PROPHECY EMERGENCY
DEPARTMENT RN A
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
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
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, RR-32, O2 Sat 88% on room air. What is the FIRST treatment of
choice for this patient? Correct Answer: 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? Correct Answer: 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? Correct Answer: 26-year-old with respiratory distress and open
chest wound
DEPARTMENT RN A
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
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
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, RR-32, O2 Sat 88% on room air. What is the FIRST treatment of
choice for this patient? Correct Answer: 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? Correct Answer: 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? Correct Answer: 26-year-old with respiratory distress and open
chest wound
