A patient who is 32 weeks pregnant presents with a three-day history of headache
and significant swelling of the lower extremities and face. The
... [Show More] 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? Correct Ans ➡ *wrong*
labetalol
Other choices:
tylenol
magnesium sulfate furosemide
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 Ans ➡ *wrong* Insertion of
second IV line
other choices:
initiation of massive transfusion protocol application of pelvic binder administration of
IV fluids
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 Ans ➡
*wrong* Placement of laryngeal mask
other choices:
tracheostomy bronchoscopy chest tube insertion
Which of the following represent categories utilized to triage patients during a mass
casualty incident (MCI)? Correct Ans ➡ Green, 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? Correct Ans ➡ COVID 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? Correct Ans
➡ Monitor cardiac rhythm
Relias Emergency Department Test 69
Questions And Answers
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?
Correct Ans ➡ Thrombocytopenia
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? Correct Ans ➡ inform 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? Correct Ans ➡ provide
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?
Correct Ans ➡ Assess 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? Correct Ans ➡ 4200 ml
A patient presents with possible organophosphate toxicity. What would you expect to
find upon assessment? Correct Ans ➡ Diaphoresis
You see a fellow nurse placing an opioid medication in their pocket rather than
administering it as ordered. What would you do NEXT? Correct Ans
➡ Tell your immediate supervisor
What staff member would you ask to accompany you when transporting an intubated
patient to imaging for a CT? Correct Ans ➡ respiratory 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?
Correct Ans ➡ Efforts 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? Correct Ans ➡ decreased level of consciousness
What medication is used in reversing the effects of opioid overdose? Correct Ans
➡ Naloxone (Narcan)
Which of the following wounds has the highest risk for developing osteomyelitis?
Correct Ans ➡ Puncture wound from stepping on a rusty nail.
What type of diet would a patient with diverticulitis follow? Correct Ans ➡ High fiber
diet
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 Ans ➡ systematic reviews
Your patient has just had a paracentesis during which 5 liters of fluid were removed.
Which assessment is the priority? Correct Ans ➡ blood pressure
A patient has sustained multiple traumatic injuries after a fall from aheight. What
is considered an important component of the primary
survey assessment? Correct Ans ➡ Neurological assessment
Your patient's chest tube dressing has accidentally come off and you are preparing to
place a new one. You have a slit drain spring, 4x4 gauzes, tape, scissors, and
antiseptic swabs. What else do you need? Correct Ans ➡ Petroleum gauze
What are you most likely to see during your initial assessment of a patient with chronic
obstructive pulmonary disease (COPD)? Correct Ans ➡ pursed lip breathing
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 Ans ➡ CT scan of the brain
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 do you do next? Correct Ans ➡ Re-educate
the nurse, then redraw the labs, use patient identifiers and label at the bedside [Show Less]