PROPHECY EMERGENCY DEPARTMENT RN A
1. What is the proper procedure for testing visual acu- *BOTH WRONG*
ity? 1) Test the attected eye
first, then the unattected eye
without corrective lenses
2) Test the unattected eye
first, then the attected eye
with corrective lenses when
available
2. A 22-year-old man with sickle cell disease is brought IV Fluids Normal Saline
into the ED by Campus Police from his local universi-
ty. He is complaining of increasing pain to his bilateral
lower extremities, consistent with his past sickle cell
pain crisis. Which intervention would you expect the
provider to order?
3. TPA would be contraindicated for which of the follow- 80 year old diagnosed with
ing patients? stroke 2 weeks ago
4. A 24 year old female, who has recently received Prepare to go to the OR
methotrexate for a tubal pregnancy, presents to the
ED with severe abdominal pain. What would be the
PRIORITY nursing intervention?
5. A 3 year old boy with a history of hydrocephalus Antibiotics and IV Fluids
with a cerebral shunt arrives to the ED with a fever
of 102.0°F, an enlarged abdomen, tachycardia and
hypotension. The patient is mildly lethargic, however
is cooperative with the ED staff. Immediate treatment
for this child should include:
6. Ionized Calcium Level
, PROPHECY EMERGENCY DEPARTMENT RN A
When caring for a patient who has received a massive
blood transfusion, monitoring which of the following
lab results is a top priority?
7. What medication would you anticipate administer- Ativan
ing to a six month old having an active tonic-clonic
seizure?
8. Patient presents to the ED with a snake bite that CroFab Crotalidae Polyvalent
occurred 30 minutes ago. The snake was identified Immune Fab (Ovine)
as a poisonous rattlesnake. What medication would
you expect the physician to order for this patient?
9. A 26 year old male with a history of asthma presents Give albuterol and atrovent
to the ED with dyspnea, audible expiratory wheezes, nebulizer with oxygen
substernal retractions, accessory muscle use, with
BP-145/72, HR -26, RR-32, O2 Sat 88% on room air.
What is the FIRST treatment of choice for this patient?
10. A 40-year-old man presents to the ED with shortness Decontaminate the patient
of breath and a headache, after being sprayed by according to hospital proce-
pesticides while working on a farm. What is the FIRST dure
nursing intervention?
11. Four patients are being transported to the ED after 28-year-old with respirato-
a severe collision between a train and two motor ry distress and open chest
vehicles. Which of the following patients should be wound
triaged for FIRST treatment?
12. A 53 year old female with a history of sarcoidosis Place on high-flow non-re-
presents to the ED after being rescued by firefighters breather
from her burning apartment. She is currently alert
and oriented, BP-115/78, HR-110, RR- 24, T-100.4 F,
1. What is the proper procedure for testing visual acu- *BOTH WRONG*
ity? 1) Test the attected eye
first, then the unattected eye
without corrective lenses
2) Test the unattected eye
first, then the attected eye
with corrective lenses when
available
2. A 22-year-old man with sickle cell disease is brought IV Fluids Normal Saline
into the ED by Campus Police from his local universi-
ty. He is complaining of increasing pain to his bilateral
lower extremities, consistent with his past sickle cell
pain crisis. Which intervention would you expect the
provider to order?
3. TPA would be contraindicated for which of the follow- 80 year old diagnosed with
ing patients? stroke 2 weeks ago
4. A 24 year old female, who has recently received Prepare to go to the OR
methotrexate for a tubal pregnancy, presents to the
ED with severe abdominal pain. What would be the
PRIORITY nursing intervention?
5. A 3 year old boy with a history of hydrocephalus Antibiotics and IV Fluids
with a cerebral shunt arrives to the ED with a fever
of 102.0°F, an enlarged abdomen, tachycardia and
hypotension. The patient is mildly lethargic, however
is cooperative with the ED staff. Immediate treatment
for this child should include:
6. Ionized Calcium Level
, PROPHECY EMERGENCY DEPARTMENT RN A
When caring for a patient who has received a massive
blood transfusion, monitoring which of the following
lab results is a top priority?
7. What medication would you anticipate administer- Ativan
ing to a six month old having an active tonic-clonic
seizure?
8. Patient presents to the ED with a snake bite that CroFab Crotalidae Polyvalent
occurred 30 minutes ago. The snake was identified Immune Fab (Ovine)
as a poisonous rattlesnake. What medication would
you expect the physician to order for this patient?
9. A 26 year old male with a history of asthma presents Give albuterol and atrovent
to the ED with dyspnea, audible expiratory wheezes, nebulizer with oxygen
substernal retractions, accessory muscle use, with
BP-145/72, HR -26, RR-32, O2 Sat 88% on room air.
What is the FIRST treatment of choice for this patient?
10. A 40-year-old man presents to the ED with shortness Decontaminate the patient
of breath and a headache, after being sprayed by according to hospital proce-
pesticides while working on a farm. What is the FIRST dure
nursing intervention?
11. Four patients are being transported to the ED after 28-year-old with respirato-
a severe collision between a train and two motor ry distress and open chest
vehicles. Which of the following patients should be wound
triaged for FIRST treatment?
12. A 53 year old female with a history of sarcoidosis Place on high-flow non-re-
presents to the ED after being rescued by firefighters breather
from her burning apartment. She is currently alert
and oriented, BP-115/78, HR-110, RR- 24, T-100.4 F,
