PROPHECY EMERGENCY DEPARTMENT RN A Test with
100% Verified Answers
1. What is the proper procedure for testing visual acu- *BOTH WRONG*
ity? 1) Test the affected
eye first, then the
unaffected eye with-
out corrective lens-
es
2) Test the unaffect-
ed eye first, then
the affected eye
with corrective lens-
es when available
2. A 22-year-old man with sickle cell disease is brought *BOTH WRONG*
into the ED by Campus Police from his local uni-
versity. He is complaining of increasing pain to his 1) Oral hy-
bilateral lower extremities, consistent with his past drocodone
sickle cell pain crisis. Which intervention would you
expect the provider to order? 2) Intravenous ac-
etaminophen
3. TPA would be contraindicated for which of the fol- WRONG
lowing patients?
1) 67 year old with
symptom onset 3
hours ago
4. A 24 year old female, who has recently received *BOTH WRONG*
methotrexate for a tubal pregnancy, presents to the
ED with severe abdominal pain. What would be the 1) Administer pain
PRIORITY nursing intervention? medication and flu-
ids as ordered
2) Prepare for a
pelvic exam and
assess for vaginal
bleeding
5.
, PROPHECY EMERGENCY DEPARTMENT RN A Test with
100% Verified Answers
A 3 year old boy with a history of hydrocephalus *BOTH WRONG*
with a cerebral shunt arrives to the ED with a fever
of 102.0°F, an enlarged abdomen, tachycardia and 1) Removal of the
hypotension. The patient is mildly lethargic, however shunt
is cooperative with the ED staff. Immediate treatment
for this child should include: 2) Draining the
shunt
6. When caring for a patient who has received a mas- *BOTH WRONG*
sive blood transfusion, monitoring which of the fol-
lowing lab results is a top priority? 1) B-type natriuretic
peptide
2) Hematocrit count
7. What medication would you anticipate administer- *BOTH WRONG*
ing to a six month old having an active tonic-clonic
seizure? 1) Phenobarbital
2) Phenytoin
8. Patient presents to the ED with a snake bite that CroFab Crotalidae
occurred 30 minutes ago. The snake was identified Polyvalent Immune
as a poisonous rattlesnake. What medication would Fab (Ovine)
you expect the physician to order for this patient?
9. A 26 year old male with a history of asthma presents Give albuterol and
to the ED with dyspnea, audible expiratory wheezes, atrovent nebulizer
substernal retractions, accessory muscle use, with with oxygen
BP-145/72, HR -26, RR-32, O2 Sat 88% on room air.
What is the FIRST treatment of choice for this pa-
tient?
10. A 40-year-old man presents to the ED with short- Decontaminate the
ness of breath and a headache, after being sprayed patient according to
by pesticides while working on a farm. What is the hospital procedure
FIRST nursing intervention?
11. Four patients are being transported to the ED after 26-year-old with
a severe collision between a train and two motor respiratory distress
100% Verified Answers
1. What is the proper procedure for testing visual acu- *BOTH WRONG*
ity? 1) Test the affected
eye first, then the
unaffected eye with-
out corrective lens-
es
2) Test the unaffect-
ed eye first, then
the affected eye
with corrective lens-
es when available
2. A 22-year-old man with sickle cell disease is brought *BOTH WRONG*
into the ED by Campus Police from his local uni-
versity. He is complaining of increasing pain to his 1) Oral hy-
bilateral lower extremities, consistent with his past drocodone
sickle cell pain crisis. Which intervention would you
expect the provider to order? 2) Intravenous ac-
etaminophen
3. TPA would be contraindicated for which of the fol- WRONG
lowing patients?
1) 67 year old with
symptom onset 3
hours ago
4. A 24 year old female, who has recently received *BOTH WRONG*
methotrexate for a tubal pregnancy, presents to the
ED with severe abdominal pain. What would be the 1) Administer pain
PRIORITY nursing intervention? medication and flu-
ids as ordered
2) Prepare for a
pelvic exam and
assess for vaginal
bleeding
5.
, PROPHECY EMERGENCY DEPARTMENT RN A Test with
100% Verified Answers
A 3 year old boy with a history of hydrocephalus *BOTH WRONG*
with a cerebral shunt arrives to the ED with a fever
of 102.0°F, an enlarged abdomen, tachycardia and 1) Removal of the
hypotension. The patient is mildly lethargic, however shunt
is cooperative with the ED staff. Immediate treatment
for this child should include: 2) Draining the
shunt
6. When caring for a patient who has received a mas- *BOTH WRONG*
sive blood transfusion, monitoring which of the fol-
lowing lab results is a top priority? 1) B-type natriuretic
peptide
2) Hematocrit count
7. What medication would you anticipate administer- *BOTH WRONG*
ing to a six month old having an active tonic-clonic
seizure? 1) Phenobarbital
2) Phenytoin
8. Patient presents to the ED with a snake bite that CroFab Crotalidae
occurred 30 minutes ago. The snake was identified Polyvalent Immune
as a poisonous rattlesnake. What medication would Fab (Ovine)
you expect the physician to order for this patient?
9. A 26 year old male with a history of asthma presents Give albuterol and
to the ED with dyspnea, audible expiratory wheezes, atrovent nebulizer
substernal retractions, accessory muscle use, with with oxygen
BP-145/72, HR -26, RR-32, O2 Sat 88% on room air.
What is the FIRST treatment of choice for this pa-
tient?
10. A 40-year-old man presents to the ED with short- Decontaminate the
ness of breath and a headache, after being sprayed patient according to
by pesticides while working on a farm. What is the hospital procedure
FIRST nursing intervention?
11. Four patients are being transported to the ED after 26-year-old with
a severe collision between a train and two motor respiratory distress
