Relias Emergency Department Practice Test

These questions are part of the practice quiz. Start practicing

• How should a nurse respond to a patient displaying signs of an allergic reaction?
• A new nurse observes a medication error. To implement the ethical principle of veracity, what should they do?
• What is a key factor in preventing hospital-acquired infections in the ED?
• What is a priority intervention for a patient presenting with acute respiratory distress after facial burns?
• Which medication is commonly prescribed to reverse the effects of opioid overdoses?
• What should be the immediate response to a patient with a suspected spinal cord injury?
• Which medication is commonly administered for anaphylaxis in the emergency department?
• What is the primary goal when managing a patient with respiratory failure?
• During an assessment, which group is less likely to experience severe complications from respiratory distress?
• What is a common symptom associated with COVID-19 aside from cough and fever?
• What lab test is essential for evaluating metabolic status in diabetic patients?
• What is the main goal of triage in the emergency department?
• Based on a triage acuity scale of 1-4, what category would a patient with significant facial burns and acute respiratory distress fall into?
• You observe a novice nurse leaving the room with unlabeled specimen tubes after a blood draw. What should you do next?
• Which condition is characterized by severe chest pain that may radiate to the arm or jaw?
• A pregnant patient at 8 weeks presents with vaginal bleeding. RhoGAM will be administered for which situation?
• What should be done next when a patient states they have suicidal ideation with intent?
• What is the appropriate management for a patient with a tension pneumothorax?
• What is the classic sign of appendicitis that clinicians look for?
• What endocrine disorder can result from a deficiency of anti-diuretic hormone (ADH)?
• What is the primary goal of using triage in emergency settings?
• Which assessment finding is commonly associated with a tension pneumothorax?
• What is the main purpose of assessing a patient's blood pressure in a hypertensive crisis?
• Which chest pain characteristic is more associated with angina rather than myocardial infarction?
• What is a common intervention for a patient experiencing severe anaphylaxis?
• Which kind of assessment is particularly critical for identifying patients who have suffered a stroke?
• What are common symptoms of congestive heart failure?
• What are common signs of anaphylaxis?
• What is the primary purpose of emergency department triage?
• If a patient with respiratory distress has foreign body obstruction and the ETT insertion was unsuccessful, what would be the NEXT anticipated procedure?
• Which of the following statements regarding workplace safety is correct?
• Which symptom is often associated with a severe allergic reaction?
• What diagnosis is most likely for a patient presenting with night sweats, low-grade fever, and a productive cough with pink-tinged sputum?
• What are the three components of the "Golden Hour" in trauma care?
• What is the purpose of the first dose of antibiotics in sepsis management?
• Which vital sign is most critical for immediate assessment of shock?
• What key factor should be assessed in a patient with suspected myocardial infarction?
• What is a possible reversible cause of cardiac arrest in a patient who presents with acute chest pain?
• Which of the following is NOT a typical intervention for treating a stroke?
• In a situation where a patient exhibits signs of anaphylaxis, what is a critical first response?
• What is the purpose of performing a FAST (Focused Assessment with Sonography for Trauma) exam?
• If a patient is experiencing coffee-ground emesis, what laboratory value should be monitored closely?
• During an assessment of a patient with suspected appendicitis, which action by unlicensed assistive personnel (UAP) indicates a need for further training?
• In the case of a patient with dementia needing consent and the MPOA cannot be reached, what should the provider do?
• What is the primary symptom of aortic dissection?
• What is the role of the reverse triage approach in a mass casualty situation?
• If you find your patient on the floor after hearing a thud, what should you do FIRST?
• What is the significance of administering aspirin to chest pain patients?
• What signs might indicate a patient is suffering from a pulmonary embolism?
• What does the initial approach to treating a patient with potential septic shock include?
• What is the primary purpose of advanced cardiac life support (ACLS)?
• What severe life-threatening condition can arise from an acute deficiency of cortisol and aldosterone?
• Which of the following wounds has the highest risk for developing osteomyelitis?
• When is the use of high-flow oxygen typically indicated?
• What blood pressure reading indicates effective treatment for a patient experiencing a hypertensive crisis with nitroprusside?
• When is a patient typically considered "stable" in an emergency setting?
