Prophecy Relias Emergency Department (ED) RN A Exam (NEW 2023/ 2024) 150+ Questions and Verified Answers| Grade A
QUESTION 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 Answer: Activate your deptartment's code stroke protocol QUESTION 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 Answer: Petrolatum gauze QUESTION What type of medication is used in the emergency care setting to help manage the symptoms of alcohol withdrawal? Benzodiazepines Valproic acid Electrolytes ThiamineAnswer: Benzos QUESTION 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. Answer: Have an ED provider preform a MSE QUESTION 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 Answer: Application of a pelvic binder QUESTION 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.Answer: Assess the pt for injury QUESTION A patient is brought in for a potential overdose of heroin. What is the PRIORITY nursing intervention? Administering normal saline fluids Maintaining airway and breathing Starting an IV line Administering naloxone Answer: Maintaining airway and breathing. QUESTION You see a fellow nurse placing an opioid medication in their pocket rather than administering it as ordered. What would you do NEXT? Don't say anything. Tell another coworker. Confront your coworker. Tell your immediate supervisor. Answer: Tell your immediate supervisor QUESTION A patient is being treated in a hyperbaric oxygen chamber for carbon monoxide poisoning. What measurement is the BEST indicator of treatment success? Pulse oximetry Vital signs Pulse pressure O Arterial blood gas Answer:ABG
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