RELIAS MEDICAL SURGICAL TELEMETRY EXAM
ACTUAL TEST BANK 2026 COMPLETE 180
QUESTIONS AND CORRECT DETAILED
ANSWERS
- ansNormal sinus rhythm
- ansNormal sinus with VTach
- ansNot normal sinus rhythm into a flutter
Correct answer is ventricular fibrillation
- ansPaced rhythm
- ansSinus tachycardia
- ansVentricular tachycardia
A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid pulse,
cough with bloody sputum, diaphoresis, and syncope. The symptoms are indicative of: - ansPulmonary
embolism?
NOT: tuberculosis
A patient suddenly complains of new onset of chest pain. The doctor is suspecting a possible?... What is
most likely to be ordered? - ansMorphine Duramorph, oxygen, nitrates,
Aceticsalicylic acid, bayer buffered aspirin
,A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert
you to the potential of a narcotic overdose? - ansA respiratory rate of 8 breaths per minute
After a patient completes dialysis, you should anticipate seeing an improvement in which of the following
lab values? - ansNOT: ammonia
At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. The patient's
blood sugar is currently 60. Which of the following is the most appropriate intervention - ansHave the
patient drink 120 ML's of orange juice
Calculate the 12 hour intake for a patient that has received the following during your shift: normal saline
750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter - ans1520
cardiac rhythm - ansV-Tach
Cardiac strip - ansSinus rhythm with PAC
Cardiac strip - ansUnable to determine
Deposition has ordered for your patience to begin a 24 hour urine collection. Your patient voids for the
first time two hours after the orders received. What should be done with this urine sample? -
ansDiscarded, then begin the 24 hour collection
Didn't nurse ask you about the typical signs and symptoms of myocardial infarction - ansWomen could
have pain in their arm, neck, back or jaw
Heart rate - ans80
One of the signs of left sided heart failure is: - ansPulmonary edema
NOT: pedal edema
Patient is admitted for shortness of breath. Do you notice the spouse adjusting the oxygen on the wall
and she states "she always takes care of my husband" what would be an appropriate response? -
ansEducate the spouse on oxygen use as a medical device in the hospital
The doctor ordered Lasix 40 mg IV push, 100mg/10 mL - ans4ml
The Glasgow, scale ranges from: - ans3 to 15
The nurse is taking care of a patient who is terminally ill and has a DNR on file. Their patient has a
sudden cardiac arrest and family wants CPR initiated. How should you respond? - ansHonor the patient's
wishes
The patient has a morphine PCA post operatively. On rounding you notice respirations at eight per minute
O2 saturation of 82%. What medication would be given in the situation? - ansNarcan
, What information is vital for you to know prior to administering an ordered dose of digoxin - ansHeart rate
What is the first sign of increased intracranial pressure? - ansChange in LOC
When assessing a patient, you notice crepitus on the right upper shoulder. You notify the physician and
anticipate which diagnosis? - ansSubcutaneous emphysema
When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing intervention is:
- ansProtecting the patient's head and extremities from contact with surrounding objects
When taking care of a patient with pancreatitis, which of the following lab should be reviewed? -
ansLipase and amylase
Which of the following actions would be considered a violation of Hyppa? - ansLooking through the chart
of a coworker admitted to your unit
Which of the following antidiabetic medication is contraindicated 48 hours after receiving contrast dye -
ansMetformin
Which of the following assessment findings should you report immediately to the physician for a patient
who just had a bronchoscopy and biopsy? - ansSputum with streaks of blood
NOT: increased salivation
Which of the following electrolyte value should be Addressed immediately by the nurse - ansPotassium
2.5 mEq/L
Which of the following food items would you question in the menu of your patient who is diagnosed with
celiac disease? - ansWheat bread
Which of the following issues should be reported up the chain of command - ansA coworker arriving to
work under the influence of alcohol
Which of the following lab values would you expect to see in a patient diagnosed with?.... - ansLipase -
196
Which of the following medication may cause urine discoloration - ansRifampin
While performing the narcotic count at the end of the shift, my coworker admits to something, coworker to
sign for the ways that you did not witness - ansRefused to sign for the waste
You are providing patient education to a patient prior to administering IV Protonix.... When there is no
history of GERD - ansProtonix is given as G.I. prophylaxis to prevent stress ulcers
You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. He asks
ACTUAL TEST BANK 2026 COMPLETE 180
QUESTIONS AND CORRECT DETAILED
ANSWERS
- ansNormal sinus rhythm
- ansNormal sinus with VTach
- ansNot normal sinus rhythm into a flutter
Correct answer is ventricular fibrillation
- ansPaced rhythm
- ansSinus tachycardia
- ansVentricular tachycardia
A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid pulse,
cough with bloody sputum, diaphoresis, and syncope. The symptoms are indicative of: - ansPulmonary
embolism?
