RELIAS ED RN A TEST 2025/2026
UPDATED WITH 100% CORRECT
AND VERIFIED 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 x 4 gauzes, tape, scissors, and antiseptic swabs. What else do you need? -
ANS-Petrolatum gauze
You want to implement the new evidence-based practice guidelines in managing patients to prevent
falls on your unit. What provides the STRONGEST evidence for interventions? - ANS-Systematic reviews
Upon triage of a patient, they state that they have suicidal ideation with intent. What would you do
NEXT? - ANS-Institute suicide precautions.
Which of the following wounds has the highest risk for developing osteomyelitis? - ANS-Puncture wound
from stepping on a rusty nail
What type of diet would a patient with diverticulitis follow? - ANS-High fiber diet
Answer is NOT high residual diet
An elderly patient is brought in with new onset of 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 presenting
complaints, what diagnostic test do you anticipate the provider to order? - ANS-CT scan of the brain
What medication is used in reversing the effects of opioid overdose? - ANS-Naloxone (Narcan®)
What are you MOST likely to see during your initial assessment of a patient with chronic obstructive
pulmonary disease (COPD)? - ANS-Pursed lip breathing
, 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)? - ANS-The
necessary treatment is not available at the current hospital.
The life-threatening and rare complication of hypothyroidism is known as: - ANS-Myxedema coma
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? - ANS-Tension Pneumothorax
A patient presents with an episode of hypertensive crisis, a blood pressure of 220/118, and the provider
has put in the order for nitroprusside. What demonstrates that the treatment has been effective? - ANS-
Systolic blood pressure reaches 160 mm Hg
A patient arrives with suspected appendicitis. What action, if observed, would require additional training
for the unlicensed assistive personnel (UAP)? - ANS-The UAP offers the patient a ginger ale.
You see a fellow nurse placing an opioid medication in their pocket rather than administering it as
ordered. What would you do NEXT? - ANS-Tell your immediate supervisor.
You are administering haloperidol (Haldol®) to a patient with acute symptoms of Schizophrenia. What
changes in the electrocardiogram (ECG) are possible as a result of this medication? - ANS-Prolonged QT
interval
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 SpO2
reading of 89%. What intervention do you anticipate implementing FIRST for this patient? - ANS-Provide
oxygen
A patient who is 24 weeks pregnant presents with fever and right upper quadrant pain. The patient
states that the pain is radiating to the right shoulder blade, and started an hour after having a pizza for
lunch. She is tachycardic, tachypneic, and diaphoretic on the initial triage assessment. What is the MOST
likely diagnosis for this patient? - ANS-Cholecystitis
UPDATED WITH 100% CORRECT
AND VERIFIED 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 x 4 gauzes, tape, scissors, and antiseptic swabs. What else do you need? -
ANS-Petrolatum gauze
You want to implement the new evidence-based practice guidelines in managing patients to prevent
falls on your unit. What provides the STRONGEST evidence for interventions? - ANS-Systematic reviews
Upon triage of a patient, they state that they have suicidal ideation with intent. What would you do
NEXT? - ANS-Institute suicide precautions.
Which of the following wounds has the highest risk for developing osteomyelitis? - ANS-Puncture wound
from stepping on a rusty nail
What type of diet would a patient with diverticulitis follow? - ANS-High fiber diet
Answer is NOT high residual diet
An elderly patient is brought in with new onset of 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 presenting
complaints, what diagnostic test do you anticipate the provider to order? - ANS-CT scan of the brain
What medication is used in reversing the effects of opioid overdose? - ANS-Naloxone (Narcan®)
What are you MOST likely to see during your initial assessment of a patient with chronic obstructive
pulmonary disease (COPD)? - ANS-Pursed lip breathing
, 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)? - ANS-The
necessary treatment is not available at the current hospital.
The life-threatening and rare complication of hypothyroidism is known as: - ANS-Myxedema coma
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? - ANS-Tension Pneumothorax
A patient presents with an episode of hypertensive crisis, a blood pressure of 220/118, and the provider
has put in the order for nitroprusside. What demonstrates that the treatment has been effective? - ANS-
Systolic blood pressure reaches 160 mm Hg
A patient arrives with suspected appendicitis. What action, if observed, would require additional training
for the unlicensed assistive personnel (UAP)? - ANS-The UAP offers the patient a ginger ale.
You see a fellow nurse placing an opioid medication in their pocket rather than administering it as
ordered. What would you do NEXT? - ANS-Tell your immediate supervisor.
You are administering haloperidol (Haldol®) to a patient with acute symptoms of Schizophrenia. What
changes in the electrocardiogram (ECG) are possible as a result of this medication? - ANS-Prolonged QT
interval
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 SpO2
reading of 89%. What intervention do you anticipate implementing FIRST for this patient? - ANS-Provide
oxygen
A patient who is 24 weeks pregnant presents with fever and right upper quadrant pain. The patient
states that the pain is radiating to the right shoulder blade, and started an hour after having a pizza for
lunch. She is tachycardic, tachypneic, and diaphoretic on the initial triage assessment. What is the MOST
likely diagnosis for this patient? - ANS-Cholecystitis