Page 1 of 63
RELIAS Medical Surgical Telemetry Exam Prophecy Test
ACTUAL EXAM ALL 300 QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE THIS YEAR
RELIAS MEDICAL-SURGICAL TELEMETRY
EXAM OVERVIEW
This exam assesses knowledge and clinical judgment in the following content areas:
• Cardiac monitoring & telemetry interpretation
• Respiratory disorders & oxygen therapy
• Neurological assessment & acute changes
• Renal, endocrine, and gastrointestinal disorders
• Medication administration & safety
• Infection control & isolation precautions
• Patient safety, ethics, and legal responsibilities
• Fluid & electrolyte balance
1
, Page 2 of 63
• Emergency recognition & nursing priorities
QUESTIONS 1–50
Question 1
A patient on telemetry suddenly develops an irregularly irregular rhythm with no discernible P
waves. Which rhythm is most likely?
A. Atrial flutter
B. Ventricular tachycardia
C. Atrial fibrillation
D. Sinus arrhythmia
Correct Answer: C
Rationale: Atrial fibrillation is characterized by the absence of P waves and an irregularly
irregular ventricular rhythm.
Question 2
Which laboratory value would most concern the nurse in a patient receiving digoxin?
2
, Page 3 of 63
A. Potassium 2.9 mEq/L
B. Sodium 138 mEq/L
C. Calcium 9.2 mg/dL
D. Magnesium 2.0 mg/dL
Correct Answer: A
Rationale: Hypokalemia increases the risk of digoxin toxicity and life-threatening dysrhythmias.
Question 3
A patient with heart failure reports sudden shortness of breath at night. This finding is known
as:
A. Dyspnea on exertion
B. Orthopnea
C. Paroxysmal nocturnal dyspnea
D. Hyperventilation
Correct Answer: C
Rationale: Paroxysmal nocturnal dyspnea occurs due to fluid redistribution while lying flat
during sleep.
Question 4
3
, Page 4 of 63
Which assessment finding suggests decreased cardiac output?
A. Bounding pulses
B. Warm, flushed skin
C. Decreased urine output
D. Elevated temperature
Correct Answer: C
Rationale: Reduced cardiac output leads to poor renal perfusion and decreased urine output.
Question 5
The nurse identifies ST-segment elevation on the telemetry monitor. This finding is most
consistent with:
A. Hypokalemia
B. Myocardial ischemia
C. Acute myocardial injury
D. Atrial enlargement
Correct Answer: C
Rationale: ST-segment elevation indicates myocardial injury, commonly seen with acute MI.
4
RELIAS Medical Surgical Telemetry Exam Prophecy Test
ACTUAL EXAM ALL 300 QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE THIS YEAR
RELIAS MEDICAL-SURGICAL TELEMETRY
EXAM OVERVIEW
This exam assesses knowledge and clinical judgment in the following content areas:
• Cardiac monitoring & telemetry interpretation
• Respiratory disorders & oxygen therapy
• Neurological assessment & acute changes
• Renal, endocrine, and gastrointestinal disorders
• Medication administration & safety
• Infection control & isolation precautions
• Patient safety, ethics, and legal responsibilities
• Fluid & electrolyte balance
1
, Page 2 of 63
• Emergency recognition & nursing priorities
QUESTIONS 1–50
Question 1
A patient on telemetry suddenly develops an irregularly irregular rhythm with no discernible P
waves. Which rhythm is most likely?
A. Atrial flutter
B. Ventricular tachycardia
C. Atrial fibrillation
D. Sinus arrhythmia
Correct Answer: C
Rationale: Atrial fibrillation is characterized by the absence of P waves and an irregularly
irregular ventricular rhythm.
Question 2
Which laboratory value would most concern the nurse in a patient receiving digoxin?
2
, Page 3 of 63
A. Potassium 2.9 mEq/L
B. Sodium 138 mEq/L
C. Calcium 9.2 mg/dL
D. Magnesium 2.0 mg/dL
Correct Answer: A
Rationale: Hypokalemia increases the risk of digoxin toxicity and life-threatening dysrhythmias.
Question 3
A patient with heart failure reports sudden shortness of breath at night. This finding is known
as:
A. Dyspnea on exertion
B. Orthopnea
C. Paroxysmal nocturnal dyspnea
D. Hyperventilation
Correct Answer: C
Rationale: Paroxysmal nocturnal dyspnea occurs due to fluid redistribution while lying flat
during sleep.
Question 4
3
, Page 4 of 63
Which assessment finding suggests decreased cardiac output?
A. Bounding pulses
B. Warm, flushed skin
C. Decreased urine output
D. Elevated temperature
Correct Answer: C
Rationale: Reduced cardiac output leads to poor renal perfusion and decreased urine output.
Question 5
The nurse identifies ST-segment elevation on the telemetry monitor. This finding is most
consistent with:
A. Hypokalemia
B. Myocardial ischemia
C. Acute myocardial injury
D. Atrial enlargement
Correct Answer: C
Rationale: ST-segment elevation indicates myocardial injury, commonly seen with acute MI.
4
