Relias ED RN A, Complete Test Fall 2022
What is the current recommended dose of intravenous or intraosseous epinephrine in adult
patients with cardiac arrest?
10 mg every 10 minutes
1 mg every 3-5 minutes
1 mg every 7 minutes
0.1 mg every 2 minutes Ans- 1 mg every 3-5 minutes
A patient with a traumatic brain injury (TBI) is MOST likely to suffer from what condition?
Diabetes mellitus
Cerebral palsy
Diabetes Insipidus
Myxedema coma Ans- Diabetes Insipidus
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:
Posterior cord syndrome
Central cord syndrome
Anterior cord syndrome
Autonomic syndrome Ans- Posterior cord syndrome
A patient arrives with acute onset of central chest pain. The patient is tachycardic and
tachypneic and appears very anxious and restless. What would be the MOST important initial
intervention for this patient?
Obtain electrocardiogram
Administer nitroglycerin
Administer oxygen
Obtain venous blood gas Ans- IDK, but its not administer nitroglycerin or obtain
electrocardiogram!!
A patient who is 27 weeks pregnant presents with painless bright red vaginal bleeding. What
condition correlates with the presenting symptoms?
Abruptio placenta
Placenta Previa
Ectopic pregnancy
Premature rupture of membranes (PROM) Ans- Placenta Previa
What is a common assessment finding in a patient with a tension pneumothorax?
Petechial chest rash
Distended neck veins
Equal chest wall expansion
Flattened neck veins Ans- Distended Neck Veins
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?
Giardia
Microsporidia
COVID 19
Tuberculosis Ans- COVID 19
The deficiency of anti-diuretic hormone (ADH) can lead to what endocrine disorders?
Diabetes Insipidus
Diabetes Mellitus
Adrenal Insufficiency
Syndrome of inappropriate secretion of ADH (SIADH) Ans- Diabetes Insipidus
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?
Decreasing pulse pressure
Decreasing central venous pressure
Increasing serum glucose
Increasing serum cortisol Ans- Increasing serum glucose
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?
Hypervolemia
Alkalosis
Hyperthermia
Tension Pneumothorax Ans- Tension Pneumothorax
Which of the following represent categories utilized to triage patients during a mass casualty
incident (MCI)?
Green, orange, black, purple
Green, blue, red, black
Red, black, pink, yellow
Green, yellow, red, black Ans- Green, yellow, red, black
RN Pharmacology A Relias A Solved 100%
Correct
What medication is a leukotriene receptor antagonist?
{{Answer:- Montelukast
Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct?
{{Answer:- I should take extra care when standing up or changing positions.
A 250mg dose of an oral medication has been ordered. The medication is supplied only
in 100mg tablets. How many tablets would you administer?
{{Answer:- 2.5
What medication is considered a potassium-sparing diuretic?
{{Answer:- spironolactione (Aldactone)
You receive report from the off-going nurse that the person being cared for just
received their fourth dose of IV vancomycin that was administered over 30 minutes.
Upon assessment of them, you notice their face and neck are red and they are itching
all over. What would you suspect?
{{Answer:- Red man syndrome due to a rapid infusion rate.
Which of the following would you question if prescribed for a person taking sildenafil
(Viagra?
{{Answer:- nitroglycerin
You are caring for a person with a capillary blood glucose of 33 mg/dL and they are
unable to tolerate oral intake. Which of the following would you administer?
{{Answer:- dextrose 50% IV push
A physician’s written order for the person you are caring for is as follows: Insulin
glargine (Lantus), 10 U, subQ QD. What changes would you suggest for safety and to
avoid the use of “do not use” abbreviations?
{{Answer:- spell out units and daily
Which statement, if made by the person you are caring for, reflects the need for
further education regarding a new prescriptions of warfarin (Coumadin)?
{{Answer:- If I get headaches, aspirin is my best options for pain
A person is noted to have a penicillin allergy. What medication would you question of
ordered by a physician?
{{Answer:- ceftriaxone
You receive and order to start a Heparin drip at 18 units/kg/hr for a person weighing
75 kg. The heparin comes in a 500 mL bag with 25,000 units. what is the starting rate
of the infusion?
{{Answer:- 27 mL/hr
The physician orders 0.5 mg/kg of a medications. The medication is supplied in a 10
mg/mL solution. The person you are caring for weighs 40 kg. How many mL of the
drug would you administer?f
{{Answer:- 2 mL
A person with a hypothyroidism has a serum calcium level of 13 mg/dL. What
medication would you expect to administer?
{{Answer:- Calcitonin
A person you are caring for has a known GI bleed. What drug is contraindicated?
{{Answer:- enoxaparin (Lovenox)