PROPHECY EMERGENCY DEPARTMENT RN A QUESTIONS AND
ANSWERS.
What is the proper procedure for testing visual acuity? - (ANSWER)2) Test the affected eye first, then the
unaffected eye with corrective lenses when available
A 22-year-old man with sickle cell disease is brought into the ED by Campus Police from his local
university. 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? - (ANSWER)oral
hydrocodone.
TPA would be contraindicated for which of the following patients? - (ANSWER)WRONG
1) 67 year old with symptom onset 3 hours ago
A 24 year old female, who has recently received methotrexate for a tubal pregnancy, presents to the ED
with severe abdominal pain. What would be the PRIORITY nursing intervention? - (ANSWER)Prepare for
OR
A 3 year old boy with a history of hydrocephalus 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: - (ANSWER)*BOTH
WRONG*
1) Removal of the shunt
2) Draining the shunt
When caring for a patient who has received a massive blood transfusion, monitoring which of the
following lab results is a top priority? - (ANSWER)ionized calcium level.
What medication would you anticipate administering to a six month old having an active tonic-clonic
seizure? - (ANSWER)*BOTH WRONG*
, PROPHECY EMERGENCY DEPARTMENT RN A QUESTIONS AND
ANSWERS.
1) Phenobarbital
2)Phenytoin
Patient presents to the ED with a snake bite that occurred 30 minutes ago. The snake was identified as a
poisonous rattlesnake. What medication would you expect the physician to order for this patient? -
(ANSWER)CroFab Crotalidae Polyvalent Immune Fab (Ovine)
A 26 year old male with a history of asthma presents to the ED with dyspnea, audible expiratory
wheezes, 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? - (ANSWER)Give albuterol and atrovent
nebulizer with oxygen
A 40-year-old man presents to the ED with shortness of breath and a headache, after being sprayed by
pesticides while working on a farm. What is the FIRST nursing intervention? - (ANSWER)Decontaminate
the patient according to hospital procedure
Four patients are being transported to the ED after a severe collision between a train and two motor
vehicles. Which of the following patients should be triaged for FIRST treatment? - (ANSWER)26-year-old
with respiratory distress and open chest wound
A 53 year old female with a history of sarcoidosis presents to the ED after being rescued by firefighters
from her burning apartment. She is currently alert and oriented, BP-115/78, HR-110, RR- 24, T-100.4 F,
oxygen saturation 97% on room air. She is currently only complaining of a headache and her
carboxyhemoglobin is 13%. What is the MOST appropriate nursing intervention? - (ANSWER)Place on
high-flow non-rebreather
A 28 year old, obsterical patient presents at 38 weeks gestation status post motor vehicle collision. Upon
arrival via EMS, you note she is on a backboard and c-collar is in place.
What is the immediate nursing intervention for this patient? - (ANSWER)Place patient in left tilt position
ANSWERS.
What is the proper procedure for testing visual acuity? - (ANSWER)2) Test the affected eye first, then the
unaffected eye with corrective lenses when available
A 22-year-old man with sickle cell disease is brought into the ED by Campus Police from his local
university. 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? - (ANSWER)oral
hydrocodone.
TPA would be contraindicated for which of the following patients? - (ANSWER)WRONG
1) 67 year old with symptom onset 3 hours ago
A 24 year old female, who has recently received methotrexate for a tubal pregnancy, presents to the ED
with severe abdominal pain. What would be the PRIORITY nursing intervention? - (ANSWER)Prepare for
OR
A 3 year old boy with a history of hydrocephalus 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: - (ANSWER)*BOTH
WRONG*
1) Removal of the shunt
2) Draining the shunt
When caring for a patient who has received a massive blood transfusion, monitoring which of the
following lab results is a top priority? - (ANSWER)ionized calcium level.
What medication would you anticipate administering to a six month old having an active tonic-clonic
seizure? - (ANSWER)*BOTH WRONG*
, PROPHECY EMERGENCY DEPARTMENT RN A QUESTIONS AND
ANSWERS.
1) Phenobarbital
2)Phenytoin
Patient presents to the ED with a snake bite that occurred 30 minutes ago. The snake was identified as a
poisonous rattlesnake. What medication would you expect the physician to order for this patient? -
(ANSWER)CroFab Crotalidae Polyvalent Immune Fab (Ovine)
A 26 year old male with a history of asthma presents to the ED with dyspnea, audible expiratory
wheezes, 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? - (ANSWER)Give albuterol and atrovent
nebulizer with oxygen
A 40-year-old man presents to the ED with shortness of breath and a headache, after being sprayed by
pesticides while working on a farm. What is the FIRST nursing intervention? - (ANSWER)Decontaminate
the patient according to hospital procedure
Four patients are being transported to the ED after a severe collision between a train and two motor
vehicles. Which of the following patients should be triaged for FIRST treatment? - (ANSWER)26-year-old
with respiratory distress and open chest wound
A 53 year old female with a history of sarcoidosis presents to the ED after being rescued by firefighters
from her burning apartment. She is currently alert and oriented, BP-115/78, HR-110, RR- 24, T-100.4 F,
oxygen saturation 97% on room air. She is currently only complaining of a headache and her
carboxyhemoglobin is 13%. What is the MOST appropriate nursing intervention? - (ANSWER)Place on
high-flow non-rebreather
A 28 year old, obsterical patient presents at 38 weeks gestation status post motor vehicle collision. Upon
arrival via EMS, you note she is on a backboard and c-collar is in place.
What is the immediate nursing intervention for this patient? - (ANSWER)Place patient in left tilt position
