69 RELIAS EMERGENCY
DEPARTMENT TEST QUES TIONS
WITH DEFINITIVE SOLUTIONS
Question : 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 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?labetalol
Other choices:
tylenol magnesium sulfate furosemide
Correct answer: labetalol
Question : 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?Insertion of second IV line
initiation of massive transfusion protocol application of pelvic binder administration of IV fluids
Correct answer: application of pelvic binder
Question : 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?Placement of laryngeal mask tracheostomy bronchoscopy chest tube insertion
Correct answer: tracheostomy
Question : Which of the following represent categories
utilized to triage patients during a mass casualty incident
(MCI)?
Correct answer: Green, yellow, red, black
Question : 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 answer: COVID 19
Question : 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 answer: Monitor cardiac rhythm
Question : 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 answer: Thrombocytopenia
Question : 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 answer: inform the charge nurse about what
happened and document it.
Question : 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 answer: provide oxygen
Question : 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 answer: Assess the patient for injury
Question : 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 answer: 4200 ml
Question : A patient presents with possible organophosphate
toxicity. What would you expect to find upon assessment?
Correct answer: Diaphoresis
Question : You see a fellow nurse placing an opioid
medication in their pocket rather than administering it as ordered. What would you do NEXT?
Correct answer: Tell your immediate supervisor
Question : What staff member would you ask to accompany
you when transporting an intubated patient to imaging for a CT?