% body surface area burn during initial fluid resuscitation? - ✔✔Urine
output of 0.5 mL/kg/hr
✔✔A patient with a traumatic brain injury (TBI) is MOST likely to suffer from what
condition? - ✔✔Answer is NOT myxedema coma
Answer is NOT Cerebral palsy
✔✔A patient with a history of chronic alcohol use is brought in with possible esophageal
varices. What medication is used to stop upper gastrointestinal (GI) bleeding in patients
with this condition? - ✔✔Octreotide (Sandostatin®)
✔✔A patient is brought in for a potential overdose of heroin. What is the PRIORITY
nursing intervention? - ✔✔Maintaining airway and breathing
✔✔Your patient has just had a paracentesis during which 5 liters of fluid were removed.
Which assessment is the PRIORITY? - ✔✔Blood pressure
✔✔During cardiogenic shock what temporary intervention might be ordered to improve
perfusion until definitive treatment is provided? - ✔✔Inotropic infusion
✔✔What laboratory value would you monitor closely if your patient is vomiting coffee-
ground emesis? - ✔✔Hemoglobin
✔✔A patient has sustained multiple traumatic injuries after a fall from a height. What is
considered an important component of the primary survey assessment? -
✔✔Neurological assessment
✔✔A patient presents after falling from a height and fracturing their right tibia and fibula.
What symptom would be reported to the provider IMMEDIATELY? - ✔✔Paresthesia of
the foot
, ✔✔A 22-year old female who is 8 weeks pregnant presents with a sudden onset of left
lower abdominal pain and vaginal bleeding. The patient's family member stated that she
had a syncopal episode shortly after that. What is the MOST likely diagnosis for her? -
✔✔Answer is NOT Abruptio placenta
✔✔You exit your patient's room and as you walk away you hear a thud. Upon
inspection, you find your patient on the floor. What would you do FIRST? - ✔✔Assess
the patient for injury.
✔✔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? -
✔✔Tracheostomy
✔✔A patient presents with a 1-day history of pain in the right upper abdomen with
nausea and vomiting. The provider suspects that the patient has cholecystitis. What lab
value supports the diagnosis? - ✔✔Elevated bilirubin
✔✔You are assisting a novice nurse with a blood draw. You observe the nurse draw the
blood, place the specimen tubes in a biohazard bag, and leave the room with the
unlabeled specimen tubes. What would you do NEXT? - ✔✔Re-educate the nurse, then
redraw the labs, use patient identifiers and label at the bedside.
✔✔A patient presents with a two-day history of fever, cough, mild shortness of breath
(SOB), sore throat, myalgia, and new onset of loss of taste and smell. What is the
patient MOST likely suffering from? - ✔✔COVID 19
✔✔A patient is brought in with a history of a head-on motor vehicle accident. The
patient was not wearing a seat belt and was traveling at 120 mph with the deployment
of an airbag. They complain of severe lower abdominal and hip pain. A secondary
trauma survey reveals an unstable hip on lateral compression. What would be a
PRIORITY intervention in managing this patient? - ✔✔Application of pelvic blinder
✔✔A patient presents with possible organophosphate toxicity. What would you expect
to find upon assessment? - ✔✔Diaphoresis
✔✔What symptom is commonly seen in patients with alcohol withdrawal? -
✔✔Tachycardia
✔✔A patient presents after sustaining a roll-over motor vehicle accident. They are
complaining of pain around the mid-upper back. On your initial triage assessment, you
find that patient has preserved motor function below L5 but is suffering from a loss of
