PROPHECY EMERGENCY DEPARTMENT RN
A EXAM WITH COMPLETE SOLUTIONS 2025
What is the proper procedure for testing visual acuity?
Correct Ans- The proper procedure for testing visual acuity is based on the usageof the
Snellen test which has letters or symbols. The letters are arranged in rows and columns in
the chart and they have different sizes.
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. Whichintervention would you expect the
provider to order?
Correct Ans- IV Fluids Normal Saline
TPA would be contraindicated for which of the following patients? Correct Ans-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 thePRIORITY nursing
intervention?
Correct Ans- Prepare to go to the OR
A 3 year old boy with a history of hydrocephalus with a cerebral shunt arrives tothe ED with
a fever of 102.0°F, an enlarged abdomen, tachycardia and hypotension. The patient is mildly
lethargic, however is cooperative with the EDstaff. Immediate treatment for this child
should include:
Correct Ans- 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?
Correct Ans- Ionized Calcium Level
What medication would you anticipate administering to a six month old having anactive
tonic-clonic seizure?
Correct Ans- Ativan
Patient presents to the ED with a snake bite that occurred 30 minutes ago. Thesnake was
identified as a poisonous rattlesnake. What medication would you expect the physician to
order for this patient?
Correct Ans- CroFab Crotalidae Polyvalent Immune Fab (Ovine)
This study source was downloaded by 100000841744618 from CourseHero.com on 09-13-2022 09:00:12 GMT -05:00
https://www.coursehero.com/file/161875889/PROPHECY-EMERGENCY-DEPARTMENT-RN-A-EXAM-2022pdf/
, 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? Correct
Ans- 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? Correct Ans- 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 forFIRST treatment?
Correct Ans- 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 roomair. She is currently only complaining of a
headache and her carboxyhemoglobin is13%. What is the MOST appropriate nursing
intervention?
Correct Ans- Place on high-flow non-rebreather
A 28 year old, obsterical patient presents at 38 weeks gestation status post
motorvehicle 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?
Correct Ans- Place patient in left tilt position
A 36 year old male presents to the ED with an amputated hand. What should youdo
FIRST? Correct Ans- Apply direct pressure to extremity
Of the following patients, which one needs referral to the closest burn center? Correct
Ans-Partial-thickness and full-thickness burns involving the genitalia orperineum
What are three signs of cardiac tamponade?Correct
Ans Sharp pain in the chest. ...
This study source was downloaded by 100000841744618 from CourseHero.com on 09-13-2022 09:00:12 GMT -05:00
https://www.coursehero.com/file/161875889/PROPHECY-EMERGENCY-DEPARTMENT-RN-A-EXAM-2022pdf/
A EXAM WITH COMPLETE SOLUTIONS 2025
What is the proper procedure for testing visual acuity?
Correct Ans- The proper procedure for testing visual acuity is based on the usageof the
Snellen test which has letters or symbols. The letters are arranged in rows and columns in
the chart and they have different sizes.
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. Whichintervention would you expect the
provider to order?
Correct Ans- IV Fluids Normal Saline
TPA would be contraindicated for which of the following patients? Correct Ans-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 thePRIORITY nursing
intervention?
Correct Ans- Prepare to go to the OR
A 3 year old boy with a history of hydrocephalus with a cerebral shunt arrives tothe ED with
a fever of 102.0°F, an enlarged abdomen, tachycardia and hypotension. The patient is mildly
lethargic, however is cooperative with the EDstaff. Immediate treatment for this child
should include:
Correct Ans- 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?
Correct Ans- Ionized Calcium Level
What medication would you anticipate administering to a six month old having anactive
tonic-clonic seizure?
Correct Ans- Ativan
Patient presents to the ED with a snake bite that occurred 30 minutes ago. Thesnake was
identified as a poisonous rattlesnake. What medication would you expect the physician to
order for this patient?
Correct Ans- CroFab Crotalidae Polyvalent Immune Fab (Ovine)
This study source was downloaded by 100000841744618 from CourseHero.com on 09-13-2022 09:00:12 GMT -05:00
https://www.coursehero.com/file/161875889/PROPHECY-EMERGENCY-DEPARTMENT-RN-A-EXAM-2022pdf/
, 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? Correct
Ans- 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? Correct Ans- 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 forFIRST treatment?
Correct Ans- 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 roomair. She is currently only complaining of a
headache and her carboxyhemoglobin is13%. What is the MOST appropriate nursing
intervention?
Correct Ans- Place on high-flow non-rebreather
A 28 year old, obsterical patient presents at 38 weeks gestation status post
motorvehicle 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?
Correct Ans- Place patient in left tilt position
A 36 year old male presents to the ED with an amputated hand. What should youdo
FIRST? Correct Ans- Apply direct pressure to extremity
Of the following patients, which one needs referral to the closest burn center? Correct
Ans-Partial-thickness and full-thickness burns involving the genitalia orperineum
What are three signs of cardiac tamponade?Correct
Ans Sharp pain in the chest. ...
This study source was downloaded by 100000841744618 from CourseHero.com on 09-13-2022 09:00:12 GMT -05:00
https://www.coursehero.com/file/161875889/PROPHECY-EMERGENCY-DEPARTMENT-RN-A-EXAM-2022pdf/
