RELIAS ED RN A 2026 TEST PAPER QUESTIONS AND
ANSWERS RATED A+
✔✔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?
Pericarditis
Cholecystitis
Diverticulitis
Pancreatitis - ✔✔Cholecystitis
✔✔A patient presents after falling from a height and fracturing their right tibia and fibula.
What symptom would be reported to the provider IMMEDIATELY?
Bounding pulse
Warm extremity
Paresthesia of the foot
Capillary refill pf toes <2 sec - ✔✔Paresthesia of the foot
✔✔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?
Don't confront the nurse, go redraw the labs and label at the bedside.
Do nothing because they can label them anywhere.
Report them to your supervisor.
Re-educate the nurse, then redraw thexabs, use patient identifiers and label at the
bedside. - ✔✔Re-educate
✔✔What is the critical goal time from arrival to the ED to CT brain scan based on the
American Heart Association stroke recommendations?
10 minutes
25 minutes
45 minutes
60 minutes - ✔✔25min
✔✔A patient presents with sudden onset of aphasia and left-sided weakness for the last
25 minutes. What action would be taken NEXT?
Triage them to the screening area
Complete a thorough triage evaluation, initiate the appropriate stroke resources
Register the patient prior to triage, and collect smoking and drug use history
Activate your department's code stroke protocol - ✔✔Activate your deptartment's code
stroke protocol
, ✔✔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?
Kelly clamp
Petrolatum gauze
Tube connector
Chest drainage system - ✔✔Petrolatum gauze
✔✔What type of medication is used in the emergency care setting to help manage the
symptoms of alcohol withdrawal?
Benzodiazepines
Valproic acid
Electrolytes
Thiamine - ✔✔Benzos
✔✔A patient presents to the lobby stating she thinks she is in active labor. Your facility
doesn't have a labor and delivery unit. What is the NEXT action you would take?
Tell the patient she needs to go to the nearest hospital with a labor and delivery unit.
Have an ED provider perform a medical screening exam to determine if she is in active
labor.
Call the nearest hospital with a labor and delivery unit to see if they will accept the
patient.
Get a wheelchair for the patient and inform her that there will be a 3 hour wait time. -
✔✔Have an ED provider preform a MSE
✔✔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
Initiation of massive transfusion protocol
Administration of IV fluids
Insertion of second IV line - ✔✔Application of a pelvic binder
✔✔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.
Call the familv.
Get assistance.
Notify the charge nurse. - ✔✔Assess the pt for injury
✔✔A patient is brought in for a potential overdose of heroin. What is the PRIORITY
nursing intervention?
Administering normal saline fluids
ANSWERS RATED A+
✔✔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?
Pericarditis
Cholecystitis
Diverticulitis
Pancreatitis - ✔✔Cholecystitis
✔✔A patient presents after falling from a height and fracturing their right tibia and fibula.
What symptom would be reported to the provider IMMEDIATELY?
Bounding pulse
Warm extremity
Paresthesia of the foot
Capillary refill pf toes <2 sec - ✔✔Paresthesia of the foot
✔✔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?
Don't confront the nurse, go redraw the labs and label at the bedside.
Do nothing because they can label them anywhere.
Report them to your supervisor.
Re-educate the nurse, then redraw thexabs, use patient identifiers and label at the
bedside. - ✔✔Re-educate
✔✔What is the critical goal time from arrival to the ED to CT brain scan based on the
American Heart Association stroke recommendations?
10 minutes
25 minutes
45 minutes
60 minutes - ✔✔25min
✔✔A patient presents with sudden onset of aphasia and left-sided weakness for the last
25 minutes. What action would be taken NEXT?
Triage them to the screening area
Complete a thorough triage evaluation, initiate the appropriate stroke resources
Register the patient prior to triage, and collect smoking and drug use history
Activate your department's code stroke protocol - ✔✔Activate your deptartment's code
stroke protocol
, ✔✔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?
Kelly clamp
Petrolatum gauze
Tube connector
Chest drainage system - ✔✔Petrolatum gauze
✔✔What type of medication is used in the emergency care setting to help manage the
symptoms of alcohol withdrawal?
Benzodiazepines
Valproic acid
Electrolytes
Thiamine - ✔✔Benzos
✔✔A patient presents to the lobby stating she thinks she is in active labor. Your facility
doesn't have a labor and delivery unit. What is the NEXT action you would take?
Tell the patient she needs to go to the nearest hospital with a labor and delivery unit.
Have an ED provider perform a medical screening exam to determine if she is in active
labor.
Call the nearest hospital with a labor and delivery unit to see if they will accept the
patient.
Get a wheelchair for the patient and inform her that there will be a 3 hour wait time. -
✔✔Have an ED provider preform a MSE
✔✔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
Initiation of massive transfusion protocol
Administration of IV fluids
Insertion of second IV line - ✔✔Application of a pelvic binder
✔✔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.
Call the familv.
Get assistance.
Notify the charge nurse. - ✔✔Assess the pt for injury
✔✔A patient is brought in for a potential overdose of heroin. What is the PRIORITY
nursing intervention?
Administering normal saline fluids
