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PROPHECY EMERGENCY DEPARTMENT
RN A 2025 UPDATED ACTUAL EXAM
WITH CORRECT SOLUTIONS.
What is the proper procedure for testing visual acuity? - correct
answer- *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
answer- *BOTH WRONG*
1) Oral hydrocodone
2) Intravenous acetaminophen
TPA would be contraindicated for which of the following
patients? - correct answer- WRONG
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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 answer- *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 answer- *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 answer- *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
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? - correct answer- 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,
PROPHECY EMERGENCY DEPARTMENT
RN A 2025 UPDATED ACTUAL EXAM
WITH CORRECT SOLUTIONS.
What is the proper procedure for testing visual acuity? - correct
answer- *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
answer- *BOTH WRONG*
1) Oral hydrocodone
2) Intravenous acetaminophen
TPA would be contraindicated for which of the following
patients? - correct answer- WRONG
,2 | Page
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 answer- *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 answer- *BOTH
WRONG*
1) Removal of the shunt
2) Draining the shunt
, 3 | Page
When caring for a patient who has received a massive blood
transfusion, monitoring which of the following lab results is a
top priority? - correct answer- *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
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? - correct answer- 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,
