(Answered)Relias ED RN A, Complete Test Fall 2022/2023 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 Ruptured ectopic pregnancy - Correct Answer Ruptured ectopic pregnancy A 35-year-old patient complains of night sweats, low-grade fever, weight loss, and a productive cough with pink-tinged sputum for 3-4 weeks. They have been staying at a local shelter since they lost their job
- months ago. What diagnosis is most likely?
Tuberculosis Influenza
COVID 19
Liver cancer - Correct Answer TB A confused patient is trying to grasp at their IV with their right hand. Which is the LEAST restrictive measure to maintain patient safety?2-point restraint on right arm and left leg Safety "mitt" for both hands 2-point restraints on upper limbs Safety "mitt" for right hand only - Correct Answer Safety "mitt" for right hand only A new nurse observes their preceptor giving the incorrect dosage of a medication to a patient.Implementing the ethical principle veracity, what action would the new nurse take?Keep the information confidential to avoid repercussions from the preceptor.Inform the charge nurse about what happened and document it. 1 / 3
Since the patient was not harmed, do not report the incident.Tell only the patient about the incident and have them decide what to do. - Correct Answer Inform the charge nurse about what happened and document it.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 - Correct Answer IDK, but its not administer nitroglycerin or obtain electrocardiogram!!A patient arrives with suspected appendicitis. What action, if observed, would require additional training for the unlicensed assistive personnel (UAP)?The UAP offers the patient a ginger ale.The UAP allows the patient to move to a position of comfort.The UAP helps the patient with a bedpan.The UAP reminds the patient to stay in bed. - Correct Answer The UAP offers the patient a ginger ale.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 Neurological assessment Head to toe assessment Patients allergy history - Correct Answer Neurological Assessment A patient is being treated in a hyperbaric oxygen chamber for carbon monoxide poisoning. What measurement is the BEST indicator of treatment success?Pulse oximetry Vital signs 2 / 3
Pulse pressure O Arterial blood gas - Correct Answer ABG 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?© Decreased level of consciousness Decreased urine output Increase in blood pressure of 140/85 Increase in temperature to 100.1 F - Correct Answer Decreased level of consciousness A patient is brought in after being struck by lightning during a heavy thunderstorm. What would be the PRIORITY intervention for this patient upon arrival?Measuring urine output Monitoring cardiac rhythm Cleaning of the burn wounds Obtaining chest x-ray - Correct Answer Monitoring cardiac rhythm A patient is brought in for a potential overdose of heroin. What is the PRIORITY nursing intervention?Administering normal saline fluids Maintaining airway and breathing Starting an IV line Administering naloxone - Correct Answer Maintaining airway and breathing.A patient is brought in with a history of a head-on motor vehicle accident. The patient was not wearing a seat belt and was traveling at 120 mph with the deployment of an airbag. They complain of severe lower abdominal and hip pain. A secondary trauma survey reveals an unstable hip on lateral compression.What would be a PRIORITY intervention in managing this patient?Application of pelvic blinder
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