RELIAS Medical-Surgical Telemetry Actual Exam Study Questions with 100% Correct Answers

RELIAS Medical-Surgical Telemetry Actual Exam Study Questions with 100% Correct Answers 1. Which adaptive equipment would be most appropriate to use for a severely contracted patient who is unable to bear weight when transferring from bed to chair - ANSWER Patient Lift example hoyer 2. You have a patient going for dialysis. There are medications include Lisinopril(prinivil), ondansetron (zofran), famotidine(pepcid) and atorvastatin(lipitor). Which medication would you possibly hold and seek clarification? - ANSWER LISINOPRIL(PRINIVIL) 3. What is the best indication of an acute neurological problem? - ANSWER Change in level of consciousness 4. Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the patient? - ANSWER Clear liquids 5. Which tool should you use to assess pain in your 80 year old patient with severe dementia? - ANSWER ? 6. Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective drain function? - ANSWER Compress the drain, then plug the bulb to establish suction. 7. Is a patient with peritonitis Presents with tachycardia, hypotension , and dehydration. What other assessment finding would you anticipate as part of your physical assessment? - ANSWER Severe abdominal pain or rebound tenderness 8. Your patient with a known history of diabetes is displaying symptoms of diaphoresis, Cool skin, lethargy, And shakiness. What is your 1st action? - ANSWER Check the patient's blood glucose level 9. a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you anticipate administering? - ANSWER Vitamin K 10. While in a supine position your patient States" I'm tired and cannot catch my breath". Physical assessment reveals juggler vein distention and a 3rd heart sound(S3). These symptoms are indicative of what condition? - ANSWER Heart failure 11. Upon entry to your patient's room, you find her sitting in high Fowler's Position and complaining of shortness of breath. Her respiratory rate is 34 breaths/minute And 02 sat is 84%. Which mode of oxygen delivery would most likely reverse the symptoms? - ANSWER Non rebreather mask 12. Your patient continues to pull at their iv located in their left forearm despite verbal reminders And increased observation. The nursing assistant recommends using soft mitt Restraints on the patient. What is your recommendation? - ANSWER Request and order for soft mitts As they are the least restrictive.. 13. What is an early symptom that a patient is developing a complication of heart failure? - ANSWER Edema in the legs and feet 14. You were hired to work the medical unit and when you arrive at work the charge nurse has assigned you to the post surgical unit since they are under staffed. Which is the most appropriate action? - ANSWER Report to the post surgical unit 15. What type of personal protective equipment(Ppe) Is applied prior to entering a room for a patient with with C diff? - ANSWER Gown and gloves 16. When would sucralfate(Carafate) 4 times daily be scheduled for? - ANSWER 1 hour before meals and at bedtime 17. Your new patient was admitted with Blunt force trauma to the abdomen Following a motor vehicle accident. A NG Tube is in place for decompression, however, you note during the assessment that the stomach is rigid and hard during palpation. What condition do you suspect. - ANSWER Hemorrhage 18. What is clubbing of the fingers most likely associated with? - ANSWER Chronic oxygen deficiency 19. Is your patient with hepatitis C Exhibits signs of jaundice and a distended abdomen. What procedure would you anticipate being performed by the provider at the bedside for this patient? - ANSWER Paracentesis 20. Is the provider gives you a telephone order to explain a surgical procedure to your patient and obtain surgical consent. How should you respond? - ANSWER Inform the provider that explaining the procedure is outside the nurse's scope of practice.