Relias ED RN A Test
A 22-12 months vintage woman who's 8 weeks pregnant offers with a unexpected onset of left
lower abdominal pain and vaginal bleeding. The affected person's member of the family said
that she had a syncopal episode rapidly after that. What is the MOST probable diagnosis for
her? - ANS-Answer is NOT Abruptio placenta
A confused patient is attempting to comprehend at their IV with their proper hand. Which is the
LEAST restrictive degree to hold affected person protection? - ANS-Safety "mitt" for proper
hand best
A new nurse observes their preceptor giving the incorrect dosage of a medicine to a patient.
Implementing the ethical precept veracity, what movement could the new nurse take? -
ANS-Inform the charge nurse approximately what passed off and file it.
A affected person arrives with acute onset of vital chest ache. The affected person is
tachycardic and tachypneic and looks very aggravating and restless. What will be the MOST
essential preliminary intervention for this affected person? - ANS-Administer oxygen
Answer is NOT Obtain electrocardiogram
A patient arrives with suspected appendicitis. What action, if found, would require extra training
for the unlicensed assistive employees (UAP)? - ANS-The UAP gives the patient a ginger ale.
A affected person has sustained multiple traumatic injuries after a fall from a top. What is
considered an essential thing of the number one survey evaluation? - ANS-Neurological
assessment
A affected person is being dealt with in a hyperbaric oxygen chamber for carbon monoxide
poisoning. What measurement is the BEST indicator of treatment fulfillment? - ANS-Arterial
blood fuel
A affected person is being handled with an anticoagulant for pulmonary embolism (PE). What
affected person evaluation locating shows that a heparin infusion would be stopped
IMMEDIATELY? - ANS-Decreased degree of recognition
A affected person is brought in after being struck via lightning all through a heavy thunderstorm.
What would be the PRIORITY intervention for this patient upon arrival? - ANS-Monitoring
cardiac rhythm
A patient is added in for a ability overdose of heroin. What is the PRIORITY nursing
intervention? - ANS-Maintaining airway and respiration
, A affected person is added in with a records of a head-on motor vehicle accident. The patient
became not sporting a seat belt and changed into travelling at a hundred and twenty mph with
the deployment of an airbag. They whinge of severe lower abdominal and hip ache. A
secondary trauma survey famous an risky hip on lateral compression. What could be a
PRIORITY intervention in dealing with this affected person? - ANS-Application of pelvic blinder
A patient is introduced in with feasible overseas frame obstruction and breathing misery. The
company suctions the patient and unsuccessfully tries to insert an endotracheal tube (ETT).
What sort of manner might you count on NEXT? - ANS-Tracheostomy
A affected person is pissed off on the period of time they have been waiting to be triaged. They
begin to yell obscenities and threaten you with bodily violence. Why could this incident be
reported in your supervisor? - ANS-You have the right to non-public protection inside the work
environment.
A affected person affords after an intentional overdose of propranolol about 2 hours in the past.
The affected person has extreme hypotension and bradycardia. IV fluids and vasopressors are
initiated. What nursing assessment findings indicate the treatment has been effective? -
ANS-Answer is NOT Increasing serum cortisol
A affected person provides 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 evaluation findings imply the treatment has been powerful? -
ANS-Increasing serum cortisol
Increasing serum glucose
Decreasing pulse strain
Decreasing significant venous stress
A affected person affords after falling from a peak and fracturing their proper tibia and fibula.
What symptom would be pronounced to the provider IMMEDIATELY? - ANS-Paresthesia of the
foot
A patient presents after maintaining a roll-over motor car coincidence. They are complaining of
ache across the mid-top lower back. On your initial triage evaluation, you discover that affected
person has preserved motor characteristic beneath L5 but is stricken by a lack of sensory
characteristic. The assessment findings are regular with: - ANS-Answer is NOT Anterior cord
syndrome
Answer is NOT crucial wire syndrome
A affected person offers with a 1-day records of pain within the right higher stomach with
nausea and vomiting. The company suspects that the patient has cholecystitis. What lab price
helps the analysis? - ANS-Elevated bilirubin
A 22-12 months vintage woman who's 8 weeks pregnant offers with a unexpected onset of left
lower abdominal pain and vaginal bleeding. The affected person's member of the family said
that she had a syncopal episode rapidly after that. What is the MOST probable diagnosis for
her? - ANS-Answer is NOT Abruptio placenta
A confused patient is attempting to comprehend at their IV with their proper hand. Which is the
LEAST restrictive degree to hold affected person protection? - ANS-Safety "mitt" for proper
hand best
A new nurse observes their preceptor giving the incorrect dosage of a medicine to a patient.
