RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2024
TEST BANK COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
1.2 milligrams is equal to how many micrograms? - ans1200 mcg
A female patient requests a female nurse to provide care for her based on her religious beliefs. What is
the MOST appropriate action to take? - ansAccommodate her request if possible.
A patient has recently been diagnosed with terminal cancer. Her responses are caustic and abrasive.
What is the BEST way to respond? - ansAcknowledge her feelings, understanding this is expected in the
grieving process.
A patient on warfarin (Coumadin/Jantoven) has an INR of 6. Which medication would you anticipate
administering? - ansVitamin K
A patient with acute diverticulitis is MOST likely to complain of abdominal pain with what quadrant? -
ansLeft lower quadrant
A patient with peritonitis presents with tachycardia, hypotension, and dehydration. What other
assessment finding would you anticipate as part of your physical assessment? - ansSevere abdominal
pain or rebound tenderness
An older adult patient arrives on the unit looking emaciated, disheveled, and with soiled clothes. The
patient claims that his daughter cares for him at home. What would you suspect? - ansNeglect
As you are walking down the hallway you overhear your colleague discussing her personal family issues
with a patient. What would be the MOST appropriate response? - ansRemind her later of her
responsibility for establishing and maintaining professional boundaries with patients.
Black and tarry colored stools are CLASSIC symptoms of what condition? - ansBleeding gastric ulcer
Central Telemetry calls and tells you your patient is experiencing bradycardia. What is the first thing you
should do after entering the room? - ansAssess the patient and take vital signs.
Digoxin (Lanoxin) 125 mcg is equivalent to how many mg? - ans0.125mg
Fifteen minutes after starting a blood transfusion, the patient complains of lower back pain, shortness of
breath, and chills. What is your FIRST action? - ansStop the tranfusion.
If your patient with a known history of diabetes is displaying symptoms of diaphoresis, cool skin, lethargy,
and shakiness. What is your first action? - ansCheck the patient's blood glucose level.
In addition to pain, pallor, and pulselessness, a neurovascular assessment also includes checking for: -
ansParesthesia and paralysis
Insulin lispro (Humalog) is orders via sliding scale a.c. for your patient with diabetes. When is the best
time to administer insulin lispro (Humalog)? - ans15 min before the meal arrives
patient arrives on unit. you do an assessment and notice lice in her hair. what is your first action? -
ansSecure a private room
Patient presents dusky pallor and pulseless. First action - ansInitiate facility code procedure
,RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2024
TEST BANK COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Patients with diabetes are at high risk for complications from damage to what body areas? - ansNerve
and kidney damage
The dosage of which drug must be tapered down slowly to prevent acute adrenal insufficiency? -
ansPrednisone
The patient has diltiazem HCl (Cardizem CD) ordered and is requesting the capsule be mixed into her
morning yogurt. How should you respond? - ans"Sorry, it is a slow-release medication that cannot be
opened or crushed."
The provider gives you a telephone order to explain a surgical procedure to your patient and obtain
surgical consent. How should you respond? - ansInform the provider that explaining the procedure is
outside the nurse's scope of practice.
The provider orders a Heparin infusion of 900 units/hr. Your IV medication on hand has 25,000 units of
Heparin in 500 mL of D5W. How many mL/hr will you infuse? - ans18 mL/hr
The provider orders and IV infusion of D5W 1000 mL to infuse over the next 6 hours. How many mLs per
hour should the IV pump be set to? - ans167 mL/hr
The provider orders Heparin 4 units/kg SQ. Your patient weighs 176 pounds. How many units should you
administer? - ans320 units
To reduce the risk of infection and phlebitis in an adult patient with a peripheral IV, what is the MINIMUM
duration the catheter should remain in place before ROUTINE replacement? - ans72 hours
Two days after surgery, your 72-year-old patient is showing signs of agitation and confusion, which is not
his baseline. The severity fluctuates throughout the day. His medications include hydromorphone
(Dilaudid), amlodipine (Norvasc), alprazolam (Xanax), and carbidopa-levodopa (Sinemet). What condition
do you MOST likely suspect? - ansDelirium
Upon entering your patient's room, you note that they are having a seizure. What is your FIRST action? -
ansPosition the patient on their side to maintain the airway.
