RELIAS EMERGENCY DEPARTMENT EXAM 2023-2024
ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY GRADED
A+||BRAND NEW!
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? – ANSWER- 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? – ANSWER- 4200
ml
A patient presents with possible organophosphate toxicity. What would
you expect to find upon assessment? – ANSWER- Diaphoresis
You see a fellow nurse placing an opioid medication in their pocket
rather than administering it as ordered. What would you do NEXT? –
ANSWER- Tell your immediate supervisor
What staff member would you ask to accompany you when transporting
an intubated patient to imaging for a CT? – ANSWER- 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? – ANSWER- 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? – ANSWER- decreased level of
consciousness
What medication is used in reversing the effects of opioid overdose? –
ANSWER- Naloxone (Narcan)
Which of the following wounds has the highest risk for developing
osteomyelitis? – ANSWER- Puncture wound from stepping on a rusty
nail.
What type of diet would a patient with diverticulitis follow? –
ANSWER- 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? – ANSWER- systematic reviews
Your patient has just had a paracentesis during which 5 liters of fluid
were removed. Which assessment is the priority? – ANSWER- blood
pressure
A patient has sustained multiple traumatic injuries after a fall from
a….height. What is considered an important component of the primary
survey assessment? – ANSWER- 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, 4×4 gauzes,
tape, scissors, and antiseptic swabs. What else do you need? –
ANSWER- Petroleum gauze
What are you most likely to see during your initial assessment of a
patient with chronic obstructive pulmonary disease (COPD)? –
ANSWER- 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