Prophecy medical surgical-telemetry
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? Correct Answer: 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? Correct Answer: Acetylsalicylic
acid ( Bauer buffered aspirin)
When taking care of a patient with pancreatitis, which of the following lab should be
reviewed? Correct Answer: Lipase and amylase
You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment
finding would indicate an emergency? Correct Answer: Laryngeal strider
Which of the following actions would be considered a violation of Hyppa? Correct
Answer: Looking through the chart of a coworker admitted to your unit
Correct Answer: 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? Correct Answer: 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? Correct Answer: Honor the patient's wishes
Correct Answer: 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: Correct Answer:
Your inserting a urinary catheter into a male patient.
As you inflate a balloon, the patient complains of discomfort what is the best action?
Correct Answer: 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? Correct Answer: Subcutaneous
emphysema
You are providing patient education to a patient prior to administering IV Protonix....
When there is no history of GERD Correct Answer: Protonix is given as G.I. prophylaxis
to prevent stress ulcers
Correct Answer: 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? Correct Answer: 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: Correct Answer:
Pulmonary embolism
Cardiac strip Correct Answer: Unable 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 Correct Answer: Have the patient drink 120 ML's of orange juice
Correct Answer: Ventricular tachycardia
Correct Answer: Normal sinus rhythm
Which of the following food items would you question in the menu of your patient who is
diagnosed with celiac disease? Correct Answer: Wheat bread
A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain
findings with alert you to the potential of a narcotic overdose? Correct Answer: A
respiratory rate of 8 breaths per minute
Correct Answer: Paced rhythm
Your patient was admitted with severe dehydration. Which of the following orders would
you question Correct Answer: KCI 40 mEq IV push STAT
What is the first sign of increased intracranial pressure? Correct Answer: 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? Correct Answer: Morphine Duramorph,
oxygen, nitrates,
Aceticsalicylic acid, bayer buffered aspirin
The Glasgow, scale ranges from: Correct Answer: 3 to 15
You deserve the nurse aid removing her gloves and immediately using alcohol hand
sanitizer in a room with a patient who has C-Diff. What education should you provide to
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? Correct Answer: 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? Correct Answer: Acetylsalicylic
acid ( Bauer buffered aspirin)
When taking care of a patient with pancreatitis, which of the following lab should be
reviewed? Correct Answer: Lipase and amylase
You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment
finding would indicate an emergency? Correct Answer: Laryngeal strider
Which of the following actions would be considered a violation of Hyppa? Correct
Answer: Looking through the chart of a coworker admitted to your unit
Correct Answer: 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? Correct Answer: 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? Correct Answer: Honor the patient's wishes
Correct Answer: 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: Correct Answer:
Your inserting a urinary catheter into a male patient.
As you inflate a balloon, the patient complains of discomfort what is the best action?
Correct Answer: 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? Correct Answer: Subcutaneous
emphysema
You are providing patient education to a patient prior to administering IV Protonix....
When there is no history of GERD Correct Answer: Protonix is given as G.I. prophylaxis
to prevent stress ulcers
Correct Answer: 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? Correct Answer: 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: Correct Answer:
Pulmonary embolism
Cardiac strip Correct Answer: Unable 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 Correct Answer: Have the patient drink 120 ML's of orange juice
Correct Answer: Ventricular tachycardia
Correct Answer: Normal sinus rhythm
Which of the following food items would you question in the menu of your patient who is
diagnosed with celiac disease? Correct Answer: Wheat bread
A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain
findings with alert you to the potential of a narcotic overdose? Correct Answer: A
respiratory rate of 8 breaths per minute
Correct Answer: Paced rhythm
Your patient was admitted with severe dehydration. Which of the following orders would
you question Correct Answer: KCI 40 mEq IV push STAT
What is the first sign of increased intracranial pressure? Correct Answer: 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? Correct Answer: Morphine Duramorph,
oxygen, nitrates,
Aceticsalicylic acid, bayer buffered aspirin
The Glasgow, scale ranges from: Correct Answer: 3 to 15
You deserve the nurse aid removing her gloves and immediately using alcohol hand
sanitizer in a room with a patient who has C-Diff. What education should you provide to
