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Exam (elaborations)

Relias Emergency Department (ED) A – High-Yield Practice Test for Medical Students, 2026 Edition

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This high-yield practice test is designed to assess core emergency department concepts from the Relias ED A curriculum, focusing on clinical decision-making, patient assessment, and common emergency presentations. It helps medical students reinforce key topics, identify knowledge gaps, and prepare effectively for exams and clinical rotations. Updated for 2026, the content reflects current emergency medicine standards.

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RELIAS EMERGENCY DEPARTMENT
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Institution
RELIAS EMERGENCY DEPARTMENT
Course
RELIAS EMERGENCY DEPARTMENT

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Uploaded on
December 30, 2025
Number of pages
10
Written in
2025/2026
Type
Exam (elaborations)
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RELIAS EMERGENCY DEPARTMENT (ED) A – HIGH-YIELD
PRACTICE TEST FOR MEDICAL STUDENTS (2026 EDITION)
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? - CORRECT ANSWER-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? -
CORRECT ANSWER-Systematic reviews



Upon triage of a patient, they state that they have suicidal ideation with intent. What would you
do NEẊT? - CORRECT ANSWER-Institute suicide precautions.



Which of the following wounds has the highest risk for developing osteomyelitis? - CORRECT
ANSWER-Puncture wound from stepping on a rusty nail



What type of diet would a patient with diverticulitis follow? - CORRECT ANSWER-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? - CORRECT
ANSWER-CT scan of the brain



What medication is used in reversing the effects of opioid overdose? - CORRECT ANSWER-
Naloẋone (Narcan®)



What are you MOST likely to see during your initial assessment of a patient with chronic
obstructive pulmonary disease (COPD)? - CORRECT ANSWER-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)? -
CORRECT ANSWER-The necessary treatment is not available at the current hospital.



The life-threatening and rare complication of hypothyroidism is known as: - CORRECT ANSWER-
Myẋedema 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? - CORRECT ANSWER-Tension
Pneumothoraẋ



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? - CORRECT ANSWER-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)? - CORRECT ANSWER-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 NEẊT? - CORRECT ANSWER-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? -
CORRECT ANSWER-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? - CORRECT ANSWER-Provide oẋygen
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