Prophecy medical surgical-telemetry 2022
You are to obtain informed consent for a Spanish-speaking patient scheduled for
surgery. You do not speak Spanish and are having difficulty communicating with your
patient. Which of the following resources would be most appropriate to utilize in order
to obtain consent?
The hospitals language interpreter
You're reviewing the discharge medication list of a patient diagnosed with gastric
ulcer. Which of the following medication should you question?
Acetylsalicylic acid (Bauer buffered aspirin)
When taking care of a patient with pancreatitis, which of the following lab should be
reviewed?
Lipase and amylase
You're caring for a 12 hour postoperative parathyroidectomy patient. Which
assessment finding would indicate an emergency?
Laryngeal strider
Which of the following actions would be considered a violation of Hyppa?
Looking through the chart of a coworker admitted to your unit
Sinus tachycardia
You are taking care of a patient who is admitted for left flank pain with a kidney stone
of 1.5 cm. He asks you about the procedure what would be the most therapeutic
response?
Due to the size of the kidney stone it is an appropriate treatment?
NOT:Print reading materials about the subject and give it to the patient
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? Honor the patient's wishes
Not normal sinus rhythm into a flutter
Correct answer is ventricular fibrillation
Your patient began deteriorating rapidly after complaining of shortness of breath. And
ABG was drawn and the results are pH? HCO3 - 23. These values indicate the patient
is experiencing:
Your inserting a urinary catheter into a male patient. As you inflate a balloon, the
patient complains of discomfort what is the best action?
Aspirate the fluid, advance the catheter farther, then re-inflate the balloon
, When assessing a patient, you notice crepitus on the right upper shoulder. You notify
the physician and anticipate which diagnosis?
Subcutaneous emphysema
You are providing patient education to a patient prior to administering IV Protonix....
When there is no history of GERD Protonix is given as G.I. prophylaxis to prevent
stress ulcers
Normal sinus with VTach
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?
Narcan
You were caring for a patient who is 18 hours postop after a right BKA a. They report
sudden chest pain pulse ox at 86%. The patient may be experiencing:
Pulmonary embolism
Cardiac stripUnable to determine
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
Have the patient drink 120 ML's of orange juice
Ventricular tachycardia
Normal sinus rhythm
Which of the following food items would you question in the menu of your patient
who is diagnosed with celiac disease?
Wheat bread
A postoperative laparoscopic appendectomy patient is receiving morphine PCA for
pain findings with alert you to the potential of a narcotic overdose?
A respiratory rate of 8 breaths per minute
Paced rhythm
Your patient was admitted with severe dehydration. Which of the following orders
would you question
KCI 40 mEq IV push STAT
What is the first sign of increased intracranial pressure?
Change in LOC
A patient suddenly complains of new onset of chest pain. The doctor is suspecting a
possible?... What is most likely to be ordered?
Morphine Duramorph, oxygen, nitrates,
You are to obtain informed consent for a Spanish-speaking patient scheduled for
surgery. You do not speak Spanish and are having difficulty communicating with your
patient. Which of the following resources would be most appropriate to utilize in order
to obtain consent?
The hospitals language interpreter
You're reviewing the discharge medication list of a patient diagnosed with gastric
ulcer. Which of the following medication should you question?
Acetylsalicylic acid (Bauer buffered aspirin)
When taking care of a patient with pancreatitis, which of the following lab should be
reviewed?
Lipase and amylase
You're caring for a 12 hour postoperative parathyroidectomy patient. Which
assessment finding would indicate an emergency?
Laryngeal strider
Which of the following actions would be considered a violation of Hyppa?
Looking through the chart of a coworker admitted to your unit
Sinus tachycardia
You are taking care of a patient who is admitted for left flank pain with a kidney stone
of 1.5 cm. He asks you about the procedure what would be the most therapeutic
response?
Due to the size of the kidney stone it is an appropriate treatment?
NOT:Print reading materials about the subject and give it to the patient
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? Honor the patient's wishes
Not normal sinus rhythm into a flutter
Correct answer is ventricular fibrillation
Your patient began deteriorating rapidly after complaining of shortness of breath. And
ABG was drawn and the results are pH? HCO3 - 23. These values indicate the patient
is experiencing:
Your inserting a urinary catheter into a male patient. As you inflate a balloon, the
patient complains of discomfort what is the best action?
Aspirate the fluid, advance the catheter farther, then re-inflate the balloon
, When assessing a patient, you notice crepitus on the right upper shoulder. You notify
the physician and anticipate which diagnosis?
Subcutaneous emphysema
You are providing patient education to a patient prior to administering IV Protonix....
When there is no history of GERD Protonix is given as G.I. prophylaxis to prevent
stress ulcers
Normal sinus with VTach
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?
Narcan
You were caring for a patient who is 18 hours postop after a right BKA a. They report
sudden chest pain pulse ox at 86%. The patient may be experiencing:
Pulmonary embolism
Cardiac stripUnable to determine
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
Have the patient drink 120 ML's of orange juice
Ventricular tachycardia
Normal sinus rhythm
Which of the following food items would you question in the menu of your patient
who is diagnosed with celiac disease?
Wheat bread
A postoperative laparoscopic appendectomy patient is receiving morphine PCA for
pain findings with alert you to the potential of a narcotic overdose?
A respiratory rate of 8 breaths per minute
Paced rhythm
Your patient was admitted with severe dehydration. Which of the following orders
would you question
KCI 40 mEq IV push STAT
What is the first sign of increased intracranial pressure?
Change in LOC
A patient suddenly complains of new onset of chest pain. The doctor is suspecting a
possible?... What is most likely to be ordered?
Morphine Duramorph, oxygen, nitrates,
