Relias ED RN A Test Questions & Answers
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 What are you MOST likely to see during your
x 4 gauzes, tape, scissors, and antiseptic swabs. initial assessment of a patient with chronic
What else do you need? - ANSWER - obstructive pulmonary disease (COPD)? -
Petrolatum gauze ANSWER -Pursed lip breathing
You want to implement the new evidence-based Under what circumstances can the hospital
practice guidelines in managing patients to transfer an unstable patient to another facility and
prevent falls on your unit. What provides the maintain compliance with the Emergency Medical
STRONGEST evidence for interventions? - Treatment and Active Labor Act (EMTALA)? -
ANSWER -Systematic reviews ANSWER -The necessary treatment is not
available at the current hospital.
Upon triage of a patient, they state that they
have suicidal ideation with intent. What would The life-threatening and rare complication of
you do NEXT? - ANSWER -Institute suicide hypothyroidism is known as: - ANSWER -
precautions. Myxedema coma
Which of the following wounds has the highest A patient presents with acute onset of chest pain
risk for developing osteomyelitis? - and goes into cardiac arrest immediately upon
ANSWER -Puncture wound from stepping arrival. What is a possible reversible cause of
on a rusty nail cardiac arrest? - ANSWER -Tension
Pneumothorax
What type of diet would a patient with
diverticulitis follow? - ANSWER -High fiber A patient presents with an episode of
diet hypertensive crisis, a blood pressure of 220/118,
Answer is NOT high residual diet and the provider has put in the order for
nitroprusside. What demonstrates that the
treatment has been effective? - ANSWER -
An elderly patient is brought in with new onset of Systolic blood pressure reaches 160 mm Hg
confusion and gradual onset of headache in the
last 48 hours. The patient states that they had a
fall 3 days ago. Based on the history and A patient arrives with suspected appendicitis.
presenting complaints, what diagnostic test do What action, if observed, would require additional
you anticipate the provider to order? - training for the unlicensed assistive personnel
ANSWER -CT scan of the brain (UAP)? - ANSWER -The UAP offers the
patient a ginger ale.
What medication is used in reversing the effects
of opioid overdose? - ANSWER -Naloxone You see a fellow nurse placing an opioid
(Narcan®) medication in their pocket rather than
1/6
, Relias ED RN A Test Questions & Answers
administering it as ordered. What would you do ANSWER -Decreased level of
NEXT? - ANSWER -Tell your immediate consciousness
supervisor.
A new nurse observes their preceptor giving the
You are administering haloperidol (Haldol®) to a incorrect dosage of a medication to a patient.
patient with acute symptoms of Schizophrenia. Implementing the ethical principle veracity, what
What changes in the electrocardiogram (ECG) action would the new nurse take? -
are possible as a result of this medication? - ANSWER -Inform the charge nurse about
ANSWER -Prolonged QT interval what happened and document it.
A patient presents with a 5-day history of runny What is the appropriate intervention for patients
nose, headache, and productive cough. The with Acute Respiratory Distress Syndrome
patient is unable to speak full sentences, reports (ARDS)? - ANSWER -Mechanical
having a history of moderate to severe COPD, ventilation
and has a SpO2 reading of 89%. What
intervention do you anticipate implementing
FIRST for this patient? - ANSWER -Provide What is a common assessment finding in a
oxygen patient with a tension pneumothorax? -
ANSWER -Distended neck veins
A patient who is 24 weeks pregnant presents
with fever and right upper quadrant pain. The What is the current recommended dose of
patient states that the pain is radiating to the intravenous or intraosseous epinephrine in adult
right shoulder blade, and started an hour after patients with cardiac arrest? - ANSWER -1
having a pizza for lunch. She is tachycardic, mg every 3-5 minutes
tachypneic, and diaphoretic on the initial triage
assessment. What is the MOST likely diagnosis
for this patient? - ANSWER -Cholecystitis What type of medication is used in the
emergency care setting to help manage the
symptoms of alcohol withdrawal? -
A patient arrives with acute onset of central chest ANSWER -Benzodiazepines
pain. The patient is tachycardic and tachypneic
and appears very anxious and restless. What
would be the MOST important initial intervention A patient who is 27 weeks pregnant presents with
for this patient? - ANSWER -Administer painless bright red vaginal bleeding. What
oxygen condition correlates with the presenting
Answer is NOT Obtain electrocardiogram symptoms? - ANSWER -Placenta Previa
A patient is being treated with an anticoagulant A patient who is 32 weeks pregnant presents with
for pulmonary embolism (PE). What patient a three-day history of headache and significant
assessment finding indicates that a heparin swelling of the lower extremities and face. The
infusion would be stopped IMMEDIATELY? - patient's vital signs are BP: 160/90, HR: 105/min,
2/6
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 What are you MOST likely to see during your
x 4 gauzes, tape, scissors, and antiseptic swabs. initial assessment of a patient with chronic
What else do you need? - ANSWER - obstructive pulmonary disease (COPD)? -
Petrolatum gauze ANSWER -Pursed lip breathing
You want to implement the new evidence-based Under what circumstances can the hospital
practice guidelines in managing patients to transfer an unstable patient to another facility and
prevent falls on your unit. What provides the maintain compliance with the Emergency Medical
STRONGEST evidence for interventions? - Treatment and Active Labor Act (EMTALA)? -
ANSWER -Systematic reviews ANSWER -The necessary treatment is not
available at the current hospital.
