1|Page
RELIAS ED RN A EXAM VERSION 1 NEWEST 2025/2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED||
A patient with a history of advanced-stage leukemia presents with
a history of increasing shortness of breath in the last 4 days. The
patient is anemic and has multiple bruises on their extremities.
What is the MOST likely cause of bruising?
Anemia
Thrombocytopenia
Lymphadenopathy
Septicemia - ANSWER-Thrombocytopenia
What are you MOST likely to see during your initial assessment of
a patient with chronic obstructive pulmonary disease (COPD)?
Pursed lip breathing
Absent breath sounds on one side
Fever
Blood tinged sputum - ANSWER-Pursed lip breathing
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A patient presents with a 5-day history of runny nose, headache,
and productive cough. The patient is unable to speak full
sentences, reports having a history of moderate to severe COPD,
and has a Sp02
reading of 89%. What intervention do you anticipate implementing
FIRST for this patient?
•
Provide oxygen
Obtain venous blood gas (VBG)
Obtain vital signs
Obtain ECG - ANSWER-Provide Oxygen
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.
Do nothing as the form has already been signed.
,3|Page
Call the ethics committee.
Report the provider to the Medical Board. - ANSWER-Report the
provider to their supervisor
Under what circumstances can the hospital transfer an unstable
patient to another facility and maintain
compliance with the Emergency Medical Treatment and Active
Labor Act (EMTALA)?
The patient has no health insurance coverage.
The receiving facility is conducting research on specific disease
condition.
The necessary treatment is not available at the current hospital.
The family members are requesting to transfer the patient near to
them. - ANSWER-The necessary treatment is not available at the
current hospital.
A 35-year-old patient complains of night sweats, low-grade fever,
weight loss, and a productive cough
with pink-tinged sputum for 3-4 weeks. They have been staying at
a local shelter since they lost their job
, 4|Page
6 months ago. What diagnosis is most likely?
Tuberculosis
Influenza
COVID 19
Liver cancer - ANSWER-TB
Which of the following wounds has the highest risk for developing
osteomyelitis?
Closed fracture of tibia resulting from trauma
Contusion and bruising to the head from a fall
Puncture wound from stepping on a rusty nail
Laceration of the face from breaking glass - ANSWER-Puncture
wound from stepping on a nail
A patient is being treated with an anticoagulant for pulmonary
embolism (PE). What patient assessment
finding indicates that a heparin infusion would be stopped
IMMEDIATELY?
©
RELIAS ED RN A EXAM VERSION 1 NEWEST 2025/2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED||
A patient with a history of advanced-stage leukemia presents with
a history of increasing shortness of breath in the last 4 days. The
patient is anemic and has multiple bruises on their extremities.
What is the MOST likely cause of bruising?
Anemia
Thrombocytopenia
Lymphadenopathy
Septicemia - ANSWER-Thrombocytopenia
What are you MOST likely to see during your initial assessment of
a patient with chronic obstructive pulmonary disease (COPD)?
Pursed lip breathing
Absent breath sounds on one side
Fever
Blood tinged sputum - ANSWER-Pursed lip breathing
,2|Page
A patient presents with a 5-day history of runny nose, headache,
and productive cough. The patient is unable to speak full
sentences, reports having a history of moderate to severe COPD,
and has a Sp02
reading of 89%. What intervention do you anticipate implementing
FIRST for this patient?
•
Provide oxygen
Obtain venous blood gas (VBG)
Obtain vital signs
Obtain ECG - ANSWER-Provide Oxygen
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.
Do nothing as the form has already been signed.
,3|Page
Call the ethics committee.
Report the provider to the Medical Board. - ANSWER-Report the
provider to their supervisor
Under what circumstances can the hospital transfer an unstable
patient to another facility and maintain
compliance with the Emergency Medical Treatment and Active
Labor Act (EMTALA)?
The patient has no health insurance coverage.
The receiving facility is conducting research on specific disease
condition.
The necessary treatment is not available at the current hospital.
The family members are requesting to transfer the patient near to
them. - ANSWER-The necessary treatment is not available at the
current hospital.
A 35-year-old patient complains of night sweats, low-grade fever,
weight loss, and a productive cough
with pink-tinged sputum for 3-4 weeks. They have been staying at
a local shelter since they lost their job
, 4|Page
6 months ago. What diagnosis is most likely?
Tuberculosis
Influenza
COVID 19
Liver cancer - ANSWER-TB
Which of the following wounds has the highest risk for developing
osteomyelitis?
Closed fracture of tibia resulting from trauma
Contusion and bruising to the head from a fall
Puncture wound from stepping on a rusty nail
Laceration of the face from breaking glass - ANSWER-Puncture
wound from stepping on a nail
A patient is being treated with an anticoagulant for pulmonary
embolism (PE). What patient assessment
finding indicates that a heparin infusion would be stopped
IMMEDIATELY?
©
