State University Of New York - Downstate Medical Center
PROPHECY EMERGENCY DEPARTMENT RN A EXAM 2023.
What is the proper procedure for testing visual acuity?
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, consist...
State University Of New York - Downstate Medical Center
PROPHECY EMERGENCY DEPARTMENT RN
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By: nikkmariee • 2 year ago
Old test. Wasn’t even helpful in the slightest.
By: sherris910 • 2 year ago
All answers correct!
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PROPHECY EMERGENCY DEPARTMENT RN A EXAM 2022.
What is the proper procedure for testing visual acuity?
Correct Ans- The proper procedure for testing visual acuity is based on the usage
of 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. Which
intervention 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 the
PRIORITY 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 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:
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 an
active tonic-clonic seizure?
Correct Ans- 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?
Correct Ans- 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?
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 for
FIRST 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 room
air. She is currently only complaining of a headache and her carboxyhemoglobin is
13%. 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 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?
Correct Ans- Place patient in left tilt position
A 36 year old male presents to the ED with an amputated hand. What should you
do 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 or
perineum
What are three signs of cardiac tamponade?
Correct Ans
Sharp pain in the chest. ...
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