PROPHECY RELIAS EMERGENCY
DEPARTMENT 2026 CERTIFICATION
EVALUATION EXAM QUESTIONS AND
ANSWERS MASTER FILE
◉ 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*
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)
DEPARTMENT 2026 CERTIFICATION
EVALUATION EXAM QUESTIONS AND
ANSWERS MASTER FILE
◉ 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*
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)
