PROPHECY EMERGENCY DEPARTMENT RN A TEST
2024
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
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
2024
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
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
