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 Ans80 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)