PROPHECY EMERGENCY DEPARTMENT RN A – TEST
QUESTIONS AND ANSWERS – GRADED A+
What is the proper procedure for testing visual acuity? Correct ans -
*BOTH WRONG*
1) Test the affected eye first, then the unaffected eye without corrective
lenses
2) Test the unaffected eye first, then the affected 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? Correct ans
- *BOTH WRONG*
1) Oral hydrocodone
2) Intravenous acetaminophen
TPA would be contraindicated for which of the following patients?
Correct ans - 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? Correct ans - *BOTH WRONG*
1) Administer pain medication and fluids as ordered
2) Prepare for a pelvic exam and assess for vaginal bleeding
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: Correct ans
- *BOTH WRONG*
1) Removal of the shunt
2) Draining the shunt
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, When caring for a patient who has received a massive blood transfusion,
monitoring which of the following lab results is a top priority? Correct
ans - *BOTH WRONG*
1) B-type natriuretic peptide
2) Hematocrit count
What medication would you anticipate administering to a six month old
having an active tonic-clonic seizure? Correct ans - *BOTH WRONG*
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? Correct ans -
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? Correct ans - 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? Correct ans - 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? Correct ans - 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? Correct ans - 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.
This study source was downloaded by 100000818833991 from CourseHero.com on 03-17-2023 07:10:34 GMT -05:00
https://www.stuvia.com
QUESTIONS AND ANSWERS – GRADED A+
What is the proper procedure for testing visual acuity? Correct ans -
*BOTH WRONG*
1) Test the affected eye first, then the unaffected eye without corrective
lenses
2) Test the unaffected eye first, then the affected 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? Correct ans
- *BOTH WRONG*
1) Oral hydrocodone
2) Intravenous acetaminophen
TPA would be contraindicated for which of the following patients?
Correct ans - 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? Correct ans - *BOTH WRONG*
1) Administer pain medication and fluids as ordered
2) Prepare for a pelvic exam and assess for vaginal bleeding
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: Correct ans
- *BOTH WRONG*
1) Removal of the shunt
2) Draining the shunt
This study source was downloaded by 100000818833991 from CourseHero.com on 03-17-2023 07:10:34 GMT -05:00
https://www.stuvia.com
, When caring for a patient who has received a massive blood transfusion,
monitoring which of the following lab results is a top priority? Correct
ans - *BOTH WRONG*
1) B-type natriuretic peptide
2) Hematocrit count
What medication would you anticipate administering to a six month old
having an active tonic-clonic seizure? Correct ans - *BOTH WRONG*
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? Correct ans -
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? Correct ans - 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? Correct ans - 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? Correct ans - 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? Correct ans - 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.
This study source was downloaded by 100000818833991 from CourseHero.com on 03-17-2023 07:10:34 GMT -05:00
https://www.stuvia.com