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/min and O2 sat is 84%. Which mode of oxygen
delivery would MOST likely reverse these symptoms? - ansNon-rebreather mask
What condition (not medication related) might cause an elevation in the patients PT/INR level? - ansLiver
disease
What diagnostic finding would support a diagnosis of deep vein thrombosis? - ansPositive D-dimer
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? - ansAcid Reduction
What is an early symptom that the patient is developing a complication of heart failure? - ansEdema in
the legs and feet
What is clubbing of the fingers MOST likely associated with? - ansChronic oxygen deficiency
,RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2024
TEST BANK COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
What is the BEST indication of an acute neurological problem? - ansChange in level of consciousness
What is the EARLIEST sign indicating increased intracranial pressure (ICP)? - ansLevel of consciousness
What is the proper technique when suctioning a tracheostomy? - ansSuction in a circular motion while the
catheter is being pulled out.
What medication would you anticipate to be ordered for a patient who has a LDL > 200 mg/dL? -
ansStatin
What patient population is the pneumococcal vaccine, PPSV23 indicated for? - ansAdults aged 65 years
and older
What type of personal protective equipment (PPE) is applied prior to entering a room for a patient with C.
diff? - ansGown and gloves
When would sucralfate (Carafate) 4 times daily be scheduled for? - ans1 hour before meals and at
bedtime
Which adaptive equipment would be MOST appropriate to use for a severely contracted patient who is
unable to bear weight when transferring from the bed to the chair? - ansPatient lift (e.g., Hoyer)
Which of the following is MOST important in preventing a catheter associated urinary tract infection
(CAUTI)? - ansUsing sterile technique when inserting the catheter
Which of the following nursing diagnoses is MOST important for a patient with chronic obstructive
pulmonary disease (COPD)? - ansImpaired gas exchange
Which of the following would be used as part of the preop procedure to prevent infection? -
ansProphylactic antibiotics
Which tool should you use to assess pain in you 80-year-old patient with severe dementia? - ansPAINAD
scale
While in a supine position your patient states, "I'm tired and cannot catch my breath." Physical
assessment reveals jugular vein distention and a third heart sound (S3). These symptoms are indicative
of what condition? - ansHeart failure
You are assigned a new admission and note a Braden score of 11 after completing your assessment.
Which interventions would be MOST appropriate based on your assessment? - ansTurn q 2hours,
request nutrition consult, request low airloss mattress.
You are caring for a combative 85-year-old male with a history of dementia, CHF, UTI, and anemia. The
family states he appears to be more confused than his baseline. What tests do you expect the provider to
order? - ansUrinalysis with cultures, CBC
You are caring for a patient post lobectomy with a chest tube in place for drainage. What is a priority in
care for this patient? - ansEncourage the patient to cough and deep breathe.
, RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2024
TEST BANK COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
You are caring for a patient with a history of diabetes mellitus. You walk into the room and find the patient
lethargic and diaphoretic. What is your first action? - ansObtain capillary blood glucose level.
You are ordered to give digoxin (Lanoxin). Your patients vital signs are: BP 130/70, Temp 97.9F, HR 52,
RR 16, O2 Sat 100% on room air. What should you do NEXT? - ansHold digoxin (Lanoxin) and call the
provider
You are preparing to hang 1 unit PRBC's to administer to your patient. The patient states, "I don't take
blood products." What is the MOST appropriate response? - ans"You have the right to refuse the blood
transfusion. I will inform the provider of your decision."
