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Relias Emergency Department Test 2024/2025 graded A+ by experts
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Relias Emergency Department Test 2024/2025 graded A+ by experts
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Relias Emergency Department TestA patient who is 32 weeks pregnant presents with a three-day history of headache and
significant swelling of the lower extremities and face. The patient's vital signs are BP: 160/90,
HR: 105/min, RR: 19/min, Spo2: 94% on RA, Temp: 97.3 F. What medication do you anticipate
the provider to order FIRST? - ANS*wrong* labetalol
Other choices:
tylenol
magnesium sulfate
furosemide
correct: mag sulfate
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*wrong* Insertion of second IV line
other choices:
initiation of massive transfusion protocol
application of pelvic binder
administration of IV fluids
correct: application of a pelvic binder
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*wrong* Placement of laryngeal
mask
other choices:
tracheostomy
bronchoscopy
chest tube insertion
correct: tracheostomy
Which of the following represent categories utilized to triage patients during a mass casualty
incident (MCI)? - ANSGreen, yellow, red, black
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? - ANSCOVID 19
, 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? - ANSMonitor cardiac rhythm
A patient with a history of advanced-stage leukemia presents with a history of increasing
shortness of breath in the last 4 days. The patient is anemic and has multiple bruises on their
extremities. What is the MOST likely cause of bruising? - ANSThrombocytopenia
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? - ANSinform
the charge nurse about what happened and document it.
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? - ANSprovide oxygen
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? - ANSAssess the patient for injury
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? - ANS4200 ml
A patient presents with possible organophosphate toxicity. What would you expect to find upon
assessment? - ANSDiaphoresis
You see a fellow nurse placing an opioid medication in their pocket rather than administering it
as ordered. What would you do NEXT? - ANSTell your immediate supervisor
What staff member would you ask to accompany you when transporting an intubated patient to
imaging for a CT? - ANSrespiratory therapist
A patient's family has decided to withdraw life-sustaining treatment. When communicating with
the family of the patient, what reassurance would you provide? - ANSEfforts will be made to
make the patient comfortable.
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? -
ANSdecreased level of consciousness
What medication is used in reversing the effects of opioid overdose? - ANSNaloxone (Narcan)
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