Prophecy Relias Emergency Department (ED) RN A Exam |Version 3| (Latest 2023/ 2024) Questions and Verified Answers| Grade A

Prophecy Relias Emergency Department (ED) RN A Exam |Version 3| (Latest 2023/ 2024) Questions and Verified Answers| Grade A Q: You are delegating wound care to a licensed practical nurse. The LPN states she has never performed this type of wound care before. What component of delegation have you neglected? Answer: Competency Q: A 46-year old patient presents with complaint of palpitations beginning 1 hour prior to presentation. He reports excessive caffeine intake over the past 24 hours. A 12-lead EKG has been contained and shows a narrow complex tachycardia at a rate of 200 BPM. His skin is cool and clammy. The patient's blood pressure is 110/50. The physician has attempted vagal maneuvers with the patient by asking him to bear down without effect. An intravenous line has been established. What is the NEXT priority intervention? Answer: Place defibrillator/pacing electrode pads on his chest and prepare to administer adenosine Q: What is the proper procedure for testing visual acuity? Answer: 2) Test the affected eye first, then the unaffected eye with corrective lenses when available Q: 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? Answer: oral hydrocodone. Q: TPA would be contraindicated for which of the following patients? Answer: WRONG 1) 67 year old with symptom onset 3 hours ago Q: 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? Answer: Prepare for OR Q: 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: Answer: *BOTH WRONG* 1) Removal of the shunt