You have 4 patients who have high priority needs. One needs to go to surgery, one needs STAT lab
draws from a PICC line, another has chest pain rated 8/10, and another needs toileting. Which patient
should you tend to FIRST? - ansThe patient with chest pain
You have a patient going for dialysis. Their medications include lisinopril (Prinivil), ondansetron (Zofran),
famotidine (Pepcid), and atorvastatin (Lipitor). Which medication would you possibly hold and seek
clarification? - ansfamotidine (Pepcid)
You just left your patient's room with her husband at bedside. You then receive a phone call from
someone states that she is your patient's mother and demands updates about your patient. What should
you do NEXT? - ansVerify your patient's consent to release information to her mother.
You notice your patient who recently had a stroke is coughing intermittently during meals. What is the
MOST likely cause of this? - ansHe could be aspirating.
You receive a provider's order that is not consistent with evidence-based practice. What is your FIRST
step? - ansClarify the order with the provider.
You received a patient post op transurethral resection of the prostate (TURP). Which of the following
symptoms would cause you the MOST concern? - ansHemorrhage and hypotension
You received a report on a patient that sustained a right hemisphere CVA 48 hours ago. What do you
expect the patient to exhibit? - ansLeft sided weakness of the leg, arm, and face.
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 understaffed. Which is the MOST appropriate action? - ansReport
to the post-surgical unit.
Your 18-year-old female patient was admitted with dehydration secondary to anorexia nervosa. During
your assessment you note she has a flat affect and says, "I just want to die. I'm tired of my life." What
should be your FIRST intervention? - ansStay with the patient and ask fi she has a plan to carry out this
wish.
Your 68-year-old patient is a Type 1 diabetic with a history of schizophrenia and exhibits signs and
symptoms of tardive dyskinesia. What long-term medication is associated with signs and symptoms of
tardive dyskinesia? - ansrisperidone, olanzapine, quetiapine, ziprasidone, aripiprazole, paliperidone,
lurasidone, chlorpromazine, fluphenazine, haloperidol, perphenazine
TEST BANK COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
1.2 milligrams is equal to how many micrograms? - ans1200 mcg
A female patient requests a female nurse to provide care for her based on her religious beliefs. What is
the MOST appropriate action to take? - ansAccommodate her request if possible.
A patient has recently been diagnosed with terminal cancer. Her responses are caustic and abrasive.
What is the BEST way to respond? - ansAcknowledge her feelings, understanding this is expected in the
grieving process.
A patient on warfarin (Coumadin/Jantoven) has an INR of 6. Which medication would you anticipate
administering? - ansVitamin K
A patient with acute diverticulitis is MOST likely to complain of abdominal pain with what quadrant? -
ansLeft lower quadrant
A patient with peritonitis presents with tachycardia, hypotension, and dehydration. What other
assessment finding would you anticipate as part of your physical assessment? - ansSevere abdominal
pain or rebound tenderness
An older adult patient arrives on the unit looking emaciated, disheveled, and with soiled clothes. The
patient claims that his daughter cares for him at home. What would you suspect? - ansNeglect
As you are walking down the hallway you overhear your colleague discussing her personal family issues
with a patient. What would be the MOST appropriate response? - ansRemind her later of her
responsibility for establishing and maintaining professional boundaries with patients.
Black and tarry colored stools are CLASSIC symptoms of what condition? - ansBleeding gastric ulcer
Central Telemetry calls and tells you your patient is experiencing bradycardia. What is the first thing you
should do after entering the room? - ansAssess the patient and take vital signs.
Digoxin (Lanoxin) 125 mcg is equivalent to how many mg? - ans0.125mg
Fifteen minutes after starting a blood transfusion, the patient complains of lower back pain, shortness of
breath, and chills. What is your FIRST action? - ansStop the tranfusion.
If your patient with a known history of diabetes is displaying symptoms of diaphoresis, cool skin, lethargy,
and shakiness. What is your first action? - ansCheck the patient's blood glucose level.
