lOMoARcPSD|5734770
OMoARcPSD|5734770
PROPHECY EMERGENCY DEPARTMENT RN A Test 2022
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?
- IV Fluids Normal Saline
TPA would be contraindicated for which of the following patients?
- 80 year old diagnosed with stroke 2 weeks 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 to go to the 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:
- Antibiotics and IV Fluids
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?
- Ativan
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
, lOMoARcPSD|5734770
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?
- 28-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, 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?
- 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?
1) Bradycardia, hypertension, 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?
OMoARcPSD|5734770
PROPHECY EMERGENCY DEPARTMENT RN A Test 2022
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?
- IV Fluids Normal Saline
TPA would be contraindicated for which of the following patients?
- 80 year old diagnosed with stroke 2 weeks 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 to go to the 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:
- Antibiotics and IV Fluids
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?
- Ativan
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
, lOMoARcPSD|5734770
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?
- 28-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, 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?
- 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?
1) Bradycardia, hypertension, 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?
