PROPHECY EMERGENCY DEPARTMENT
RN A Questions and Answers 66 out of
72 correct
What is the proper procedure for testing visual acuity? -
✔*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? -
✔*BOTH WRONG*
1) Oral hydrocodone
2) Intravenous acetaminophen
TPA would be contraindicated for which of the following patients? -
✔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? -
✔*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: -
✔*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? -
✔*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? -
✔*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? -
✔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? -
✔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? -
✔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? -
✔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 13%. What is the MOST
appropriate nursing intervention? -
✔Place on high-flow non-rebreather
RN A Questions and Answers 66 out of
72 correct
What is the proper procedure for testing visual acuity? -
✔*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? -
✔*BOTH WRONG*
1) Oral hydrocodone
2) Intravenous acetaminophen
TPA would be contraindicated for which of the following patients? -
✔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? -
✔*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: -
✔*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? -
✔*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? -
✔*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? -
✔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? -
✔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? -
✔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? -
✔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 13%. What is the MOST
appropriate nursing intervention? -
✔Place on high-flow non-rebreather