In addition to pain, pallor, and pulselessness, a neurovascular assessment also includes checking for: -
ansParesthesia and paralysis
Insulin lispro (Humalog) is orders via sliding scale a.c. for your patient with diabetes. When is the best
time to administer insulin lispro (Humalog)? - ans15 min before the meal arrives
patient arrives on unit. you do an assessment and notice lice in her hair. what is your first action? -
ansSecure a private room
Patient presents dusky pallor and pulseless. First action - ansInitiate facility code procedure
,RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2024
TEST BANK COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Patients with diabetes are at high risk for complications from damage to what body areas? - ansNerve
and kidney damage
The dosage of which drug must be tapered down slowly to prevent acute adrenal insufficiency? -
ansPrednisone
The patient has diltiazem HCl (Cardizem CD) ordered and is requesting the capsule be mixed into her
morning yogurt. How should you respond? - ans"Sorry, it is a slow-release medication that cannot be
opened or crushed."
The provider gives you a telephone order to explain a surgical procedure to your patient and obtain
surgical consent. How should you respond? - ansInform the provider that explaining the procedure is
outside the nurse's scope of practice.
The provider orders a Heparin infusion of 900 units/hr. Your IV medication on hand has 25,000 units of
Heparin in 500 mL of D5W. How many mL/hr will you infuse? - ans18 mL/hr
The provider orders and IV infusion of D5W 1000 mL to infuse over the next 6 hours. How many mLs per
hour should the IV pump be set to? - ans167 mL/hr
The provider orders Heparin 4 units/kg SQ. Your patient weighs 176 pounds. How many units should you
administer? - ans320 units
To reduce the risk of infection and phlebitis in an adult patient with a peripheral IV, what is the MINIMUM
duration the catheter should remain in place before ROUTINE replacement? - ans72 hours
Two days after surgery, your 72-year-old patient is showing signs of agitation and confusion, which is not
his baseline. The severity fluctuates throughout the day. His medications include hydromorphone
(Dilaudid), amlodipine (Norvasc), alprazolam (Xanax), and carbidopa-levodopa (Sinemet). What condition
do you MOST likely suspect? - ansDelirium
Upon entering your patient's room, you note that they are having a seizure. What is your FIRST action? -
ansPosition the patient on their side to maintain the airway.
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/min and O2 sat is 84%. Which mode of oxygen
delivery would MOST likely reverse these symptoms? - ansNon-rebreather mask
What condition (not medication related) might cause an elevation in the patients PT/INR level? - ansLiver
disease
What diagnostic finding would support a diagnosis of deep vein thrombosis? - ansPositive D-dimer
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? - ansAcid Reduction
What is an early symptom that the patient is developing a complication of heart failure? - ansEdema in
the legs and feet
What is clubbing of the fingers MOST likely associated with? - ansChronic oxygen deficiency
,RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2024
TEST BANK COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
What is the BEST indication of an acute neurological problem? - ansChange in level of consciousness
What is the EARLIEST sign indicating increased intracranial pressure (ICP)? - ansLevel of consciousness
What is the proper technique when suctioning a tracheostomy? - ansSuction in a circular motion while the
catheter is being pulled out.
What medication would you anticipate to be ordered for a patient who has a LDL > 200 mg/dL? -
ansStatin
What patient population is the pneumococcal vaccine, PPSV23 indicated for? - ansAdults aged 65 years
and older
What type of personal protective equipment (PPE) is applied prior to entering a room for a patient with C.
