RELIAS ED RN A COMPREHENSIVE EXAM UPDATED
QUESTIONS AND ANSWERS RATED A+
✔✔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
sensory function. The assessment findings are consistent with: - ✔✔Answer is NOT
Anterior cord syndrome
Answer is NOT central cord syndrome
✔✔You are caring for a patient who has a history of alcohol use and seizures. You
suddenly notice the patient becoming diaphoretic, anxious, tachycardic, and has
clammy skin. What would you do NEXT? - ✔✔Answer is NOT Turn them on their side
Answer is NOT Administer propranolol
✔✔A confused patient is trying to grasp at their IV with their right hand. Which is the
LEAST restrictive measure to maintain patient safety? - ✔✔Safety "mitt" for right hand
only
✔✔A patient's family has decided to withdraw life-sustaining treatment. When
communicating with the family of the patient, what reassurance would you provide? -
✔✔Efforts will be made to make the patient comfortable.
✔✔A patient is frustrated at the length of time they have been waiting to be triaged.
They start to yell obscenities and threaten you with physical violence. Why would this
incident be reported to your supervisor? - ✔✔You have the right to personal safety in
the work environment.
, ✔✔A patient who is 8 weeks pregnant presents to triage with vaginal bleeding and
lower abdominal pain. RhoGAM will be given for which situation? - ✔✔Mother is Rh
negative
✔✔What is the critical goal time from arrival to the ED to CT brain scan based on the
American Heart Association stroke recommendations? - ✔✔25 minutes
✔✔The deficiency of anti-diuretic hormone (ADH) can lead to what endocrine
disorders? - ✔✔Answer is NOT Adrenal Insufficiency
Answer is NOT Syndrome of inappropriate secretion of ADH (SIADH)
✔✔A patient presents after an intentional overdose of propranolol approximately 2
hours ago. The patient has severe hypotension and bradycardia. IV fluids and
vasopressors are initiated. What nursing assessment findings indicate the treatment has
been effective? - ✔✔Answer is NOT Increasing serum cortisol
✔✔An adult patient who is 70 kg has a full-thickness burn over 30% of their body
surface area. What is the anticipated fluid replacement for a patient in the first 8 hours is
based on the Parkland formula? - ✔✔4200 mL
✔✔A patient with dementia has a family member with MPOA, who is unable to be
reached. The provider needs a consent signed and allows the patient to sign. What is
the MOST appropriate action you would take? - ✔✔Report the provider to their
supervisor
✔✔A patient presents after an intentional overdose of propranolol approximately 2
hours ago. The patient has severe hypotension and bradycardia. IV fluids and
vasopressors are initiated. What nursing assessment findings indicate the treatment has
been effective? - ✔✔Increasing serum cortisol
Increasing serum glucose
Decreasing pulse pressure
Decreasing central venous pressure
✔✔A patient presents with a partial thickness burn to the anterior portion of the chest.
Based on the rule of nine estimations, what is the patient's estimated total body surface
area burned? - ✔✔18%
✔✔ 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? - ✔✔Petrolatum gauze
QUESTIONS AND ANSWERS RATED A+
✔✔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
sensory function. The assessment findings are consistent with: - ✔✔Answer is NOT
Anterior cord syndrome
Answer is NOT central cord syndrome
✔✔You are caring for a patient who has a history of alcohol use and seizures. You
suddenly notice the patient becoming diaphoretic, anxious, tachycardic, and has
clammy skin. What would you do NEXT? - ✔✔Answer is NOT Turn them on their side
Answer is NOT Administer propranolol
✔✔A confused patient is trying to grasp at their IV with their right hand. Which is the
LEAST restrictive measure to maintain patient safety? - ✔✔Safety "mitt" for right hand
only
✔✔A patient's family has decided to withdraw life-sustaining treatment. When
communicating with the family of the patient, what reassurance would you provide? -
✔✔Efforts will be made to make the patient comfortable.
✔✔A patient is frustrated at the length of time they have been waiting to be triaged.
They start to yell obscenities and threaten you with physical violence. Why would this
incident be reported to your supervisor? - ✔✔You have the right to personal safety in
the work environment.
, ✔✔A patient who is 8 weeks pregnant presents to triage with vaginal bleeding and
lower abdominal pain. RhoGAM will be given for which situation? - ✔✔Mother is Rh
negative
✔✔What is the critical goal time from arrival to the ED to CT brain scan based on the
American Heart Association stroke recommendations? - ✔✔25 minutes
✔✔The deficiency of anti-diuretic hormone (ADH) can lead to what endocrine
disorders? - ✔✔Answer is NOT Adrenal Insufficiency
Answer is NOT Syndrome of inappropriate secretion of ADH (SIADH)
✔✔A patient presents after an intentional overdose of propranolol approximately 2
hours ago. The patient has severe hypotension and bradycardia. IV fluids and
vasopressors are initiated. What nursing assessment findings indicate the treatment has
been effective? - ✔✔Answer is NOT Increasing serum cortisol
✔✔An adult patient who is 70 kg has a full-thickness burn over 30% of their body
surface area. What is the anticipated fluid replacement for a patient in the first 8 hours is
based on the Parkland formula? - ✔✔4200 mL
✔✔A patient with dementia has a family member with MPOA, who is unable to be
reached. The provider needs a consent signed and allows the patient to sign. What is
the MOST appropriate action you would take? - ✔✔Report the provider to their
supervisor
✔✔A patient presents after an intentional overdose of propranolol approximately 2
hours ago. The patient has severe hypotension and bradycardia. IV fluids and
vasopressors are initiated. What nursing assessment findings indicate the treatment has
been effective? - ✔✔Increasing serum cortisol
Increasing serum glucose
Decreasing pulse pressure
Decreasing central venous pressure
✔✔A patient presents with a partial thickness burn to the anterior portion of the chest.
Based on the rule of nine estimations, what is the patient's estimated total body surface
area burned? - ✔✔18%
✔✔ 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? - ✔✔Petrolatum gauze
