PROPHECY EMERGENCY
DEPARTMENT RN A EXAM QUESTIONS
AND ANSWERS GRADED A+ 2025/2026
What is the proper procedure for testing visual acuity? - ANS *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? -
ANS *BOTH WRONG*
1) Oral hydrocodone
2) Intravenous acetaminophen
TPA would be contraindicated for which of the following patients? - ANS WRONG
1) 67 year old with symptom onset 3 hours ago
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, 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? -
ANS *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: - ANS *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? - ANS *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? - ANS *BOTH WRONG*
1) Phenobarbital
2)Phenytoin
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
DEPARTMENT RN A EXAM QUESTIONS
AND ANSWERS GRADED A+ 2025/2026
What is the proper procedure for testing visual acuity? - ANS *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? -
ANS *BOTH WRONG*
1) Oral hydrocodone
2) Intravenous acetaminophen
TPA would be contraindicated for which of the following patients? - ANS WRONG
1) 67 year old with symptom onset 3 hours ago
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, 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? -
ANS *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: - ANS *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? - ANS *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? - ANS *BOTH WRONG*
1) Phenobarbital
2)Phenytoin
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