• What type of diet would a patient with diverticulitis follow?
• What should a nurse prioritize when arriving at a patient's room after hearing a thud?
• How often should vital signs be reassessed in a critical patient?
• Which acute abdomen condition may require immediate surgical intervention?
• What is the most important initial treatment for patients experiencing severe hyperthermia?
• What is a common treatment protocol for managing anaphylaxis in emergency settings?
• Which scale is commonly used in the emergency department to assess pain levels?
• Your patient has just had a paracentesis during which 5 liters of fluid were removed. Which assessment is the priority?
• In evaluating chest pain, which factor is most critical in the initial assessment?
• What vital sign is critical to assess immediately in a shock patient?
• What is the initial treatment for a patient with suspected carbon monoxide poisoning?
• According to the American Heart Association, what is the critical goal time from ED arrival to CT brain scan for stroke patients?
• What is the primary role of the nurse in the emergency department?
• What is the leading cause of acute respiratory distress syndrome (ARDS)?
• What intervention is crucial for a patient displaying signs of respiratory distress upon arrival at the emergency department?
• What is a suitable intervention for a patient experiencing hypoglycemia?
• What is the purpose of administering fluid resuscitation in the hypovolemic patient?
• What is the currently recommended dose of intravenous or intraosseous epinephrine in adult patients experiencing cardiac arrest?
• When should a laceration be considered for stitches?
• What vital sign changes might indicate shock?
• What is a common cause of upper gastrointestinal bleeding?
• What vital signs change is indicative of respiratory distress?
• What distinguishes a hip fracture from a hip dislocation?
• What signs may indicate a patient has a fractured bone?
• What is commonly observed during an initial assessment of a patient with chronic obstructive pulmonary disease (COPD)?
• What is the first step in assessing a critically ill patient in the emergency department?
• What is the condition characterized by a significant drop in platelet count leading to spontaneous bleeding?
• Which patient presentation most strongly suggests the need for surgical intervention?
• What is the priority nursing action for a patient identified in respiratory failure?
• In the context of trauma care, what is an additional reason for controlling bleeding?
• What findings characterize a ruptured abdominal aortic aneurysm?
• What condition is indicated by painless bright red vaginal bleeding in a 27-week pregnant patient?
• What is crucial to rule out when assessing a patient presenting with a headache?
• What are the signs of inadequate perfusion?
• Which is a classic symptom of anaphylactic shock?
• What should be the most important initial intervention for a patient presenting with acute chest pain and appearing anxious and tachypneic?
• What does the secondary survey in emergency assessment primarily involve?
• In cases of suspected stroke, what imaging study is typically performed initially?
• In the context of emergency medicine, what does an unstable hip indicate?
• What staff member would you ask to accompany you when transporting an intubated patient to imaging for a CT?
• What does the "C" in the ABCDE approach to emergency assessments stand for?
• Which symptoms are commonly associated with a stroke?
• What medication is typically administered for suspected opioid overdose?
• What medication is used in reversing the effects of opioid overdose?
• What is an essential assessment for patients with respiratory distress?
• How should a nurse prioritize patients in the emergency department?
• What is the primary intervention for patients diagnosed with acute respiratory distress syndrome (ARDS)?
• What is the MOST likely cause of bruising in a patient with advanced-stage leukemia and anemia?
• What should be done first for suspected hyperglycemia in a conscious patient?
• What is the first-line treatment for a patient experiencing cardiac arrest?
• How is hypoglycemia typically treated in a conscious patient?
• What is the recommended intervention for a patient experiencing a severe allergic reaction?
• What type of shock is caused by severe allergic reactions?
• What is the common antidote for acetaminophen overdose?
• Which type of injury would require immediate elevation of the injured area, possibly with a splint?
• Which type of burn is characterized by affecting all layers of skin and may feature charring?
• Which lab value would support a diagnosis of cholecystitis in a patient with abdominal pain?
• What should be done first in the event of a patient with a suspected spinal injury?
• What vital sign is most critical to monitor in a patient suspected of having a stroke?
• What are the initial treatments for anaphylaxis?
• Why must an incident of a patient threatening physical violence be reported to a supervisor?
• What is the first step in managing a patient with suspected myocardial infarction?
