RELIAS MEDICAL SURGICAL TELEMETRY
EXAM 2024 TESTBANK COMPLETE 150
QUESTIONS AND ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
- ans Normal sinus rhythm
- ans Normal sinus with VTach
- ans Not normal sinus rhythm into a flutter
Correct answer is ventricular fibrillation
- ans Paced rhythm
- ans Sinus tachycardia
- ans Ventricular tachycardia
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: - ans Pulmonary
embolism?
NOT: tuberculosis
A patient suddenly complains of new onset of chest pain. The doctor is suspecting a possible?... What is
most likely to be ordered? – ans Morphine Duramorph, oxygen, nitrates,
Aceticsalicylic acid, bayer buffered aspirin
A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert
you to the potential of a narcotic overdose? – ans A respiratory rate of 8 breaths per minute
After a patient completes dialysis, you should anticipate seeing an improvement in which of the following
lab values? – ans NOT: ammonia
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 – ans Have the
patient drink 120 ML's of orange juice
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 - ans1520
Cardiac rhythm – ans V-Tach
Cardiac strip – ans Sinus rhythm with PAC
Cardiac strip – ans Unable to determine
Deposition has ordered for your patience to begin a 24 hour urine collection. Your patient voids for the
first time two hours after the orders received. What should be done with this urine sample? – ans
Discarded, then begin the 24 hour collection
,Didn't nurse ask you about the typical signs and symptoms of myocardial infarction – ans Women could
have pain in their arm, neck, back or jaw?
Heart rate - ans80
One of the signs of left sided heart failure is: - ans Pulmonary edema
NOT: pedal edema
Patient is admitted for shortness of breath. Do you notice the spouse adjusting the oxygen on the wall
and she states "she always takes care of my husband" what would be an appropriate response? – ans
Educate the spouse on oxygen use as a medical device in the hospital
The doctor ordered Lasix 40 mg IV push, 100mg/10 mL - ans4ml
The Glasgow, scale ranges from: - ans3 to 15
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? – ans Honor the
patient's wishes
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? – ans Narcan
What information is vital for you to know prior to administering an ordered dose of digoxin – ans Heart
Rate?
What is the first sign of increased intracranial pressure? – ans Change in LOC
When assessing a patient, you notice crepitus on the right upper shoulder. You notify the physician and
anticipate which diagnosis? – ans Subcutaneous emphysema
When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing intervention is:
- ans Protecting the patient's head and extremities from contact with surrounding objects
When taking care of a patient with pancreatitis, which of the following lab should be reviewed? – ans
Lipase and amylase
Which of the following actions would be considered a violation of Hyppa? – ans Looking through the chart
of a coworker admitted to your unit
Which of the following antidiabetic medication is contraindicated 48 hours after receiving contrast dye –
ans Metformin
Which of the following assessment findings should you report immediately to the physician for a patient
who just had a bronchoscopy and biopsy? – ans Sputum with streaks of blood
NOT: increased salivation
Which of the following electrolyte value should be addressed immediately by the nurse – ans Potassium
2.5 mEq/L
Which of the following food items would you question in the menu of your patient who is diagnosed with
celiac disease? – ans Wheat bread
Which of the following issues should be reported up the chain of command – ans A coworker arriving to
work under the influence of alcohol
, Which of the following lab values would you expect to see in a patient diagnosed with? –
ans Lipase - 196
Which of the following medication may cause urine discoloration –
Ans Rifampin
While performing the narcotic count at the end of the shift, my coworker admits to something, coworker to
sign for the ways that you did not witness –
Ans Refused to sign for the waste
You are providing patient education to a patient prior to administering IV Protonix.... When there is no
history of GERD –
Ans Protonix is given as G.I. prophylaxis to prevent stress ulcers
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? –
Ans 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
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? –
Ans The hospitals language interpreter
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 the nurse aide –
Ans and washing with soap and water is mandatory because alcohol based hand sanitizers do not kill C-
diff
You went to the room of a 58-year-old female. You find that the patient's cardiac monitor shows asystole,
what should be your first action? -
Ans Assess the patient
Not: start CPR
You were caring for a patient admitted with abdominal pain. Your patient has a bowel movement and you
know dark tarry stool what would be the diagnosis? –
Ans Upper G.I. bleed
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: -
Ans Pulmonary embolism
You're a king for a patient who is postop after surgical removal of fibroids. She hears a pop sound after
coughing in her surgical wound has dehisced –
Ans Apply sterile saline soap towels over the extruding site
You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding would
indicate an emergency? –
Ans Laryngeal strider
You're preparing your patient for discharge need to provide dietary education related to his diagnosis
what should you instruct the patient to avoid? –
Ans Canned meats
You're providing discharge instructions to a CHF patient. –
EXAM 2024 TESTBANK COMPLETE 150
QUESTIONS AND ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
- ans Normal sinus rhythm
- ans Normal sinus with VTach
- ans Not normal sinus rhythm into a flutter
Correct answer is ventricular fibrillation
- ans Paced rhythm
- ans Sinus tachycardia
- ans Ventricular tachycardia
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: - ans Pulmonary
embolism?
