RELIAS ED RN A PRACTICE STUDY GUIDE 2026
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
◉ A patient presents after sustaining a roll-over motor vehicle
accident. They are complaining of pain around the mid-upper back.
On your initial triage assessment, you find that patient has
preserved motor function below L5 but is suffering from a loss of
sensory function. The assessment findings are consistent with:
Posterior cord syndrome
Central cord syndrome
Anterior cord syndrome
Autonomic syndrome. Answer: Posterior cord syndrome
◉ A patient arrives with acute onset of central chest pain. The
patient is tachycardic and tachypneic and appears very anxious and
restless. What would be the MOST important initial intervention for
this patient?
Obtain electrocardiogram
Administer nitroglycerin
Administer oxygen
Obtain venous blood gas. Answer: IDK, but its not administer
nitroglycerin or obtain electrocardiogram!!
,◉ A patient who is 27 weeks pregnant presents with painless bright
red vaginal bleeding. What condition correlates with the presenting
symptoms?
Abruptio placenta
Placenta Previa
Ectopic pregnancy
Premature rupture of membranes (PROM). Answer: Placenta Previa
◉ What is a common assessment finding in a patient with a tension
pneumothorax?
Petechial chest rash
Distended neck veins
Equal chest wall expansion
Flattened neck veins. Answer: Distended Neck Veins
◉ A patient presents with a two-day history of fever, cough, mild
shortness of breath (SOB), sore throat, myalgia, and new onset of
loss of taste and smell. What is the patient MOST likely suffering
from?
Giardia
Microsporidia
COVID 19
, Tuberculosis. Answer: COVID 19
◉ The deficiency of anti-diuretic hormone (ADH) can lead to what
endocrine disorders?
Diabetes Insipidus
Diabetes Mellitus
Adrenal Insufficiency
Syndrome of inappropriate secretion of ADH (SIADH). Answer:
Diabetes Insipidus
◉ A patient presents 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
assessment findings indicate the treatment has been effective?
Decreasing pulse pressure
Decreasing central venous pressure
Increasing serum glucose
Increasing serum cortisol. Answer: Increasing serum glucose
◉ 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?
Hypervolemia
Alkalosis
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
◉ A patient presents after sustaining a roll-over motor vehicle
accident. They are complaining of pain around the mid-upper back.
On your initial triage assessment, you find that patient has
preserved motor function below L5 but is suffering from a loss of
sensory function. The assessment findings are consistent with:
Posterior cord syndrome
Central cord syndrome
Anterior cord syndrome
Autonomic syndrome. Answer: Posterior cord syndrome
◉ A patient arrives with acute onset of central chest pain. The
patient is tachycardic and tachypneic and appears very anxious and
restless. What would be the MOST important initial intervention for
this patient?
Obtain electrocardiogram
Administer nitroglycerin
Administer oxygen
Obtain venous blood gas. Answer: IDK, but its not administer
nitroglycerin or obtain electrocardiogram!!
,◉ A patient who is 27 weeks pregnant presents with painless bright
red vaginal bleeding. What condition correlates with the presenting
symptoms?
Abruptio placenta
Placenta Previa
Ectopic pregnancy
Premature rupture of membranes (PROM). Answer: Placenta Previa
◉ What is a common assessment finding in a patient with a tension
pneumothorax?
Petechial chest rash
Distended neck veins
Equal chest wall expansion
Flattened neck veins. Answer: Distended Neck Veins
◉ A patient presents with a two-day history of fever, cough, mild
shortness of breath (SOB), sore throat, myalgia, and new onset of
loss of taste and smell. What is the patient MOST likely suffering
from?
Giardia
Microsporidia
COVID 19
, Tuberculosis. Answer: COVID 19
◉ The deficiency of anti-diuretic hormone (ADH) can lead to what
endocrine disorders?
Diabetes Insipidus
Diabetes Mellitus
Adrenal Insufficiency
Syndrome of inappropriate secretion of ADH (SIADH). Answer:
Diabetes Insipidus
◉ A patient presents 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
assessment findings indicate the treatment has been effective?
Decreasing pulse pressure
Decreasing central venous pressure
Increasing serum glucose
Increasing serum cortisol. Answer: Increasing serum glucose
◉ 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?
Hypervolemia
Alkalosis
