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PROPHECY EMERGENCY DEPARTMENT
RN exam solution 2024
What is the proper procedure for testing visual acuity? - ANS>> *BOTH WRONG*
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
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? - ANS>> *BOTH WRONG*
1) Oral hydrocodone
2) Intravenous acetaminophen
TPA would be contraindicated for which of the following patients? - ANS>> 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? - ANS>> *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: - ANS>> *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? - ANS>> *BOTH WRONG*
1) B-type natriuretic peptide
