PROPHECY EMERGENCY DEPARTMENT
RN A with best solution updated
What is the proper procedure for testing visual acuity? - 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? - oral hydrocodone.
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? - 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: - *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? - ionized calcium level.
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
, PROPHECY EMERGENCY DEPARTMENT
RN A with best solution updated
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
A 28-year-old, obstetrical patient presents at 38 weeks gestation status post motor
vehicle collision. Upon arrival via EMS, you note she is on a backboard and c-collar is in
place.
What is the immediate nursing intervention for this patient? - Place patient in left tilt
position
A 36-year-old male presents to the ED with an amputated hand. What should you do
FIRST? - Apply direct pressure to extremity
Of the following patients, which one needs referral to the closest burn center? - Partial-
thickness and full-thickness burns involving the genitalia or perineum
What are three signs of cardiac tamponade? - Hypotension, bradycardia, muffled heart
sounds
An 11-year-old female is brought to the emergency department with complaints of
excessive sleeping, headache, sore throat and swollen neck glands. The patient has no
complaints of pain. On exam, you note a pink rash on her torso. Her mother states that
her appetite has decreased over the last week. What is the most likely diagnosis -
Mononucleosis
An 88-year-old male transferred to the ED from a nursing home with a chief complaint of
being unable to void for the past 12 hours. He has a history of prostate cancer. Which of
the following nursing interventions should be performed FIRST? - Insert urinary catheter
Which of the following would be a primary complication of a bowel obstruction? -
Dehydration
A 32-year-old woman recently diagnosed with multiple sclerosis presents to the ED with
several days of upper respiratory infection and now progressively weakened lower
RN A with best solution updated
What is the proper procedure for testing visual acuity? - 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? - oral hydrocodone.
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? - 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: - *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? - ionized calcium level.
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
, PROPHECY EMERGENCY DEPARTMENT
RN A with best solution updated
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
A 28-year-old, obstetrical patient presents at 38 weeks gestation status post motor
vehicle collision. Upon arrival via EMS, you note she is on a backboard and c-collar is in
place.
What is the immediate nursing intervention for this patient? - Place patient in left tilt
position
A 36-year-old male presents to the ED with an amputated hand. What should you do
FIRST? - Apply direct pressure to extremity
Of the following patients, which one needs referral to the closest burn center? - Partial-
thickness and full-thickness burns involving the genitalia or perineum
What are three signs of cardiac tamponade? - Hypotension, bradycardia, muffled heart
sounds
An 11-year-old female is brought to the emergency department with complaints of
excessive sleeping, headache, sore throat and swollen neck glands. The patient has no
complaints of pain. On exam, you note a pink rash on her torso. Her mother states that
her appetite has decreased over the last week. What is the most likely diagnosis -
Mononucleosis
An 88-year-old male transferred to the ED from a nursing home with a chief complaint of
being unable to void for the past 12 hours. He has a history of prostate cancer. Which of
the following nursing interventions should be performed FIRST? - Insert urinary catheter
Which of the following would be a primary complication of a bowel obstruction? -
Dehydration
A 32-year-old woman recently diagnosed with multiple sclerosis presents to the ED with
several days of upper respiratory infection and now progressively weakened lower
