Your patient's chest tube dressing has Petrolatum gauze
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?
You want to implement the new evidence- Systematic reviews
based practice guidelines in managing
patients to prevent falls on your unit. What
provides the STRONGEST evidence for
interventions?
Upon triage of a patient, they state that Institute suicide precautions.
they have suicidal ideation with intent. What
would you do NEXT?
Which of the following wounds has the Puncture wound from stepping on a rusty nail
highest risk for developing osteomyelitis?
What type of diet would a patient with High fiber diet
diverticulitis follow? Answer is NOT high residual diet
An elderly patient is brought in with new CT scan of the brain
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?
What medication is used in reversing the Naloxone (Narcan®)
effects of opioid overdose?
What are you MOST likely to see during Pursed lip breathing
your initial assessment of a patient with
chronic obstructive pulmonary disease
Relias ED RN A Test
(COPD)?
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Under what circumstances can the hospital The necessary treatment is not available at the current hospital.
transfer an unstable patient to another
facility and maintain compliance with the
Emergency Medical Treatment and Active
Labor Act (EMTALA)?
The life-threatening and rare complication Myxedema coma
of hypothyroidism is known as:
A patient presents with acute onset of Tension Pneumothorax
chest pain and goes into cardiac arrest
immediately upon arrival. What is a
possible reversible cause of cardiac arrest?
A patient presents with an episode of Systolic blood pressure reaches 160 mm Hg
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?
A patient arrives with suspected The UAP offers the patient a ginger ale.
appendicitis. What action, if observed,
would require additional training for the
unlicensed assistive personnel (UAP)?
You see a fellow nurse placing an opioid Tell your immediate supervisor.
medication in their pocket rather than
administering it as ordered. What would
you do NEXT?
You are administering haloperidol Prolonged QT interval
(Haldol®) to a patient with acute symptoms
of Schizophrenia. What changes in the
electrocardiogram (ECG) are possible as a
result of this medication?
A patient presents with a 5-day history of Provide oxygen
runny nose, headache, and productive
cough. The patient is unable to speak full
sentences, reports having a history of
moderate to severe COPD, and has a SpO2
reading of 89%. What intervention do you
anticipate implementing FIRST for this
patient?
A patient who is 24 weeks pregnant Cholecystitis
presents with fever and right upper
quadrant pain. The patient states that the
pain is radiating to the right shoulder blade,
and started an hour after having a pizza for
lunch. She is tachycardic, tachypneic, and
diaphoretic on the initial triage assessment.
What is the MOST likely diagnosis for this
patient?
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