Relias Med-Surg Clinical Assessment Relias Medical-Surgical
Telemetry Prophecy RN Actual Exam Questions and
Answers Plus Rationales | 100% Pass Guaranteed | Already
Graded A+ (MOST RECENT!!!)
Dosage Calculation & Medication Administration
1. 1.2 milligrams is equal to how many micrograms?
A) 120 mcg
B) 1,200 mcg
C) 12,000 mcg
D) 120,000 mcg
Answer: B
The conversion is 1 mg = 1,000 mcg, so 1.2 mg × 1,000 = 1,200 mcg. Moving the decimal three places to
the right gives the correct answer.
2. What is the proper technique when suctioning a tracheostomy?
A) Suction while inserting the catheter
B) Suction in a circular motion while the catheter is being pulled out
C) Suction continuously for 30 seconds
D) Apply suction only when resistance is met
Answer: B
Suction should be applied during withdrawal, not insertion, using a rotating motion to clear secretions
effectively without causing mucosal damage. Hyperoxygenate before and after.
3. The provider orders IV infusion of D5W 1000 mL to infuse over 6 hours. How many mL per hour
should the IV pump be set to?
A) 100 mL/hr
1|Page SUCCESS!!!
,B) 125 mL/hr
C) 167 mL/hr
D) 200 mL/hr
Answer: C
Total volume (1,000 mL) divided by total time (6 hours) = 166.67 mL/hr, rounded to 167 mL/hr.
4. Which medication would you possibly hold and seek clarification for a patient going for dialysis?
A) Lisinopril (Prinivil)
B) Ondansetron (Zofran)
C) Famotidine (Pepcid)
D) Atorvastatin (Lipitor)
Answer: A
ACE inhibitors like lisinopril can cause hypotension during dialysis. Other medications are typically safe
to administer.
Cardiac & Telemetry
5. You are ordered to give digoxin (Lanoxin). Vital signs: BP 130/70, Temp 97.9°F, HR 52, RR 16, O2 Sat
100%. What should you do NEXT?
A) Administer the digoxin as ordered
B) Hold digoxin and call the provider
C) Recheck the heart rate in 30 minutes
D) Give the medication with food
Answer: B
Digoxin should be withheld if the apical pulse is below 60 bpm in adults. Bradycardia increases the risk
of digoxin toxicity.
2|Page SUCCESS!!!
,6. Central Telemetry calls to report your patient is experiencing bradycardia. What is the first thing you
should do after entering the room?
A) Call a code blue
B) Prepare atropine
C) Assess the patient and take vital signs
D) Check the telemetry leads
Answer: C
Always assess the patient first to confirm the rhythm correlates with clinical status. Telemetry artifacts
are common.
7. While in a supine position, your patient states, "I'm tired and cannot catch my breath." Physical
assessment reveals JVD and an S3 heart sound. These symptoms indicate what condition?
A) COPD exacerbation
B) Heart failure
C) Pulmonary embolism
D) Pneumothorax
Answer: B
JVD indicates elevated central venous pressure, and S3 is an early sign of heart failure due to increased
ventricular volume.
8. Your patient is experiencing an acute onset of shortness of breath, chest pain, apprehension, rapid
pulse, cough with bloody sputum, diaphoresis, and syncope. These symptoms indicate:
A) Myocardial infarction
B) Pulmonary embolism
C) Tuberculosis
D) Pneumonia
Answer: B
3|Page SUCCESS!!!
, This classic presentation of sudden dyspnea, pleuritic chest pain, hemoptysis, and syncope is highly
indicative of pulmonary embolism.
Neurological Assessment
9. What is the BEST indication of an acute neurological problem?
A) Slurred speech
B) Change in level of consciousness
C) Headache
D) Motor weakness
Answer: B
Change in level of consciousness is the earliest and most sensitive indicator of acute neurological
deterioration.
10. Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. She has been having several
episodes of acute confusion since admission. What order should you anticipate?
A) Hold warfarin for 48 hours
B) Stat CT of the head
C) Increase oxygen to 4 L/min
D) Administer lorazepam for agitation
Answer: B
An elderly patient with atrial fibrillation, fall history, and new confusion requires immediate head CT to
rule out subdural hematoma.
11. Upon entering your patient's room, you note they are having a seizure. What is your FIRST action?
A) Call for help
B) Restrain the patient
C) Position the patient on their side to maintain the airway
D) Administer IV lorazepam
4|Page SUCCESS!!!
