RELIAS ED RN A QUESTIONS WITH
RATIONALES A GRADED 2024
What is the current recommended dose of intravenous or intraosseous epinephrine in
adult patients with cardiac arrest?
10 mg every 10 minutes
1 mg every 3-5 minutes
1 mg every 7 minutes
0.1 mg every 2 minutes - Correct Answer ✔✔ - 1 mg every 3-5 minutes
A patient with a traumatic brain injury (TBI) is MOST likely to suffer from what condition?
Diabetes mellitus
Cerebral palsy
Diabetes Insipidus
Myxedema coma - Correct Answer ✔✔ - Diabetes Insipidus
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:
Posterior cord syndrome
Central cord syndrome
Anterior cord syndrome
Autonomic syndrome - Correct Answer ✔✔ - Posterior cord syndrome
A patient arrives with acute onset of central chest pain. The patient is tachycardic and
tachypneic and appears very anxious and restless. What would be the MOST important
initial intervention for this patient?
Obtain electrocardiogram
Administer nitroglycerin
Administer oxygen
Obtain venous blood gas - Correct Answer ✔✔ - IDK, but its not administer
nitroglycerin or obtain electrocardiogram!!
A patient who is 27 weeks pregnant presents with painless bright red vaginal bleeding.
What condition correlates with the presenting symptoms?
Abruptio placenta
Placenta Previa
Ectopic pregnancy
Premature rupture of membranes (PROM) - Correct Answer ✔✔ - Placenta Previa
What is a common assessment finding in a patient with a tension pneumothorax?
, Petechial chest rash
Distended neck veins
Equal chest wall expansion
Flattened neck veins - Correct Answer ✔✔ - Distended Neck Veins
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?
Giardia
Microsporidia
COVID 19
Tuberculosis - Correct Answer ✔✔ - COVID 19
The deficiency of anti-diuretic hormone (ADH) can lead to what endocrine disorders?
Diabetes Insipidus
Diabetes Mellitus
Adrenal Insufficiency
Syndrome of inappropriate secretion of ADH (SIADH) - Correct Answer ✔✔ - Diabetes
Insipidus
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?
Decreasing pulse pressure
Decreasing central venous pressure
Increasing serum glucose
Increasing serum cortisol - Correct Answer ✔✔ - Increasing serum glucose
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?
Hypervolemia
Alkalosis
Hyperthermia
Tension Pneumothorax - Correct Answer ✔✔ - Tension Pneumothorax
Which of the following represent categories utilized to triage patients during a mass
casualty incident (MCI)?
Green, orange, black, purple
Green, blue, red, black
Red, black, pink, yellow
Green, yellow, red, black - Correct Answer ✔✔ - Green, yellow, red, black
A 22-year old female who is 8 weeks pregnant presents with a sudden onset of left
lower abdominal pain and vaginal bleeding. The patient's family member stated that she
had a syncopal episode shortly after that. What is the MOST likely diagnosis for her?
RATIONALES A GRADED 2024
What is the current recommended dose of intravenous or intraosseous epinephrine in
adult patients with cardiac arrest?
10 mg every 10 minutes
1 mg every 3-5 minutes
1 mg every 7 minutes
0.1 mg every 2 minutes - Correct Answer ✔✔ - 1 mg every 3-5 minutes
A patient with a traumatic brain injury (TBI) is MOST likely to suffer from what condition?
Diabetes mellitus
Cerebral palsy
Diabetes Insipidus
Myxedema coma - Correct Answer ✔✔ - Diabetes Insipidus
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:
Posterior cord syndrome
Central cord syndrome
Anterior cord syndrome
Autonomic syndrome - Correct Answer ✔✔ - Posterior cord syndrome
A patient arrives with acute onset of central chest pain. The patient is tachycardic and
tachypneic and appears very anxious and restless. What would be the MOST important
initial intervention for this patient?
Obtain electrocardiogram
Administer nitroglycerin
Administer oxygen
Obtain venous blood gas - Correct Answer ✔✔ - IDK, but its not administer
nitroglycerin or obtain electrocardiogram!!
A patient who is 27 weeks pregnant presents with painless bright red vaginal bleeding.
What condition correlates with the presenting symptoms?
Abruptio placenta
Placenta Previa
Ectopic pregnancy
Premature rupture of membranes (PROM) - Correct Answer ✔✔ - Placenta Previa
What is a common assessment finding in a patient with a tension pneumothorax?
, Petechial chest rash
Distended neck veins
Equal chest wall expansion
Flattened neck veins - Correct Answer ✔✔ - Distended Neck Veins
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?
Giardia
Microsporidia
COVID 19
Tuberculosis - Correct Answer ✔✔ - COVID 19
The deficiency of anti-diuretic hormone (ADH) can lead to what endocrine disorders?
Diabetes Insipidus
Diabetes Mellitus
Adrenal Insufficiency
Syndrome of inappropriate secretion of ADH (SIADH) - Correct Answer ✔✔ - Diabetes
Insipidus
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?
Decreasing pulse pressure
Decreasing central venous pressure
Increasing serum glucose
Increasing serum cortisol - Correct Answer ✔✔ - Increasing serum glucose
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?
Hypervolemia
Alkalosis
Hyperthermia
Tension Pneumothorax - Correct Answer ✔✔ - Tension Pneumothorax
Which of the following represent categories utilized to triage patients during a mass
casualty incident (MCI)?
Green, orange, black, purple
Green, blue, red, black
Red, black, pink, yellow
Green, yellow, red, black - Correct Answer ✔✔ - Green, yellow, red, black
A 22-year old female who is 8 weeks pregnant presents with a sudden onset of left
lower abdominal pain and vaginal bleeding. The patient's family member stated that she
had a syncopal episode shortly after that. What is the MOST likely diagnosis for her?