Upon triage of a patient, they state that they
have suicidal ideation with intent. What would The life-threatening and rare complication of
you do NEXT? - ANSWER -Institute suicide hypothyroidism is known as: - ANSWER -
precautions. Myxedema coma
Which of the following wounds has the highest A patient presents with acute onset of chest pain
risk for developing osteomyelitis? - and goes into cardiac arrest immediately upon
ANSWER -Puncture wound from stepping arrival. What is a possible reversible cause of
on a rusty nail cardiac arrest? - ANSWER -Tension
Pneumothorax
What type of diet would a patient with
diverticulitis follow? - ANSWER -High fiber A patient presents with an episode of
diet hypertensive crisis, a blood pressure of 220/118,
Answer is NOT high residual diet and the provider has put in the order for
nitroprusside. What demonstrates that the
treatment has been effective? - ANSWER -
An elderly patient is brought in with new onset of Systolic blood pressure reaches 160 mm Hg
confusion and gradual onset of headache in the
last 48 hours. The patient states that they had a
fall 3 days ago. Based on the history and A patient arrives with suspected appendicitis.
presenting complaints, what diagnostic test do What action, if observed, would require additional
you anticipate the provider to order? - training for the unlicensed assistive personnel
ANSWER -CT scan of the brain (UAP)? - ANSWER -The UAP offers the
patient a ginger ale.
What medication is used in reversing the effects
of opioid overdose? - ANSWER -Naloxone You see a fellow nurse placing an opioid
(Narcan®) medication in their pocket rather than
1/6
, Relias ED RN A Test Questions & Answers
administering it as ordered. What would you do ANSWER -Decreased level of
NEXT? - ANSWER -Tell your immediate consciousness
supervisor.
A new nurse observes their preceptor giving the
You are administering haloperidol (Haldol®) to a incorrect dosage of a medication to a patient.
patient with acute symptoms of Schizophrenia. Implementing the ethical principle veracity, what
What changes in the electrocardiogram (ECG) action would the new nurse take? -
are possible as a result of this medication? - ANSWER -Inform the charge nurse about
ANSWER -Prolonged QT interval what happened and document it.
A patient presents with a 5-day history of runny What is the appropriate intervention for patients
nose, headache, and productive cough. The with Acute Respiratory Distress Syndrome
patient is unable to speak full sentences, reports (ARDS)? - ANSWER -Mechanical
having a history of moderate to severe COPD, ventilation
and has a SpO2 reading of 89%. What
intervention do you anticipate implementing
FIRST for this patient? - ANSWER -Provide What is a common assessment finding in a
oxygen patient with a tension pneumothorax? -
ANSWER -Distended neck veins
A patient who is 24 weeks pregnant presents
with fever and right upper quadrant pain. The What is the current recommended dose of
patient states that the pain is radiating to the intravenous or intraosseous epinephrine in adult
right shoulder blade, and started an hour after patients with cardiac arrest? - ANSWER -1
having a pizza for lunch. She is tachycardic, mg every 3-5 minutes
tachypneic, and diaphoretic on the initial triage
assessment. What is the MOST likely diagnosis
for this patient? - ANSWER -Cholecystitis What type of medication is used in the
emergency care setting to help manage the
symptoms of alcohol withdrawal? -
A patient arrives with acute onset of central chest ANSWER -Benzodiazepines
pain. The patient is tachycardic and tachypneic
and appears very anxious and restless. What
would be the MOST important initial intervention A patient who is 27 weeks pregnant presents with
for this patient? - ANSWER -Administer painless bright red vaginal bleeding. What
oxygen condition correlates with the presenting
Answer is NOT Obtain electrocardiogram symptoms? - ANSWER -Placenta Previa
A patient is being treated with an anticoagulant A patient who is 32 weeks pregnant presents with
for pulmonary embolism (PE). What patient a three-day history of headache and significant
assessment finding indicates that a heparin swelling of the lower extremities and face. The
infusion would be stopped IMMEDIATELY? - patient's vital signs are BP: 160/90, HR: 105/min,
2/6
