PROPHECY EMERGENCY DEPARTMENT RN A
1. *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: What is the proper procedure for testing visual acuity?
2. *BOTH WRONG*
1) Oral hydrocodone
2) Intravenous acetaminophen: 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?
3. WRONG
1) 67 year old with symptom onset 3 hours ago: TPA would be contraindicated
for which of the following patients?
4. *BOTH WRONG*
1) Administer pain medication and fluids as ordered
2) Prepare for a pelvic exam and assess for vaginal bleeding: 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?
5. *BOTH WRONG*
1) Removal of the shunt
2) Draining the shunt: 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:
6. *BOTH WRONG*
1) B-type natriuretic peptide
2) Hematocrit count: When caring for a patient who has received a massive blood
transfusion, monitoring which of the following lab results is a top priority?
1/8
, PROPHECY EMERGENCY DEPARTMENT RN A
7. *BOTH WRONG*
1) Phenobarbital
2)Phenytoin: What medication would you anticipate administering to a six month
old having an active tonic-clonic seizure?
8. CroFab Crotalidae Polyvalent Immune Fab (Ovine): 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?
9. Give albuterol and atrovent nebulizer with oxygen: 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?
10. Decontaminate the patient according to hospital procedure: 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 interven-
tion?
11. 26-year-old with respiratory distress and open chest wound: Four patients
are being transported to the ED after a severe collision between a train and two mo-
tor vehicles. Which of the following patients should be triaged for FIRST treatment?
12. Place on high-flow non-rebreather: A 53 year old female with a history of
sarcoidosis presents to the ED after being rescued by firefighters from her burn-
ing 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?
13. Place patient in left tilt position: 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?
14. Apply direct pressure to extremity: A 36 year old male presents to the ED with
an amputated hand. What should you do FIRST?
15. Partial-thickness and full-thickness burns involving the genitalia or per-
ineum: Of the following patients, which one needs referral to the closest burn
center?
16. Hypertension, bradycardia, muffled heart sounds: What are three signs of
cardiac tamponade?
2/8
1. *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: What is the proper procedure for testing visual acuity?
2. *BOTH WRONG*
1) Oral hydrocodone
2) Intravenous acetaminophen: 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?
3. WRONG
1) 67 year old with symptom onset 3 hours ago: TPA would be contraindicated
for which of the following patients?
4. *BOTH WRONG*
1) Administer pain medication and fluids as ordered
2) Prepare for a pelvic exam and assess for vaginal bleeding: 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?
5. *BOTH WRONG*
1) Removal of the shunt
2) Draining the shunt: 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:
6. *BOTH WRONG*
1) B-type natriuretic peptide
2) Hematocrit count: When caring for a patient who has received a massive blood
transfusion, monitoring which of the following lab results is a top priority?
1/8
, PROPHECY EMERGENCY DEPARTMENT RN A
7. *BOTH WRONG*
1) Phenobarbital
2)Phenytoin: What medication would you anticipate administering to a six month
old having an active tonic-clonic seizure?
8. CroFab Crotalidae Polyvalent Immune Fab (Ovine): 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?
9. Give albuterol and atrovent nebulizer with oxygen: 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?
10. Decontaminate the patient according to hospital procedure: 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 interven-
tion?
11. 26-year-old with respiratory distress and open chest wound: Four patients
are being transported to the ED after a severe collision between a train and two mo-
tor vehicles. Which of the following patients should be triaged for FIRST treatment?
12. Place on high-flow non-rebreather: A 53 year old female with a history of
sarcoidosis presents to the ED after being rescued by firefighters from her burn-
ing 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?
13. Place patient in left tilt position: 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?
14. Apply direct pressure to extremity: A 36 year old male presents to the ED with
an amputated hand. What should you do FIRST?
15. Partial-thickness and full-thickness burns involving the genitalia or per-
ineum: Of the following patients, which one needs referral to the closest burn
center?
16. Hypertension, bradycardia, muffled heart sounds: What are three signs of
cardiac tamponade?
2/8
