PROPHECY EMERGENCY
DEPARTMENT RN A
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
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?
DEPARTMENT RN A
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
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?
