RELIAS ED RN A WITH BEST SOLUTIONS

RELIAS ED RN A WITH BEST SOLUTIONS

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

ü Administer nitroglycerin

Administer oxygen

Obtain venous blood gas - 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

ü Placenta Previa

Ectopic pregnancy

Premature rupture of membranes (PROM)

What is a common assessment finding in a patient with a tension pneumothorax?

Petechial chest rash

ü Distended neck veins

Equal chest wall expansion

Flattened 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

ü COVID 19

Tuberculosis

What is the current recommended dose of intravenous or intraosseous epinephrine in adult patients with cardiac arrest?

10 mg every 10 minutes

ü 1 mg every 3-5 minutes

1 mg every 7 minutes

0.1   mg every 2 minutes

A patient with a traumatic brain injury (TBI) is MOST likely to suffer from what condition?

Diabetes mellitus

Cerebral palsy

ü Diabetes Insipidus

Myxedema coma

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:

ü Posterior cord syndrome

Central cord syndrome

Anterior cord syndrome

Autonomic syndrome

The deficiency of anti-diuretic hormone (ADH) can lead to what endocrine disorders?

Diabetes Insipidus

ü Diabetes Mellitus

Adrenal Insufficiency

Syndrome of inappropriate secretion of ADH (SIADH)

A 22-year old female who is 8 weeks pregnant presents with a sudden onset of left lower abdominal pain and vaginal bleeding. The patient's family member stated that she had a syncopal episode shortly after that. What is the MOST likely diagnosis for her?

Ruptured appendix

Placenta previa

Abruptio placenta

ü Ruptured ectopic pregnancy

A patient with a history of chronic alcohol use is brought in with possible esophageal varices. What medication is used to stop upper gastrointestinal (GI) bleeding in patients with this condition?

ü Octreotide (Sandostatin®)

Acetaminophen (Tylenol®)

Warfarin (Jantoven®)

Ibuprofen (Motrin®)

A patient has sustained multiple traumatic injuries after a fall from a height. What is considered an important component of the primary survey assessment?

Complete set of vital signs

ü Neurological assessment

Head to toe assessment

Patients allergy history