PROPHECY EMERGENCY
DEPARTMENT RN A EXAM 2022.
What is the proper procedure for testing visual acuity?
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?
TPA would be contraindicated for which of the following patients? Correct Ans-
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?
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:
When caring for a patient who has received a massive blood transfusion,
monitoring which of the following lab results is a top priority?
What medication would you anticipate administering to a six month old having an
active tonic-clonic seizure?
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?
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?
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, 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?
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?
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?
A 28 year old, obsterical 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?
A 36 year old male presents to the ED with an amputated hand. What should you
do FIRST?
Of the following patients, which one needs referral to the closest burn center?
What are three signs of cardiac tamponade?
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
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?
This study source was downloaded by 100000850742433 from CourseHero.com on 09-13-2022 04:22:22 GMT -05:00
https://www.coursehero.com/file/146280410/PROPHECY-EMERGENCY-DEPARTMENT-RN-A-EXAM-2022pdf/
DEPARTMENT RN A EXAM 2022.
What is the proper procedure for testing visual acuity?
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?
TPA would be contraindicated for which of the following patients? Correct Ans-
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?
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:
When caring for a patient who has received a massive blood transfusion,
monitoring which of the following lab results is a top priority?
What medication would you anticipate administering to a six month old having an
active tonic-clonic seizure?
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?
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?
This study source was downloaded by 100000850742433 from CourseHero.com on 09-13-2022 04:22:22 GMT -05:00
https://www.coursehero.com/file/146280410/PROPHECY-EMERGENCY-DEPARTMENT-RN-A-EXAM-2022pdf/
, 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?
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?
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?
A 28 year old, obsterical 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?
A 36 year old male presents to the ED with an amputated hand. What should you
do FIRST?
Of the following patients, which one needs referral to the closest burn center?
What are three signs of cardiac tamponade?
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
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?
This study source was downloaded by 100000850742433 from CourseHero.com on 09-13-2022 04:22:22 GMT -05:00
https://www.coursehero.com/file/146280410/PROPHECY-EMERGENCY-DEPARTMENT-RN-A-EXAM-2022pdf/
