Prophecy medical surgical-telemetry
2026/2027 Latest Questions and Answers
(Verified Answers)
1. 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:
A) Tuberculosis
B) Pulmonary embolism
C) Acute MI
D) Pneumonia
Answer: B) Pulmonary embolism
2. A patient suddenly complains of new onset of chest pain and the doctor is
suspecting a possible MI. What is most likely to be ordered?
A) Nitroglycerin, IV fluids, and beta blockers
B) Morphine, oxygen, nitrates, and aspirin
C) Heparin, oxygen, and acetaminophen
D) Aspirin, antibiotics, and diuretics
Answer: B) Morphine, oxygen, nitrates, and aspirin
3. A postoperative laparoscopic appendectomy patient is receiving morphine PCA for
pain. Which finding would alert you to the potential of a narcotic overdose?
A) Blood pressure of 90/60 mmHg
B) Heart rate of 110 bpm
C) A respiratory rate of 8 breaths per minute
D) O2 saturation of 94%
Answer: C) A respiratory rate of 8 breaths per minute
4. After a patient completes dialysis, you should anticipate seeing an improvement in
which of the following lab values?
A) Ammonia
B) Hemoglobin
C) BUN and creatinine
, D) Sodium and chloride
Answer: C) BUN and creatinine
5. At 0500, your patient is diaphoretic, clammy, and their hands are shaking. The
patient's blood sugar is currently 60. Which of the following is the most appropriate
intervention?
A) Administer IV dextrose 50%
B) Have the patient drink 120 mL of orange juice
C) Call the provider immediately
D) Administer glucagon IM
Answer: B) Have the patient drink 120 mL of orange juice
6. 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.
A) 1400 mL
B) 1650 mL
C) 1520 mL
D) 1720 mL
Answer: C) 1520 mL
7. A 24-hour urine collection has been ordered. Your patient voids for the first time
two hours after the order is received. What should be done with this urine sample?
A) Save it as the first sample of the collection
B) Send it to the lab for baseline measurement
C) Discard it, then begin the 24-hour collection
D) Add it to the collection container and document the time
Answer: C) Discard it, then begin the 24-hour collection
8. A student nurse asks you about the typical signs and symptoms of myocardial
infarction in women. What is your best response?
A) Women always present with classic crushing chest pain
B) Women typically present with severe shortness of breath only
C) Women could have pain in their arm, neck, back, or jaw
D) Women rarely experience MI symptoms differently than men
2026/2027 Latest Questions and Answers
(Verified Answers)
1. 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:
A) Tuberculosis
B) Pulmonary embolism
C) Acute MI
D) Pneumonia
Answer: B) Pulmonary embolism
2. A patient suddenly complains of new onset of chest pain and the doctor is
suspecting a possible MI. What is most likely to be ordered?
A) Nitroglycerin, IV fluids, and beta blockers
B) Morphine, oxygen, nitrates, and aspirin
C) Heparin, oxygen, and acetaminophen
D) Aspirin, antibiotics, and diuretics
Answer: B) Morphine, oxygen, nitrates, and aspirin
3. A postoperative laparoscopic appendectomy patient is receiving morphine PCA for
pain. Which finding would alert you to the potential of a narcotic overdose?
A) Blood pressure of 90/60 mmHg
B) Heart rate of 110 bpm
C) A respiratory rate of 8 breaths per minute
D) O2 saturation of 94%
Answer: C) A respiratory rate of 8 breaths per minute
4. After a patient completes dialysis, you should anticipate seeing an improvement in
which of the following lab values?
A) Ammonia
B) Hemoglobin
C) BUN and creatinine
, D) Sodium and chloride
Answer: C) BUN and creatinine
5. At 0500, your patient is diaphoretic, clammy, and their hands are shaking. The
patient's blood sugar is currently 60. Which of the following is the most appropriate
intervention?
A) Administer IV dextrose 50%
B) Have the patient drink 120 mL of orange juice
C) Call the provider immediately
D) Administer glucagon IM
Answer: B) Have the patient drink 120 mL of orange juice
6. 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.
A) 1400 mL
B) 1650 mL
C) 1520 mL
D) 1720 mL
Answer: C) 1520 mL
7. A 24-hour urine collection has been ordered. Your patient voids for the first time
two hours after the order is received. What should be done with this urine sample?
A) Save it as the first sample of the collection
B) Send it to the lab for baseline measurement
C) Discard it, then begin the 24-hour collection
D) Add it to the collection container and document the time
Answer: C) Discard it, then begin the 24-hour collection
8. A student nurse asks you about the typical signs and symptoms of myocardial
infarction in women. What is your best response?
A) Women always present with classic crushing chest pain
B) Women typically present with severe shortness of breath only
C) Women could have pain in their arm, neck, back, or jaw
D) Women rarely experience MI symptoms differently than men
