Relias Emergency Department Test (Answered) 2025
100%
A patient presents to the lobby stating she thinks she is in active labor. Your facility
doesn't have a labor and delivery unit. What is the next action you would take? -
ANSWERS-have an ED provider perform a medical screening exam to determine if she
is in active labor.
A patient who is suspected of having hyperkalemia is most likely to have what ECG
changes? - ANSWERS-Tall, peaked T waves
A patient with a history of chronic alcohol use is brought in with possible esophageal
varices. What medication is used to stop under gastrointestinal (GI) bleeding is patients
with this condition? - ANSWERS-Octreotide (Sandostatin)
What type of medication is used in the emergency care setting to help manage the
symptoms of alcohol withdrawal? - ANSWERS-Benzodiazepines
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? - ANSWERS-Prolonged QT interval
A patient with a traumatic brain injury (TBI) is most likely to suffer from what condition? -
ANSWERS-Diabetes Insipidus
A confused patient is trying to grasp at their IV with their right hand. Which is the LEAST
restrictive measure to maintain patient safety? - ANSWERS-Safety "mitt" for right hand
only
A patient is brought in for a potential overdose of heroin. What is the PRIORITY nursing
intervention? - ANSWERS-maintaining airway and breathing
What symptom is commonly seen in patients with alcohol withdrawal? - ANSWERS-
Tachycardia
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? - ANSWERS-administer oxygen
What is the critical goal time from arrival to the ED to CT brain scan based on the
American Heart Association stroke recommendations? - ANSWERS-25 minutes
A patient is complaining of a burning sensation in both eyes with pain, redness, swelling
and purulent discharge. The visual assessment using the Snellen chart reveals no
, changes in vision. You anticipate that the patient has signs and symptoms of: -
ANSWERS-Conjunctivitis
You are caring for a patient who has a history of alcohol use and seizures. You
suddenly notice the patient becoming diaphoretic, anxious, tachycardic and has clammy
skin. What would you do NEXT? - ANSWERS-Check their blood glucose
A patient presents with an acute onset of chest pain and goes into cardiac arrest
immediately upon arrival. What is a possible reversible cause of cardiac arrest? -
ANSWERS-Tension Pneumothorax
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? - ANSWERS-increasing serum glucose
A patient with dementia has a family member with a 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? - ANSWERS-Report the provider to their
supervisor
A patient presents with a history of acute urinary retention. An indwelling catheter is
placed and the patient is sent for an ultrasound scan. The imaging confirms benign
prostatic hyperplasia as the cause of urinary retention. What medication do you
anticipate the provider to order? - ANSWERS-Tamsulosin (Flomax)
A patient who is 27 weeks pregnant presents with painless bright red vaginal bleeding.
What condition correlates with the presenting symptoms? - ANSWERS-Placenta previa
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? - ANSWERS-You have the right to personal safety in
the work environment.
A patient presents with a facial burn with significant facial swelling and acute respiratory
distress. Based on a 1-4 triage acuity scale with 1 being most critical, what is the
appropriate category based on the patient presentation? - ANSWERS-1
Upon triage of a patient, they state that they have suicidal ideation with intent. What
would you do next? - ANSWERS-Institute suicide precautions
You accidentally administered epinephrine 1:1000 intravenous push for a patient
suffering from a severe anaphylactic reaction. You recognize this as a near-miss event
and report this: - ANSWERS-internally, per policy through the defined incident reporting
system
100%
A patient presents to the lobby stating she thinks she is in active labor. Your facility
doesn't have a labor and delivery unit. What is the next action you would take? -
ANSWERS-have an ED provider perform a medical screening exam to determine if she
is in active labor.
A patient who is suspected of having hyperkalemia is most likely to have what ECG
changes? - ANSWERS-Tall, peaked T waves
A patient with a history of chronic alcohol use is brought in with possible esophageal
varices. What medication is used to stop under gastrointestinal (GI) bleeding is patients
with this condition? - ANSWERS-Octreotide (Sandostatin)
What type of medication is used in the emergency care setting to help manage the
symptoms of alcohol withdrawal? - ANSWERS-Benzodiazepines
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? - ANSWERS-Prolonged QT interval
A patient with a traumatic brain injury (TBI) is most likely to suffer from what condition? -
ANSWERS-Diabetes Insipidus
A confused patient is trying to grasp at their IV with their right hand. Which is the LEAST
restrictive measure to maintain patient safety? - ANSWERS-Safety "mitt" for right hand
only
A patient is brought in for a potential overdose of heroin. What is the PRIORITY nursing
intervention? - ANSWERS-maintaining airway and breathing
What symptom is commonly seen in patients with alcohol withdrawal? - ANSWERS-
Tachycardia
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? - ANSWERS-administer oxygen
What is the critical goal time from arrival to the ED to CT brain scan based on the
American Heart Association stroke recommendations? - ANSWERS-25 minutes
A patient is complaining of a burning sensation in both eyes with pain, redness, swelling
and purulent discharge. The visual assessment using the Snellen chart reveals no
, changes in vision. You anticipate that the patient has signs and symptoms of: -
ANSWERS-Conjunctivitis
You are caring for a patient who has a history of alcohol use and seizures. You
suddenly notice the patient becoming diaphoretic, anxious, tachycardic and has clammy
skin. What would you do NEXT? - ANSWERS-Check their blood glucose
A patient presents with an acute onset of chest pain and goes into cardiac arrest
immediately upon arrival. What is a possible reversible cause of cardiac arrest? -
ANSWERS-Tension Pneumothorax
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? - ANSWERS-increasing serum glucose
A patient with dementia has a family member with a 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? - ANSWERS-Report the provider to their
supervisor
A patient presents with a history of acute urinary retention. An indwelling catheter is
placed and the patient is sent for an ultrasound scan. The imaging confirms benign
prostatic hyperplasia as the cause of urinary retention. What medication do you
anticipate the provider to order? - ANSWERS-Tamsulosin (Flomax)
A patient who is 27 weeks pregnant presents with painless bright red vaginal bleeding.
What condition correlates with the presenting symptoms? - ANSWERS-Placenta previa
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? - ANSWERS-You have the right to personal safety in
the work environment.
A patient presents with a facial burn with significant facial swelling and acute respiratory
distress. Based on a 1-4 triage acuity scale with 1 being most critical, what is the
appropriate category based on the patient presentation? - ANSWERS-1
Upon triage of a patient, they state that they have suicidal ideation with intent. What
would you do next? - ANSWERS-Institute suicide precautions
You accidentally administered epinephrine 1:1000 intravenous push for a patient
suffering from a severe anaphylactic reaction. You recognize this as a near-miss event
and report this: - ANSWERS-internally, per policy through the defined incident reporting
system