• What is the life-threatening complication associated with severe hypothyroidism?
• Which is the least restrictive measure to maintain safety in a confused patient trying to grasp their IV?
• What assessment finding is indicative of impending respiratory failure?
• What medication is likely to be prescribed for a patient diagnosed with benign prostatic hyperplasia causing urinary retention?
• What information is vital to obtain in the event of chemical exposure?
• What does the acronym FAST stand for in stroke assessment?
• In managing a patient from a head-on motor vehicle accident with an unstable hip, what is the PRIORITY intervention?
• In managing symptoms of alcohol withdrawal in an emergency care setting, what type of medication is typically utilized?
• How should you position a patient experiencing a suspected stroke?
• What does a Glasgow Coma Scale (GCS) score of 8 or less indicate?
• What is the first line of treatment for a patient with an asthma exacerbation?
• A pregnant patient with right upper quadrant pain after eating pizza is likely suffering from what condition?
• In the event of a mass casualty incident, what is the primary focus of triage?
• When assessing a patient for a potential stroke, which of the following is least likely to be included in the evaluation?
• If a patient claims to be in active labor and your facility lacks a labor and delivery unit, what is the next appropriate action?
• Which laboratory test is deemed essential for assessing a patient's acid-base status?
• Which electrolyte imbalance is most critical in a patient experiencing cardiac arrest?
• How frequently should pressure be applied to control external bleeding?
• In the case of a patient with sudden onset of aphasia and left-sided weakness, what is the next appropriate action?
• A patient with fever, cough, and loss of taste and smell is MOST likely suffering from which condition?
• A patient presents with burning eyes, redness, swelling, and purulent discharge, but no change in vision, indicating which condition?
• Your patient's chest tube dressing has accidentally come off. What additional item do you need to properly place a new dressing?
• What observation is critical for assessing potential appendicitis?
• For a patient with a history of COPD presenting with low SpO2, what is the FIRST intervention?
• What does the term "ABCDE" stand for in emergency patient assessment?
• What precaution is vital when treating a patient with potential meningococcal meningitis?
• What immediate action should be taken for a patient with a foreign body airway obstruction?
• What is the next step for a patient with a history of alcohol use who suddenly becomes diaphoretic and tachycardic?
• What is the appropriate response to a patient experiencing anaphylaxis?
• Which of the following are signs of an acute abdomen that warrant immediate evaluation?
• Which of the following symptoms might indicate a need for a urgent assessment in a patient with abdominal discomfort?
• What nursing assessment finding indicates that treatment for propranolol overdose has been effective?
• What is a typical treatment for chemical burns?
• What is the correct action to take after a near-miss event involving improper administration of epinephrine?
• Which sign is a classic indication of gallbladder disease?
• A patient presents with possible organophosphate toxicity. What would you expect to find upon assessment?
• A patient in a hyperbaric oxygen chamber for carbon monoxide poisoning needs assessment. What is the best indicator of treatment success?
• What medication do you anticipate the provider to order FIRST for a pregnant patient with high blood pressure and significant swelling?
• What should be evaluated first in a patient presenting with chest pain?
• What is the purpose of a primary survey in trauma management?
• A patient suspected of hyperkalemia is most likely to exhibit which of the following ECG changes?
• After being struck by lightning, what is the PRIORITY intervention for the patient upon arrival?
• What laboratory test is used to assess cardiac enzyme levels?
• How is an acute myocardial infarction typically diagnosed?
• What vital sign is often an early indicator of sepsis in emergency patients?
• During cardiogenic shock, what is a temporary intervention to improve perfusion until definitive treatment is available?
• What is a common indicator of shock when monitoring vital signs?
• You see a fellow nurse placing an opioid medication in their pocket rather than administering it as ordered. What would you do NEXT?
• What is the purpose of the Glasgow Coma Scale?
• In cases of cardiac arrest, what is the first action that should be taken?
• What does the FAST exam assess in a trauma patient?
• What is the main purpose of controlling external bleeding in cases of severe trauma?
• 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 based on the Parkland formula?
• What are common psychological emergencies encountered in the emergency department?
• What symptom might indicate that a medication for hypertension is not effective?
• What condition is a patient with a traumatic brain injury (TBI) most likely to develop?