NOT: tuberculosis
A patient suddenly complains of new onset of chest pain. The doctor is suspecting a possible?... What is
most likely to be ordered? – ans Morphine Duramorph, oxygen, nitrates,
Aceticsalicylic acid, bayer buffered aspirin
A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert
you to the potential of a narcotic overdose? – ans A respiratory rate of 8 breaths per minute
After a patient completes dialysis, you should anticipate seeing an improvement in which of the following
lab values? – ans NOT: ammonia
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 – ans Have the
patient drink 120 ML's of orange juice
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 - ans1520
Cardiac rhythm – ans V-Tach
Cardiac strip – ans Sinus rhythm with PAC
Cardiac strip – ans Unable to determine
Deposition has ordered for your patience to begin a 24 hour urine collection. Your patient voids for the
first time two hours after the orders received. What should be done with this urine sample? – ans
Discarded, then begin the 24 hour collection
,Didn't nurse ask you about the typical signs and symptoms of myocardial infarction – ans Women could
have pain in their arm, neck, back or jaw?
Heart rate - ans80
One of the signs of left sided heart failure is: - ans Pulmonary edema
NOT: pedal edema
Patient is admitted for shortness of breath. Do you notice the spouse adjusting the oxygen on the wall
and she states "she always takes care of my husband" what would be an appropriate response? – ans
Educate the spouse on oxygen use as a medical device in the hospital
The doctor ordered Lasix 40 mg IV push, 100mg/10 mL - ans4ml
The Glasgow, scale ranges from: - ans3 to 15
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? – ans Honor the
patient's wishes
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? – ans Narcan
What information is vital for you to know prior to administering an ordered dose of digoxin – ans Heart
Rate?
What is the first sign of increased intracranial pressure? – ans Change in LOC
When assessing a patient, you notice crepitus on the right upper shoulder. You notify the physician and
anticipate which diagnosis? – ans Subcutaneous emphysema
When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing intervention is:
- ans Protecting the patient's head and extremities from contact with surrounding objects
When taking care of a patient with pancreatitis, which of the following lab should be reviewed? – ans
Lipase and amylase
Which of the following actions would be considered a violation of Hyppa? – ans Looking through the chart
of a coworker admitted to your unit
Which of the following antidiabetic medication is contraindicated 48 hours after receiving contrast dye –
ans Metformin
Which of the following assessment findings should you report immediately to the physician for a patient
who just had a bronchoscopy and biopsy? – ans Sputum with streaks of blood
NOT: increased salivation
Which of the following electrolyte value should be addressed immediately by the nurse – ans Potassium
2.5 mEq/L
Which of the following food items would you question in the menu of your patient who is diagnosed with
celiac disease? – ans Wheat bread
Which of the following issues should be reported up the chain of command – ans A coworker arriving to
work under the influence of alcohol
, Which of the following lab values would you expect to see in a patient diagnosed with? –
ans Lipase - 196
Which of the following medication may cause urine discoloration –
Ans Rifampin
While performing the narcotic count at the end of the shift, my coworker admits to something, coworker to
sign for the ways that you did not witness –
Ans Refused to sign for the waste
You are providing patient education to a patient prior to administering IV Protonix.... When there is no
history of GERD –
Ans Protonix is given as G.I. prophylaxis to prevent stress ulcers
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? –
Ans 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
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? –
Ans The hospitals language interpreter
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 the nurse aide –
Ans and washing with soap and water is mandatory because alcohol based hand sanitizers do not kill C-
diff
You went to the room of a 58-year-old female. You find that the patient's cardiac monitor shows asystole,
what should be your first action? -
Ans Assess the patient
Not: start CPR
You were caring for a patient admitted with abdominal pain. Your patient has a bowel movement and you
know dark tarry stool what would be the diagnosis? –
Ans Upper G.I. bleed
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: -
Ans Pulmonary embolism
You're a king for a patient who is postop after surgical removal of fibroids. She hears a pop sound after
coughing in her surgical wound has dehisced –
Ans Apply sterile saline soap towels over the extruding site
You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding would
indicate an emergency? –
Ans Laryngeal strider
You're preparing your patient for discharge need to provide dietary education related to his diagnosis
what should you instruct the patient to avoid? –
Ans Canned meats
You're providing discharge instructions to a CHF patient. –