NOT: tuberculosis
A patient suddenly complains of new onset of chest pain. The doctor is suspecting a possible?... What is
most likely to be ordered? - ansMorphine Duramorph, oxygen, nitrates,
Aceticsalicylic acid, bayer buffered aspirin
,A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert
you to the potential of a narcotic overdose? - ansA respiratory rate of 8 breaths per minute
After a patient completes dialysis, you should anticipate seeing an improvement in which of the following
lab values? - ansNOT: ammonia
At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. The patient's
blood sugar is currently 60. Which of the following is the most appropriate intervention - ansHave the
patient drink 120 ML's of orange juice
Calculate the 12 hour intake for a patient that has received the following during your shift: normal saline
750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter - ans1520
cardiac rhythm - ansV-Tach
Cardiac strip - ansSinus rhythm with PAC
Cardiac strip - ansUnable to determine
Deposition has ordered for your patience to begin a 24 hour urine collection. Your patient voids for the
first time two hours after the orders received. What should be done with this urine sample? -
ansDiscarded, then begin the 24 hour collection
Didn't nurse ask you about the typical signs and symptoms of myocardial infarction - ansWomen could
have pain in their arm, neck, back or jaw
Heart rate - ans80
One of the signs of left sided heart failure is: - ansPulmonary edema
NOT: pedal edema
Patient is admitted for shortness of breath. Do you notice the spouse adjusting the oxygen on the wall
and she states "she always takes care of my husband" what would be an appropriate response? -
ansEducate the spouse on oxygen use as a medical device in the hospital
The doctor ordered Lasix 40 mg IV push, 100mg/10 mL - ans4ml
The Glasgow, scale ranges from: - ans3 to 15
The nurse is taking care of a patient who is terminally ill and has a DNR on file. Their patient has a
sudden cardiac arrest and family wants CPR initiated. How should you respond? - ansHonor the patient's
wishes
The patient has a morphine PCA post operatively. On rounding you notice respirations at eight per minute
O2 saturation of 82%. What medication would be given in the situation? - ansNarcan
, What information is vital for you to know prior to administering an ordered dose of digoxin - ansHeart rate
What is the first sign of increased intracranial pressure? - ansChange in LOC
When assessing a patient, you notice crepitus on the right upper shoulder. You notify the physician and
anticipate which diagnosis? - ansSubcutaneous emphysema
When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing intervention is:
- ansProtecting the patient's head and extremities from contact with surrounding objects
When taking care of a patient with pancreatitis, which of the following lab should be reviewed? -
ansLipase and amylase
Which of the following actions would be considered a violation of Hyppa? - ansLooking through the chart
of a coworker admitted to your unit
Which of the following antidiabetic medication is contraindicated 48 hours after receiving contrast dye -
ansMetformin
Which of the following assessment findings should you report immediately to the physician for a patient
who just had a bronchoscopy and biopsy? - ansSputum with streaks of blood
NOT: increased salivation
Which of the following electrolyte value should be Addressed immediately by the nurse - ansPotassium
2.5 mEq/L
Which of the following food items would you question in the menu of your patient who is diagnosed with
celiac disease? - ansWheat bread
Which of the following issues should be reported up the chain of command - ansA coworker arriving to
work under the influence of alcohol
Which of the following lab values would you expect to see in a patient diagnosed with?.... - ansLipase -
196
Which of the following medication may cause urine discoloration - ansRifampin
While performing the narcotic count at the end of the shift, my coworker admits to something, coworker to
sign for the ways that you did not witness - ansRefused to sign for the waste
You are providing patient education to a patient prior to administering IV Protonix.... When there is no
history of GERD - ansProtonix is given as G.I. prophylaxis to prevent stress ulcers
You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. He asks
