PROPHECY EMERGENCY DEPARTMENT RN A
Study online at https://quizlet.com/_a091c3
1. What is the proper procedure for testing visual acu- *BOTH WRONG*
ity? 1) Test the affected eye
first, then the unaffected eye
without corrective lenses
2) Test the unaffected eye
first, then the affected eye
with corrective lenses when
available
2. A 22-year-old man with sickle cell disease is brought *BOTH WRONG*
into the ED by Campus Police from his local universi-
ty. He is complaining of increasing pain to his bilateral 1) Oral hydrocodone
lower extremities, consistent with his past sickle cell
2) Intravenous aceta-
pain crisis. Which intervention would you expect the
minophen
provider to order?
3. TPA would be contraindicated for which of the follow- WRONG
ing patients?
1) 67 year old with symptom
onset 3 hours ago
4. A 24 year old female, who has recently received *BOTH WRONG*
methotrexate for a tubal pregnancy, presents to the
ED with severe abdominal pain. What would be the 1) Administer pain medica-
PRIORITY nursing intervention? tion and fluids as ordered
2) Prepare for a pelvic exam
and assess for vaginal bleed-
ing
5. A 3 year old boy with a history of hydrocephalus *BOTH WRONG*
with a cerebral shunt arrives to the ED with a fever
, PROPHECY EMERGENCY DEPARTMENT RN A
Study online at https://quizlet.com/_a091c3
of 102.0°F, an enlarged abdomen, tachycardia and 1) Removal of the shunt
hypotension. The patient is mildly lethargic, however
is cooperative with the ED staff. Immediate treatment 2) Draining the shunt
for this child should include:
6. When caring for a patient who has received a massive *BOTH WRONG*
blood transfusion, monitoring which of the following
lab results is a top priority? 1) B-type natriuretic pep-
tide
2) Hematocrit count
7. What medication would you anticipate administer- *BOTH WRONG*
ing to a six month old having an active tonic-clonic
seizure? 1) Phenobarbital
2)Phenytoin
8. Patient presents to the ED with a snake bite that CroFab Crotalidae Polyvalent
occurred 30 minutes ago. The snake was identified Immune Fab (Ovine)
as a poisonous rattlesnake. What medication would
you expect the physician to order for this patient?
9. A 26 year old male with a history of asthma presents Give albuterol and atrovent
to the ED with dyspnea, audible expiratory wheezes, nebulizer with oxygen
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?
10. A 40-year-old man presents to the ED with shortness Decontaminate the patient
of breath and a headache, after being sprayed by according to hospital proce-
pesticides while working on a farm. What is the FIRST dure
nursing intervention?
Study online at https://quizlet.com/_a091c3
1. What is the proper procedure for testing visual acu- *BOTH WRONG*
ity? 1) Test the affected eye
first, then the unaffected eye
without corrective lenses
2) Test the unaffected eye
first, then the affected eye
with corrective lenses when
available
2. A 22-year-old man with sickle cell disease is brought *BOTH WRONG*
into the ED by Campus Police from his local universi-
ty. He is complaining of increasing pain to his bilateral 1) Oral hydrocodone
lower extremities, consistent with his past sickle cell
2) Intravenous aceta-
pain crisis. Which intervention would you expect the
minophen
provider to order?
3. TPA would be contraindicated for which of the follow- WRONG
ing patients?
1) 67 year old with symptom
onset 3 hours ago
4. A 24 year old female, who has recently received *BOTH WRONG*
methotrexate for a tubal pregnancy, presents to the
ED with severe abdominal pain. What would be the 1) Administer pain medica-
PRIORITY nursing intervention? tion and fluids as ordered
2) Prepare for a pelvic exam
and assess for vaginal bleed-
ing
5. A 3 year old boy with a history of hydrocephalus *BOTH WRONG*
with a cerebral shunt arrives to the ED with a fever
, PROPHECY EMERGENCY DEPARTMENT RN A
Study online at https://quizlet.com/_a091c3
of 102.0°F, an enlarged abdomen, tachycardia and 1) Removal of the shunt
hypotension. The patient is mildly lethargic, however
is cooperative with the ED staff. Immediate treatment 2) Draining the shunt
for this child should include:
6. When caring for a patient who has received a massive *BOTH WRONG*
blood transfusion, monitoring which of the following
lab results is a top priority? 1) B-type natriuretic pep-
tide
2) Hematocrit count
7. What medication would you anticipate administer- *BOTH WRONG*
ing to a six month old having an active tonic-clonic
seizure? 1) Phenobarbital
2)Phenytoin
8. Patient presents to the ED with a snake bite that CroFab Crotalidae Polyvalent
occurred 30 minutes ago. The snake was identified Immune Fab (Ovine)
as a poisonous rattlesnake. What medication would
you expect the physician to order for this patient?
9. A 26 year old male with a history of asthma presents Give albuterol and atrovent
to the ED with dyspnea, audible expiratory wheezes, nebulizer with oxygen
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?
10. A 40-year-old man presents to the ED with shortness Decontaminate the patient
of breath and a headache, after being sprayed by according to hospital proce-
pesticides while working on a farm. What is the FIRST dure
nursing intervention?
