EMERGENCY DEPARTMENT RN A PROPHECY
EXAM FINAL PREPARATION MANUAL 2026
◉ 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: *BOTH WRONG*
1) Oral hydrocodone
2) Intravenous acetaminophen
◉ TPA would be contraindicated for which of the following patients?
Answer: 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? Answer: *BOTH
WRONG*
,1) Administer pain medication and fluids as ordered
2) Prepare for a pelvic exam and assess for vaginal bleeding
◉ 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
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? Answer: *BOTH WRONG*
1) B-type natriuretic peptide
2) Hematocrit count
, ◉ What medication would you anticipate administering to a six
month old having an active tonic-clonic seizure? Answer: *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? Answer: 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?
Answer: 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? Answer:
Decontaminate the patient according to hospital procedure
EXAM FINAL PREPARATION MANUAL 2026
◉ 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: *BOTH WRONG*
1) Oral hydrocodone
2) Intravenous acetaminophen
◉ TPA would be contraindicated for which of the following patients?
Answer: 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? Answer: *BOTH
WRONG*
,1) Administer pain medication and fluids as ordered
2) Prepare for a pelvic exam and assess for vaginal bleeding
◉ 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
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? Answer: *BOTH WRONG*
1) B-type natriuretic peptide
2) Hematocrit count
, ◉ What medication would you anticipate administering to a six
month old having an active tonic-clonic seizure? Answer: *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? Answer: 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?
Answer: 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? Answer:
Decontaminate the patient according to hospital procedure