Implementing the ethical precept veracity, what movement could the new nurse take? -
ANS-Inform the charge nurse approximately what passed off and file it.
A affected person arrives with acute onset of vital chest ache. The affected person is
tachycardic and tachypneic and looks very aggravating and restless. What will be the MOST
essential preliminary intervention for this affected person? - ANS-Administer oxygen
Answer is NOT Obtain electrocardiogram
A patient arrives with suspected appendicitis. What action, if found, would require extra training
for the unlicensed assistive employees (UAP)? - ANS-The UAP gives the patient a ginger ale.
A affected person has sustained multiple traumatic injuries after a fall from a top. What is
considered an essential thing of the number one survey evaluation? - ANS-Neurological
assessment
A affected person is being dealt with in a hyperbaric oxygen chamber for carbon monoxide
poisoning. What measurement is the BEST indicator of treatment fulfillment? - ANS-Arterial
blood fuel
A affected person is being handled with an anticoagulant for pulmonary embolism (PE). What
affected person evaluation locating shows that a heparin infusion would be stopped
IMMEDIATELY? - ANS-Decreased degree of recognition
A affected person is brought in after being struck via lightning all through a heavy thunderstorm.
What would be the PRIORITY intervention for this patient upon arrival? - ANS-Monitoring
cardiac rhythm
A patient is added in for a ability overdose of heroin. What is the PRIORITY nursing
intervention? - ANS-Maintaining airway and respiration
, A affected person is added in with a records of a head-on motor vehicle accident. The patient
became not sporting a seat belt and changed into travelling at a hundred and twenty mph with
the deployment of an airbag. They whinge of severe lower abdominal and hip ache. A
secondary trauma survey famous an risky hip on lateral compression. What could be a
PRIORITY intervention in dealing with this affected person? - ANS-Application of pelvic blinder
A patient is introduced in with feasible overseas frame obstruction and breathing misery. The
company suctions the patient and unsuccessfully tries to insert an endotracheal tube (ETT).
What sort of manner might you count on NEXT? - ANS-Tracheostomy
A affected person is pissed off on the period of time they have been waiting to be triaged. They
begin to yell obscenities and threaten you with bodily violence. Why could this incident be
reported in your supervisor? - ANS-You have the right to non-public protection inside the work
environment.
A affected person affords after an intentional overdose of propranolol about 2 hours in the past.
The affected person has extreme hypotension and bradycardia. IV fluids and vasopressors are
initiated. What nursing assessment findings indicate the treatment has been effective? -
ANS-Answer is NOT Increasing serum cortisol
A affected person provides 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 evaluation findings imply the treatment has been powerful? -
ANS-Increasing serum cortisol
Increasing serum glucose
Decreasing pulse strain
Decreasing significant venous stress
A affected person affords after falling from a peak and fracturing their proper tibia and fibula.
What symptom would be pronounced to the provider IMMEDIATELY? - ANS-Paresthesia of the
foot
A patient presents after maintaining a roll-over motor car coincidence. They are complaining of
ache across the mid-top lower back. On your initial triage evaluation, you discover that affected
person has preserved motor characteristic beneath L5 but is stricken by a lack of sensory
characteristic. The assessment findings are regular with: - ANS-Answer is NOT Anterior cord
syndrome
Answer is NOT crucial wire syndrome
A affected person offers with a 1-day records of pain within the right higher stomach with
nausea and vomiting. The company suspects that the patient has cholecystitis. What lab price
helps the analysis? - ANS-Elevated bilirubin
