Relias ED RN A Exam
2025/2026 Real Assessment Q&A | 77 Items | Verified Expert Answers | A+ Study
Choice
EXAM OVERVIEW
The Relias ED RN A Exam delivers a realistic and fully verified 2025/2026 exam experience
designed to strengthen mastery and test readiness. Featuring 77 carefully structured
questions and professional-level accuracy, this resource enhances critical reasoning and
supports confident performance, making it an essential tool for students seeking reliable,
high-quality exam preparation that accurately reflects the complexities of real-world
emergency department scenarios.
EXAM FEATURES
• 77 exam-accurate questions aligned with standards to ensure comprehensive preparation for
the Relias ED RN A Exam.
• Coverage of 8 domains, including all relevant topics, to guarantee complete preparation for the
exam.
• Verified accuracy and high-yield content for efficient study and optimal learning outcomes.
• Realistic practice questions that simulate the actual exam experience to build confidence and
test-taking skills.
• Detailed explanations and answers to reinforce understanding and enhance confidence in
exam success.
CORE TESTING AREAS
→ Cardiovascular Emergencies (12 Questions)
→ Emergency Assessment & Triage (14 Questions)
→ Emergency Medications & Procedures (12 Questions)
→ Legal, Ethical & Safety Considerations (10 Questions)
→ Medical Emergencies (6 Questions)
→ Respiratory Emergencies (9 Questions)
→ Toxicology & Environmental Emergencies (7 Questions)
→ Trauma & Injury (7 Questions)
Page 1
,Emergency Assessment & Triage (14 Questions)
Question 1
During the primary survey of a trauma patient, which of the following findings would most
rapidly change the triage priority from ESI level 3 to level 1?
A. Presence of a systolic blood pressure of 100 mmHg
B. Patient reports moderate chest pain but is breathing spontaneously
C. Absent radial pulse with a palpable carotid pulse
D. Visible laceration measuring 3 cm on the forearm
Correct Answer
Absent radial pulse with a palpable carotid pulse
Rationale:
Loss of a peripheral pulse indicates impending vascular compromise, requiring immediate life‑saving intervention
and thus upgrades the patient to the highest triage priority (ESI level 1).
Question 2
In the context of emergency triage, which principle best describes the 'resource‑based'
component of the Emergency Severity Index (ESI) system?
A. Assigning acuity solely based on vital signs
B. Determining level by anticipated number of diagnostic or therapeutic resources needed
C. Prioritizing patients based on arrival time alone
D. Using patient age as the primary determinant of triage level
Correct Answer
Determining level by anticipated number of diagnostic or therapeutic resources needed
Rationale:
The ESI incorporates resource prediction; patients requiring multiple resources are assigned a lower acuity level
than those needing few or none, reflecting the resource‑based component of the system.
Page 2
,Question 3
A 6‑year‑old presents with a fever, vomiting, and a painful swollen knee after a fall. According
to the Pediatric Assessment Triangle (PAT), which domain would most likely indicate a need for
immediate resuscitation?
A. Appearance - inconsolable, lethargic
B. Work of Breathing - mild intercostal retractions
C. Circulation to Skin - warm, dry
D. Pain - localized to the knee
Correct Answer
Appearance - inconsolable, lethargic
Rationale:
The PAT evaluates appearance, work of breathing, and circulation. An altered appearance such as inconsolable or
lethargic behavior signals possible neurologic compromise and mandates immediate resuscitation.
Question 4
When applying the START (Simple Triage and Rapid Treatment) method in a mass casualty
incident, which vital sign cutoff defines a patient as 'Immediate' (red) for respiration?
A. Respiratory rate > 30 breaths per minute
B. Respiratory rate < 10 breaths per minute
C. Apnea > 30 seconds
D. Any respiratory distress regardless of rate
Correct Answer
Respiratory rate > 30 breaths per minute
Rationale:
In START, a respiratory rate greater than 30 breaths per minute categorizes the patient as Immediate (red) due to
potential airway or breathing compromise.
Page 3
, Question 5
During secondary assessment, which of the following assessment applications most effectively
identifies occult internal bleeding in a hemodynamically unstable patient?
A. Focused Assessment with Sonography for Trauma (FAST) exam
B. Complete blood count (CBC)
C. Chest X‑ray
D. Urinalysis
Correct Answer
Focused Assessment with Sonography for Trauma (FAST) exam
Rationale:
The FAST exam is a rapid bedside ultrasound that detects free fluid in the abdomen, pelvis, or pericardium, making
it the preferred tool for uncovering hidden internal hemorrhage in unstable patients.
Question 6
An adult patient arrives with a complaint of severe abdominal pain, a blood pressure of 85/50
mmHg, and a heart rate of 130 bpm. According to emergency evaluation principles, which of the
following actions should be performed first?
A. Obtain a detailed pain history
B. Initiate a rapid intravenous fluid bolus
C. Order a CT scan of the abdomen
D. Administer analgesics before any other intervention
Correct Answer
Initiate a rapid intravenous fluid bolus
Rationale:
The patient exhibits signs of shock (hypotension and tachycardia). The priority in emergency evaluation is to
restore perfusion, making a rapid IV fluid bolus the first intervention.
