Relias ED RN A Test
A 22-year old female who is 8 weeks pregnant presents with a sudden onset of left lower
abdominal pain and vaginal bleeding. The patient's family member stated that she had a
syncopal episode shortly after that. What is the MOST likely diagnosis for her? -
ANS-Answer is NOT Abruptio placenta
\A confused patient is trying to grasp at their IV with their right hand. Which is the LEAST
restrictive measure to maintain patient safety? - ANS-Safety "mitt" for right hand only
\A new nurse observes their preceptor giving the incorrect dosage of a medication to a
patient. Implementing the ethical principle veracity, what action would the new nurse take? -
ANS-Inform the charge nurse about what happened and document it.
\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? - ANS-Administer oxygen
Answer is NOT Obtain electrocardiogram
\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.
\A patient has sustained multiple traumatic injuries after a fall from a height. What is
considered an important component of the primary survey assessment? - ANS-Neurological
assessment
\A patient is being treated in a hyperbaric oxygen chamber for carbon monoxide poisoning.
What measurement is the BEST indicator of treatment success? - ANS-Arterial blood gas
\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? -
ANS-Decreased level of consciousness
\A patient is brought in after being struck by lightning during a heavy thunderstorm. What
would be the PRIORITY intervention for this patient upon arrival? - ANS-Monitoring cardiac
rhythm
\A patient is brought in for a potential overdose of heroin. What is the PRIORITY nursing
intervention? - ANS-Maintaining airway and breathing
\A patient is brought in with a history of a head-on motor vehicle accident. The patient was
not wearing a seat belt and was traveling at 120 mph with the deployment of an airbag. They
complain of severe lower abdominal and hip pain. A secondary trauma survey reveals an
unstable hip on lateral compression. What would be a PRIORITY intervention in managing
this patient? - ANS-Application of pelvic blinder
\A patient is brought in with possible foreign body obstruction and respiratory distress. The
provider suctions the patient and unsuccessfully tries to insert an endotracheal tube (ETT).
What type of procedure would you anticipate NEXT? - ANS-Tracheostomy
\A patient is frustrated at the length of time they have been waiting to be triaged. They start
to yell obscenities and threaten you with physical violence. Why would this incident be
reported to your supervisor? - ANS-You have the right to personal safety in the work
environment.
\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
A 22-year old female who is 8 weeks pregnant presents with a sudden onset of left lower
abdominal pain and vaginal bleeding. The patient's family member stated that she had a
syncopal episode shortly after that. What is the MOST likely diagnosis for her? -
ANS-Answer is NOT Abruptio placenta
\A confused patient is trying to grasp at their IV with their right hand. Which is the LEAST
restrictive measure to maintain patient safety? - ANS-Safety "mitt" for right hand only
\A new nurse observes their preceptor giving the incorrect dosage of a medication to a
patient. Implementing the ethical principle veracity, what action would the new nurse take? -
ANS-Inform the charge nurse about what happened and document it.
\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? - ANS-Administer oxygen
Answer is NOT Obtain electrocardiogram
\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.
\A patient has sustained multiple traumatic injuries after a fall from a height. What is
considered an important component of the primary survey assessment? - ANS-Neurological
assessment
\A patient is being treated in a hyperbaric oxygen chamber for carbon monoxide poisoning.
What measurement is the BEST indicator of treatment success? - ANS-Arterial blood gas
\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? -
ANS-Decreased level of consciousness
\A patient is brought in after being struck by lightning during a heavy thunderstorm. What
would be the PRIORITY intervention for this patient upon arrival? - ANS-Monitoring cardiac
rhythm
\A patient is brought in for a potential overdose of heroin. What is the PRIORITY nursing
intervention? - ANS-Maintaining airway and breathing
\A patient is brought in with a history of a head-on motor vehicle accident. The patient was
not wearing a seat belt and was traveling at 120 mph with the deployment of an airbag. They
complain of severe lower abdominal and hip pain. A secondary trauma survey reveals an
unstable hip on lateral compression. What would be a PRIORITY intervention in managing
this patient? - ANS-Application of pelvic blinder
\A patient is brought in with possible foreign body obstruction and respiratory distress. The
provider suctions the patient and unsuccessfully tries to insert an endotracheal tube (ETT).
What type of procedure would you anticipate NEXT? - ANS-Tracheostomy
\A patient is frustrated at the length of time they have been waiting to be triaged. They start
to yell obscenities and threaten you with physical violence. Why would this incident be
reported to your supervisor? - ANS-You have the right to personal safety in the work
environment.
\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
