Relias medical surgical RN A |
Questions and Answers graded
A+
Which adaptive equipment would be most appropriate to use for a
severely contracted patient who is unable to bear weight when
transferring from bed to chair – Correct Answer – Patient Lift
example Hoyer
What lab values are expected to be in a patient with end stage
renal disease on hemodialysis – Correct Answer – BUN 32,
CREATNINE 8.32
Your 85 year old patient with atrial fibrillation fell at home 3 days
ago. You notice she has been having several episodes of acute
confusion since being admitted to your unit. What is the most
important order you should anticipate from the provider? You’re? –
Correct Answer – Hold wayfaring (coumadin) for the next 48
hours
Your new admission presents with a cough, unintentional weight
loss, frequent knot sweats, and bloody sputum. What type of
isolation precautions should you initiate, if any? – Correct Answer
- Airborne precautions
Upon entering your patient’s room you note that they are having a
seizure. What is your 1st action? – Correct Answer – Position the
patient on their side to maintain the airway
You find your coworker looking through your patient’s medical
record.. She States how is Mr. Smith doing? He is my best
friend’s dad. We are so worried about him. What is the best
course of action? – Correct Answer – Tell her you cannot give her
information and report her actions to your manager.
Your male patient complaints of discomfort while inflating the
balloon during insertion of a endwelling urinary catheter. What
would be the most appropriate action? – Correct Answer –
Deflate the balloon, advance the catheter further, then reinflate
the balloon.
Your patient takes regular insulin and NPH twice A-day for
glucose control. What times should the patient be taught to be
alert for signs of hypoglycemia? – Correct Answer – Is late
afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix)
used for? – Correct Answer – Reduce gastric acid secretion
Your patient has a non productive cough and presence of
secretions in his tracheostomy. Prior to sectioning the patient,
what should you do 1st? – Correct Answer – Hyperoxygenate
patient
dietary teaching for a patient with chronic renal failure should
include choices that are: – Correct Answer – Low potassium, low
protein, moderate fat
Relias ED RN A | Questions and Answers
Graded A+ Latest 2023
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 – Correct Answer – 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 – Correct Answer – 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) – Correct
Answer – 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 – Correct Answer – 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 – Correct Answer – Tension
Pneumothorax
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 – Correct Answer – 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 – Correct Answer – 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 – Correct Answer – 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
Relias ED RN A Test Answered | Graded
and Rated A+ | Latest 2023
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 Answer – CT scan of the brain
What medication is used in reversing the effects of opioid
overdose? – Correct Answer – Naloxone (Narcan®)
What are you MOST likely to see during your initial assessment of
a patient with chronic obstructive pulmonary disease (COPD)? –
Correct Answer – Pursed lip breathing
Under what circumstances can the hospital transfer an unstable
patient to another facility and maintain compliance with the
Emergency Medical Treatment and Active Labor Act (EMTALA)? –
Correct Answer – The necessary treatment is not available at the
current hospital.
The life-threatening and rare complication of hypothyroidism is
known as: – Correct Answer – Myxedema coma
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? – Correct Answer – Tension
Pneumothorax
A patient presents with an episode of hypertensive crisis, a blood
pressure of 220/118, and the provider has put in the order for
nitroprusside. What demonstrates that the treatment has been
effective? – Correct Answer – Systolic blood pressure reaches
160 mm Hg
Your patient’s chest tube dressing has accidentally come off and
you are preparing to place a new one. You have a slit drain
sponge, 4 x 4 gauzes, tape, scissors, and antiseptic swabs. What
else do you need? – Correct Answer – Petrolatum gauze
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
Answer – Systematic reviews
Upon triage of a patient, they state that they have suicidal ideation
with intent. What would you do NEXT? – Correct Answer –
Institute suicide precautions.
Which of the following wounds has the highest risk for developing
osteomyelitis? – Correct Answer – Puncture wound from stepping
on a rusty nail
What type of diet would a patient with diverticulitis follow? –
Correct Answer – High fiber diet
Answer is NOT high residual diet
A patient arrives with suspected appendicitis. What action, if
observed, would require additional training for the unlicensed
RN Pharmacology Relias Assessments
Assistance Material Latest 2023
Antacids – Correct Answer – Antacids are used to chemically
react with and neutralize the acid in the stomach. They can
provide rapid relief from increased acid levels. They are known to
cause GI alterations such as diarrhea or constipation and can
alter the absorption of many drugs.
Antacids: Generic and Brand Names – Correct Answer – Here is
a list of the most commonly encountered antacids and their brand
names.
Classification Generic name Brand name Antacids aluminum salts
Alterna GEL calcium salts Oyster Cal, Tumsmagaldrate Losopan,
Rio pan magnesium salts Milk of Magnesia, others sodium
bicarbonate Bell-ans
What are antacids? – Correct Answer – Antacids are a group of
inorganic chemicals that neutralize stomach acid.
Antacids are available OTC, and many patients use them to selftreat a variety of GI symptoms.
The choice of an antacid depends on adverse effects and
absorption factors.
Antacids Therapeutic actions – Correct Answer – The desired
actions of antacids include the following:
Neutralize stomach acid by direct chemical reaction.
Symptomatic relief of an upset stomach associated with
hyperacidity, as well as the hyperacidity associated with peptic
ulcer, gastritis, peptic esophagitis, gastric hyperacidity, and hiatal
hernia.
Antacids Contraindications and Cautions – Correct Answer – The
following are contraindications and cautions when using antacids:
Allergy. The antacids are contraindicated in the presence of any
known allergy to antacid products or any component of the drug
to prevent hypersensitivity reactions.
Co-morbidities. Caution should be used in the following instances:
any condition that can be exacerbated by electrolyte or acidbased imbalance to prevent exacerbations and serious adverse
effects; any electrolyte imbalance , which could be exacerbated
by the electrolyte-changing effects of these drugs; GI obstruction
which could cause systemic absorption of the drugs and increase
adverse effects; renal dysfunction, which could lead to electrolyte
disturbance if any absorbed antacid is neutralized properly.
Pregnancy and lactation. Antacids are contraindicated for
pregnant and lactating women because of the potential for
adverse effects on the fetus or neonate.
Histamine-2 (H2) receptor antagonists – Correct Answer –
Histamine-2 (H2) receptor antagonists block the release of acid in
response to gastrin or parasympathetic release.
Histamine-2 Antagonist: Generic and Brand Names – Correct
Answer – Here is a table of the most commonly used H2
antagonists.
Classification Generic name Brand nameHistamine-2
antagonistscimetidineTDNEpUTHQoQUJMHLrErGJyHg89uy71MyuHepcidni
zatidineAxid
RN Pharmacology A Relias
Actual Exam with Questions
and Answers
What medication is a leukotriene receptor antagonist? – Correct
Answer – Montelukast
Which statement made by a person regarding hydrochlorothiazide
(HCTZ) is correct? – 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? – Correct Answer – 2.5
What medication is considered a potassium-sparing diuretic? –
Correct 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? – Correct 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? – Correct 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? – Correct 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? – Correct Answer – spell out units and daily