RELIAS ED RN A 2026 STUDY GUIDE QUESTIONS AND
ANSWERS RATED A+
✔✔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|®) - ✔✔Flomax
✔✔The life-threatening and rare complication of hypothyroidism is known as:
Pheochromocytoma
Adrenal crisis
Thyroid storm
Myxedema coma - ✔✔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. - ✔✔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 - ✔✔Blood pressure
✔✔What symptom is commonly seen in patients with alcohol withdrawal?
Tachycardia
Hypotension
Bradycardia
Hypothermia - ✔✔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. - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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
Glaucoma - ✔✔Conjuntivitis
ANSWERS RATED A+
✔✔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|®) - ✔✔Flomax
✔✔The life-threatening and rare complication of hypothyroidism is known as:
Pheochromocytoma
Adrenal crisis
Thyroid storm
Myxedema coma - ✔✔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. - ✔✔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 - ✔✔Blood pressure
✔✔What symptom is commonly seen in patients with alcohol withdrawal?
Tachycardia
Hypotension
Bradycardia
Hypothermia - ✔✔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. - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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
Glaucoma - ✔✔Conjuntivitis