Telemetry Prophecy RN Actual Exam Questions and
Answers Plus Rationales | 100% Pass Guaranteed | Already
Graded A+ (MOST RECENT!!!)
Dosage Calculation & Medication Administration
1. 1.2 milligrams is equal to how many micrograms?
A) 120 mcg
B) 1,200 mcg
C) 12,000 mcg
D) 120,000 mcg
Answer: B
The conversion is 1 mg = 1,000 mcg, so 1.2 mg × 1,000 = 1,200 mcg. Moving the decimal three places to
the right gives the correct answer.
2. What is the proper technique when suctioning a tracheostomy?
A) Suction while inserting the catheter
B) Suction in a circular motion while the catheter is being pulled out
C) Suction continuously for 30 seconds
D) Apply suction only when resistance is met
Answer: B
Suction should be applied during withdrawal, not insertion, using a rotating motion to clear secretions
effectively without causing mucosal damage. Hyperoxygenate before and after.
3. The provider orders IV infusion of D5W 1000 mL to infuse over 6 hours. How many mL per hour
should the IV pump be set to?
A) 100 mL/hr
1|Page SUCCESS!!!
,B) 125 mL/hr
C) 167 mL/hr
D) 200 mL/hr
Answer: C
Total volume (1,000 mL) divided by total time (6 hours) = 166.67 mL/hr, rounded to 167 mL/hr.
4. Which medication would you possibly hold and seek clarification for a patient going for dialysis?
A) Lisinopril (Prinivil)
B) Ondansetron (Zofran)
C) Famotidine (Pepcid)
D) Atorvastatin (Lipitor)
Answer: A
ACE inhibitors like lisinopril can cause hypotension during dialysis. Other medications are typically safe
to administer.
Cardiac & Telemetry
5. You are ordered to give digoxin (Lanoxin). Vital signs: BP 130/70, Temp 97.9°F, HR 52, RR 16, O2 Sat
100%. What should you do NEXT?
A) Administer the digoxin as ordered
B) Hold digoxin and call the provider
C) Recheck the heart rate in 30 minutes
D) Give the medication with food
Answer: B
Digoxin should be withheld if the apical pulse is below 60 bpm in adults. Bradycardia increases the risk
of digoxin toxicity.
2|Page SUCCESS!!!
,6. Central Telemetry calls to report your patient is experiencing bradycardia. What is the first thing you
should do after entering the room?
A) Call a code blue
B) Prepare atropine
C) Assess the patient and take vital signs
D) Check the telemetry leads
Answer: C
Always assess the patient first to confirm the rhythm correlates with clinical status. Telemetry artifacts
are common.
7. While in a supine position, your patient states, "I'm tired and cannot catch my breath." Physical
assessment reveals JVD and an S3 heart sound. These symptoms indicate what condition?
A) COPD exacerbation
B) Heart failure
C) Pulmonary embolism
D) Pneumothorax
Answer: B
JVD indicates elevated central venous pressure, and S3 is an early sign of heart failure due to increased
ventricular volume.
8. Your patient is experiencing an acute onset of shortness of breath, chest pain, apprehension, rapid
pulse, cough with bloody sputum, diaphoresis, and syncope. These symptoms indicate:
A) Myocardial infarction
B) Pulmonary embolism
C) Tuberculosis
D) Pneumonia
Answer: B
3|Page SUCCESS!!!
, This classic presentation of sudden dyspnea, pleuritic chest pain, hemoptysis, and syncope is highly
indicative of pulmonary embolism.
Neurological Assessment
9. What is the BEST indication of an acute neurological problem?
A) Slurred speech
B) Change in level of consciousness
C) Headache
D) Motor weakness
Answer: B
Change in level of consciousness is the earliest and most sensitive indicator of acute neurological
deterioration.
10. Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. She has been having several
episodes of acute confusion since admission. What order should you anticipate?
A) Hold warfarin for 48 hours
B) Stat CT of the head
C) Increase oxygen to 4 L/min
D) Administer lorazepam for agitation
Answer: B
An elderly patient with atrial fibrillation, fall history, and new confusion requires immediate head CT to
rule out subdural hematoma.
11. Upon entering your patient's room, you note they are having a seizure. What is your FIRST action?
A) Call for help
B) Restrain the patient
C) Position the patient on their side to maintain the airway
D) Administer IV lorazepam
4|Page SUCCESS!!!