diff? - ansGown and gloves
When would sucralfate (Carafate) 4 times daily be scheduled for? - ans1 hour before meals and at
bedtime
Which adaptive equipment would be MOST appropriate to use for a severely contracted patient who is
unable to bear weight when transferring from the bed to the chair? - ansPatient lift (e.g., Hoyer)
Which of the following is MOST important in preventing a catheter associated urinary tract infection
(CAUTI)? - ansUsing sterile technique when inserting the catheter
Which of the following nursing diagnoses is MOST important for a patient with chronic obstructive
pulmonary disease (COPD)? - ansImpaired gas exchange
Which of the following would be used as part of the preop procedure to prevent infection? -
ansProphylactic antibiotics
Which tool should you use to assess pain in you 80-year-old patient with severe dementia? - ansPAINAD
scale
While in a supine position your patient states, "I'm tired and cannot catch my breath." Physical
assessment reveals jugular vein distention and a third heart sound (S3). These symptoms are indicative
of what condition? - ansHeart failure
You are assigned a new admission and note a Braden score of 11 after completing your assessment.
Which interventions would be MOST appropriate based on your assessment? - ansTurn q 2hours,
request nutrition consult, request low airloss mattress.
You are caring for a combative 85-year-old male with a history of dementia, CHF, UTI, and anemia. The
family states he appears to be more confused than his baseline. What tests do you expect the provider to
order? - ansUrinalysis with cultures, CBC
You are caring for a patient post lobectomy with a chest tube in place for drainage. What is a priority in
care for this patient? - ansEncourage the patient to cough and deep breathe.
, RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2024
TEST BANK COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
You are caring for a patient with a history of diabetes mellitus. You walk into the room and find the patient
lethargic and diaphoretic. What is your first action? - ansObtain capillary blood glucose level.
You are ordered to give digoxin (Lanoxin). Your patients vital signs are: BP 130/70, Temp 97.9F, HR 52,
RR 16, O2 Sat 100% on room air. What should you do NEXT? - ansHold digoxin (Lanoxin) and call the
provider
You are preparing to hang 1 unit PRBC's to administer to your patient. The patient states, "I don't take
blood products." What is the MOST appropriate response? - ans"You have the right to refuse the blood
transfusion. I will inform the provider of your decision."
You have 4 patients who have high priority needs. One needs to go to surgery, one needs STAT lab
draws from a PICC line, another has chest pain rated 8/10, and another needs toileting. Which patient
should you tend to FIRST? - ansThe patient with chest pain
You have a patient going for dialysis. Their medications include lisinopril (Prinivil), ondansetron (Zofran),
famotidine (Pepcid), and atorvastatin (Lipitor). Which medication would you possibly hold and seek
clarification? - ansfamotidine (Pepcid)
You just left your patient's room with her husband at bedside. You then receive a phone call from
someone states that she is your patient's mother and demands updates about your patient. What should
you do NEXT? - ansVerify your patient's consent to release information to her mother.
You notice your patient who recently had a stroke is coughing intermittently during meals. What is the
MOST likely cause of this? - ansHe could be aspirating.
You receive a provider's order that is not consistent with evidence-based practice. What is your FIRST
step? - ansClarify the order with the provider.
You received a patient post op transurethral resection of the prostate (TURP). Which of the following
symptoms would cause you the MOST concern? - ansHemorrhage and hypotension
You received a report on a patient that sustained a right hemisphere CVA 48 hours ago. What do you
expect the patient to exhibit? - ansLeft sided weakness of the leg, arm, and face.
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 understaffed. Which is the MOST appropriate action? - ansReport
to the post-surgical unit.
Your 18-year-old female patient was admitted with dehydration secondary to anorexia nervosa. During
your assessment you note she has a flat affect and says, "I just want to die. I'm tired of my life." What
should be your FIRST intervention? - ansStay with the patient and ask fi she has a plan to carry out this
wish.
Your 68-year-old patient is a Type 1 diabetic with a history of schizophrenia and exhibits signs and
symptoms of tardive dyskinesia. What long-term medication is associated with signs and symptoms of
tardive dyskinesia? - ansrisperidone, olanzapine, quetiapine, ziprasidone, aripiprazole, paliperidone,
lurasidone, chlorpromazine, fluphenazine, haloperidol, perphenazine
