Relias ED RN A Test questios and answers 2024 GRADED A+ | Exams Nursing | Docsity (2024)

Download Relias ED RN A Test questios and answers 2024 GRADED A+ and more Exams Nursing in PDF only on Docsity! Relias ED RN A Test questios and answers 2024 GRADED A+ 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? - correct answers 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? - correct answers Systematic reviews Upon triage of a patient, they state that they have suicidal ideation with intent. What would you do NEXT? - correct answers Institute suicide precautions. Which of the following wounds has the highest risk for developing osteomyelitis? - correct answers Puncture wound from stepping on a rusty nail What type of diet would a patient with diverticulitis follow? - correct answers 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? - correct answers CT scan of the brain What medication is used in reversing the effects of opioid overdose? - correct answers Naloxone (Narcan®) What are you MOST likely to see during your initial assessment of a patient with chronic obstructive pulmonary disease (COPD)? - correct answers Pursed lip breathing Under what circ*mstances can the hospital transfer an unstable patient to another facility and maintain compliance with the Emergency Medical Treatment and Active Labor Act (EMTALA)? - correct answers The necessary treatment is not available at the current hospital. Relias ED RN A Test questios and answers 2024 GRADED A+ The life-threatening and rare complication of hypothyroidism is known as: - correct answers 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? - correct answers 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? - correct answers 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)? - correct answers 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? - correct answers 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? - correct answers 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? - correct answers 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? - correct answers Cholecystitis Relias ED RN A Test questios and answers 2024 GRADED A+ A patient is brought in for a potential overdose of heroin. What is the PRIORITY nursing intervention? - correct answers Maintaining airway and breathing Your patient has just had a paracentesis during which 5 liters of fluid were removed. Which assessment is the PRIORITY? - correct answers Blood pressure During cardiogenic shock what temporary intervention might be ordered to improve perfusion until definitive treatment is provided? - correct answers Inotropic infusion What laboratory value would you monitor closely if your patient is vomiting coffee-ground emesis? - correct answers Hemoglobin A patient has sustained multiple traumatic injuries after a fall from a height. What is considered an important component of the primary survey assessment? - correct answers Neurological assessment A patient presents after falling from a height and fracturing their right tibia and fibula. What symptom would be reported to the provider IMMEDIATELY? - correct answers Paresthesia of the foot A 22-year old female who is 8 weeks pregnant presents with a sudden onset of left lower abdominal pain and vagin*l bleeding. The patient's family member stated that she had a syncopal episode shortly after that. What is the MOST likely diagnosis for her? - correct answers Answer is NOT Abruptio placenta You exit your patient's room and as you walk away you hear a thud. Upon inspection, you find your patient on the floor. What would you do FIRST? - correct answers Assess the patient for injury. 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? - correct answers Tracheostomy Relias ED RN A Test questios and answers 2024 GRADED A+ A patient presents with a 1-day history of pain in the right upper abdomen with nausea and vomiting. The provider suspects that the patient has cholecystitis. What lab value supports the diagnosis? - correct answers Elevated bilirubin You are assisting a novice nurse with a blood draw. You observe the nurse draw the blood, place the specimen tubes in a biohazard bag, and leave the room with the unlabeled specimen tubes. What would you do NEXT? - correct answers Re-educate the nurse, then redraw the labs, use patient identifiers and label at the bedside. 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? - correct answers COVID 19 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? - correct answers Application of pelvic blinder A patient presents with possible organophosphate toxicity. What would you expect to find upon assessment? - correct answers Diaphoresis What symptom is commonly seen in patients with alcohol withdrawal? - correct answers Tachycardia 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: - correct answers Answer is NOT Anterior cord syndrome Answer is NOT central cord syndrome 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? - correct answers Answer is NOT Turn them on their side Relias ED RN A Test questios and answers 2024 GRADED A+ Answer is NOT Administer propranolol A confused patient is trying to grasp at their IV with their right hand. Which is the LEAST restrictive measure to maintain patient safety? - correct answers Safety "mitt" for right hand only A patient's family has decided to withdraw life-sustaining treatment. When communicating with the family of the patient, what reassurance would you provide? - correct answers Efforts will be made to make the patient comfortable. 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? - correct answers You have the right to personal safety in the work environment. A patient who is 8 weeks pregnant presents to triage with vagin*l bleeding and lower abdominal pain. RhoGAM will be given for which situation? - correct answers Mother is Rh negative What is the critical goal time from arrival to the ED to CT brain scan based on the American Heart Association stroke recommendations? - correct answers 25 minutes The deficiency of anti-diuretic hormone (ADH) can lead to what endocrine disorders? - correct answers Answer is NOT Adrenal Insufficiency Answer is NOT Syndrome of inappropriate secretion of ADH (SIADH) 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? - correct answers Answer is NOT Increasing serum cortisol An adult patient who is 70 kg has a full-thickness burn over 30% of their body surface area. What is the anticipated fluid replacement for a patient in the first 8 hours is based on the Parkland formula? - correct answers 4200 mL