Page 4
2025/2026 Real Assessment Q&A | 77 Items | Verified Expert Answers | A+ Study
Choice
EXAM OVERVIEW
The Relias ED RN A Exam delivers a realistic and fully verified 2025/2026 exam experience
designed to strengthen mastery and test readiness. Featuring 77 carefully structured
questions and professional-level accuracy, this resource enhances critical reasoning and
supports confident performance, making it an essential tool for students seeking reliable,
high-quality exam preparation that accurately reflects the complexities of real-world
emergency department scenarios.
EXAM FEATURES
• 77 exam-accurate questions aligned with standards to ensure comprehensive preparation for
the Relias ED RN A Exam.
• Coverage of 8 domains, including all relevant topics, to guarantee complete preparation for the
exam.
• Verified accuracy and high-yield content for efficient study and optimal learning outcomes.
• Realistic practice questions that simulate the actual exam experience to build confidence and
test-taking skills.
• Detailed explanations and answers to reinforce understanding and enhance confidence in
exam success.
CORE TESTING AREAS
→ Cardiovascular Emergencies (12 Questions)
→ Emergency Assessment & Triage (14 Questions)
→ Emergency Medications & Procedures (12 Questions)
→ Legal, Ethical & Safety Considerations (10 Questions)
→ Medical Emergencies (6 Questions)
→ Respiratory Emergencies (9 Questions)
→ Toxicology & Environmental Emergencies (7 Questions)
→ Trauma & Injury (7 Questions)
Page 1
,Emergency Assessment & Triage (14 Questions)
Question 1
During the primary survey of a trauma patient, which of the following findings would most
rapidly change the triage priority from ESI level 3 to level 1?
A. Presence of a systolic blood pressure of 100 mmHg
B. Patient reports moderate chest pain but is breathing spontaneously
C. Absent radial pulse with a palpable carotid pulse
D. Visible laceration measuring 3 cm on the forearm
Correct Answer
Absent radial pulse with a palpable carotid pulse
Rationale:
Loss of a peripheral pulse indicates impending vascular compromise, requiring immediate life‑saving intervention
and thus upgrades the patient to the highest triage priority (ESI level 1).
Question 2
In the context of emergency triage, which principle best describes the 'resource‑based'
component of the Emergency Severity Index (ESI) system?
A. Assigning acuity solely based on vital signs
B. Determining level by anticipated number of diagnostic or therapeutic resources needed
C. Prioritizing patients based on arrival time alone
D. Using patient age as the primary determinant of triage level
Correct Answer
Determining level by anticipated number of diagnostic or therapeutic resources needed
Rationale:
The ESI incorporates resource prediction; patients requiring multiple resources are assigned a lower acuity level
than those needing few or none, reflecting the resource‑based component of the system.
Page 2
,Question 3
A 6‑year‑old presents with a fever, vomiting, and a painful swollen knee after a fall. According
to the Pediatric Assessment Triangle (PAT), which domain would most likely indicate a need for
immediate resuscitation?
A. Appearance - inconsolable, lethargic
B. Work of Breathing - mild intercostal retractions
C. Circulation to Skin - warm, dry
D. Pain - localized to the knee
Correct Answer
Appearance - inconsolable, lethargic
Rationale:
The PAT evaluates appearance, work of breathing, and circulation. An altered appearance such as inconsolable or
lethargic behavior signals possible neurologic compromise and mandates immediate resuscitation.
Question 4
When applying the START (Simple Triage and Rapid Treatment) method in a mass casualty
incident, which vital sign cutoff defines a patient as 'Immediate' (red) for respiration?
A. Respiratory rate > 30 breaths per minute
B. Respiratory rate < 10 breaths per minute
C. Apnea > 30 seconds
D. Any respiratory distress regardless of rate
Correct Answer
Respiratory rate > 30 breaths per minute
Rationale:
In START, a respiratory rate greater than 30 breaths per minute categorizes the patient as Immediate (red) due to
potential airway or breathing compromise.
Page 3
, Question 5
During secondary assessment, which of the following assessment applications most effectively
identifies occult internal bleeding in a hemodynamically unstable patient?
A. Focused Assessment with Sonography for Trauma (FAST) exam
B. Complete blood count (CBC)
C. Chest X‑ray
D. Urinalysis
Correct Answer
Focused Assessment with Sonography for Trauma (FAST) exam
Rationale:
The FAST exam is a rapid bedside ultrasound that detects free fluid in the abdomen, pelvis, or pericardium, making
it the preferred tool for uncovering hidden internal hemorrhage in unstable patients.
Question 6
An adult patient arrives with a complaint of severe abdominal pain, a blood pressure of 85/50
mmHg, and a heart rate of 130 bpm. According to emergency evaluation principles, which of the
following actions should be performed first?
A. Obtain a detailed pain history
B. Initiate a rapid intravenous fluid bolus
C. Order a CT scan of the abdomen
D. Administer analgesics before any other intervention
Correct Answer
Initiate a rapid intravenous fluid bolus
Rationale:
The patient exhibits signs of shock (hypotension and tachycardia). The priority in emergency evaluation is to
restore perfusion, making a rapid IV fluid bolus the first intervention.
Page 4