• Which type of burn involves the epidermis and part of the dermis?
• Which condition is primarily treated with aspirin in an emergency setting?
• What should be assumed in unconscious patients until further evidence suggests otherwise?
• What finding would support a diagnosis of diaphoresis in an acute care setting?
• Which colors represent the categories utilized to triage patients during a mass casualty incident?
• In the setting of an overdose, what vital signs require immediate attention?
• What does the acronym FAST stand for in the context of stroke recognition?
• What classification of drugs is commonly used to treat acute pain in emergency patients?
• When is a chest tube typically indicated?
• What is the primary goal when managing a patient with a stroke?
• What does it mean if a patient's blood pressure is “narrowed”?
• What vital sign changes might indicate shock in a patient?
• Which imaging modality is typically used first in trauma assessment?
• Which of the following is a classic sign of appendicitis?
• What is an important aspect of the secondary survey during trauma evaluation?
• What is the recommended first aid for an epistaxis (nosebleed)?
• How should a patient exhibiting signs of stroke be treated immediately?
• What is the significance of a “holding area” in an emergency department?
• After a roll-over motor vehicle accident, a patient complains of mid-upper back pain. They have preserved motor function below L5 but loss of sensory function. What condition does this indicate?
• In the event of a mass casualty incident, what system is used for triaging victims?
• How do you calculate the shock index?
• Which of the following is a standard initial treatment for severe allergic reactions?
• What is a potential complication of untreated hypoglycemia?
• What change in the electrocardiogram (ECG) is possible when administering haloperidol (Haldol)?
• A patient has sustained multiple traumatic injuries after a fall from a significant height. What is considered an important component of the primary survey assessment?
• What does the term "dystonic reaction" refer to in emergency medicine?
• Which symptom is commonly observed in patients going through alcohol withdrawal?
• What symptom is critical to report immediately for a patient who has fallen and fractured their right tibia and fibula?
• What are the priority signs to monitor for in a patient undergoing mechanical ventilation?
• What does the acronym RACE stand for in fire safety protocols in the ED?
• During initial fluid resuscitation for an adult patient with 30% body surface area burn, what is the best indicator of adequate hydration?
• What is the recommended initial treatment for a patient with acute asthma exacerbation?
• What is the primary concern for a patient receiving treatment after a lightning strike?
• Which assessment finding on an ECG is characteristic of a myocardial infarction?
• In the context of trauma, what does the acronym MOI stand for?
• In a potential overdose scenario, what is the priority nursing intervention for a patient who has used heroin?
• Under what circumstances can a hospital transfer an unstable patient while maintaining compliance with the Emergency Medical Treatment and Labor Act (EMTALA)?
• What is the first step in treating a patient experiencing cardiac arrest?
• What potential complication should be monitored for closely in a patient who has tachycardia, tachypnea, and abdominal pain?
• In which scenario is cholecystitis likely revealed based on patient symptoms?
• 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?
• When might a patient require a rapid sequence intubation (RSI)?
• What is the most common type of stroke?
• A patient with suspected appendicitis has a temperature of 101°F and abdominal guarding. What is the primary concern?
• Which of the following conditions would most likely require immediate intervention in the emergency department?
• What is the purpose of a focused assessment with sonography in trauma (FAST)?
• Which imaging technique is frequently used to evaluate head injuries in the emergency department?
• In cases of chemical burns, what is the first step of treatment?
• How should a conscious, alert patient with a possible foreign body obstruction be treated?
• An elderly patient presents with new onset of confusion and a headache after a recent fall. What diagnostic test is anticipated?
• What is the primary concern in a patient with a tension pneumothorax?
• 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?
• What is the most likely diagnosis for a 22-year-old female with sudden abdominal bleeding and a syncopal episode during early pregnancy?
• A patient's family has decided to withdraw life-sustaining treatment. What reassurance would you provide to the family?
• What is a common risk factor for developing deep vein thrombosis (DVT)?
• Which condition is characterized by a severe burning pain in the chest that may radiate to the arm, neck, or jaw?
• In the context of trauma, what is the mechanism of injury (MOI)?
• What is the primary goal of the SAMPLE history-taking method?
• Which is an appropriate response for a nurse when encountering a patient with chemical burns?