PROPHECY EMERGENCY DEPARTMENT
RN A QUESTIONS AND ANSWERS
What |is |the |proper |procedure |for |testing |visual |acuity? |- |correct |answers✔✔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? |- |correct |answers✔✔oral |hydrocodone.
TPA |would |be |contraindicated |for |which |of |the |following |patients? |- |correct
|answers✔✔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 |answers✔✔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: |- |correct |answers✔✔*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? |- |correct |answers✔✔ionized
|calcium |level.
What |medication |would |you |anticipate |administering |to |a |six |month |old |having |an
|active |tonic-clonic |seizure? |- |correct |answers✔✔*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 |answers✔✔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 |answers✔✔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 |answers✔✔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 |answers✔✔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
RN A QUESTIONS AND ANSWERS
What |is |the |proper |procedure |for |testing |visual |acuity? |- |correct |answers✔✔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? |- |correct |answers✔✔oral |hydrocodone.
TPA |would |be |contraindicated |for |which |of |the |following |patients? |- |correct
|answers✔✔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 |answers✔✔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: |- |correct |answers✔✔*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? |- |correct |answers✔✔ionized
|calcium |level.
What |medication |would |you |anticipate |administering |to |a |six |month |old |having |an
|active |tonic-clonic |seizure? |- |correct |answers✔✔*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 |answers✔✔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 |answers✔✔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 |answers✔✔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 |answers✔✔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
