Prophecy medical surgical-telemetry exam Grade A+ 2023-Medical-Surgical RN A Prophecy Relias Exam

PROPHECY MEDICAL SURGICAL- b b



TELEMETRY EXAM / VERSION 1 THE RECENT UPDATE 2 b b b b b b b b



024/ QUESTIONS AND CORRECTANSWERS/ ALREADY G
b b b b b



RADED A+ b




You are to obtain informed consent for a Spanish-
b b b b b b b b


speaking patient scheduled for surgery. You do not speak Spanish and are having di
b b b b b b b b b b b b b


fficulty communicating with your patient. Which of the following resources woul
b b b b b b b b b b


d be most appropriate to
b b b b


utilize in order to obtain consent? -ANSWER: The hospitals language interpreter
b b b b b b b b b b




You're reviewing the discharge medication list of a patient diagnosed with gastric ulc
b b b b b b b b b b b b


er. Which of the following medication should you question? -
b b b b b b b b b


ANSWER: Acetylsalicylic acid ( Bauer buffered aspirin)
b b b b b b




When taking care of a patient with pancreatitis, which of the following lab should be r
b b b b b b b b b b b b b b b


eviewed? -ANSWER: Lipase and amylase b b b b




You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessm
b b b b b b b b b b


ent finding would indicate an emergency? -ANSWER: Laryngeal strider
b b b b b b b b




Which of the following actions would be considered a violation of Hyppa? -
b b b b b b b b b b b b


ANSWER: Looking through the chart of a coworker admitted to your unit
b b b b b b b b b b b b




-ANSWER: Sinus tachycardia b b




You are taking care of a patient who is admitted for left flank pain with a kidney stone
b b b b b b b b b b b b b b b b b b


of 1.5 cm. He asks you about the procedure what would be the most therapeutic respo
b b b b b b b b b b b b b b b


nse? -ANSWER: Due to the size of the kidney stone it is an appropriate treatment?
b b b b b b b b b b b b b b

,NOT:Print reading materials about the subject and give it to the patient
b b b b b b b b b b b




The nurse is taking care of a patient who is terminally ill and has a DNR on file. Their
b b b b b b b b b b b b b b b b b b b


patient has a sudden cardiac arrest and family wants CPR initiated. How should you r
b b b b b b b b b b b b b b


espond? -ANSWER: Honor the patient's wishes
b b b b b




Your patient began deteriorating rapidly after complaining of shortness of breath. An
b b b b b b b b b b b


d ABG was drawn and the results are pH? HCO3 -
b b b b b b b b b b


23. These values indicate the patient is experiencing: -ANSWER:
b b b b b b b b b


Not normal sinus rhythm into a flutter b b b b b b




Correct answer is ventricular fibrillation
b b b b




Your inserting a urinary catheter into a male patient. As you inflate a balloon, the pati
b b b b b b b b b b b b b b b


ent complains of discomfort what is the best action? -
b b b b b b b b b


ANSWER: Aspirate the fluid, advance the catheter farther, then re-
b b b b b b b b b


inflate the balloon b b




When assessing a patient, you notice crepitus on the right upper shoulder. You notify
b b b b b b b b b b b b b


the physician and anticipate which diagnosis? -
b b b b b b b


ANSWER: Subcutaneous emphysema b b




You are providing patient education to a patient prior to administering IV Protoni
b b b b b b b b b b b b


x ................ When there is no history of GERD -ANSWER: Protonix is given asb b b b b b b b b b b

, G.I. prophylaxis to prevent stress ulcers
b b b b b




The patient has a morphine PCA post operatively. On rounding you notice respiratio
b b b b b b b b b b b b


ns at eight per minute O2 saturation of 82%. What medication would be given in the s
b b b b b b b b b b b b b b b b


ituation? -ANSWER: Narcan b b




You were caring for a patient who is 18 hours postop after a right BKA a. They report
b b b b b b b b b b b b b b b b b b


sudden chest pain pulse ox at 86%. The patient may be experiencing: ANSWER: Pu
b b b b b b b b b b b b b


lmonary embolism b




Cardiac strip -ANSWER: Unable to determine
b b b b b




At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaki
b b b b b b b b b b b b b b


ng. The patient's blood sugar is currently 60. Which of the following is the most appro
b b b b b b b b b b b b b b b


priate intervention -ANSWER: Have the patient drink 120 ML's of orange juice
b b b b b b b b b b b




Which of the following food items would you question in the menu of your patient w
b b b b b b b b b b b b b b b


ho is diagnosed with celiac disease? -ANSWER: Wheat bread
b b b b b b b b




A postoperative laparoscopic appendectomy patient is receiving morphine PCA for p
b b b b b b b b b b


ain findings with alert you to the potential of a narcotic overdose? -
b b b b b b b b b b b b


ANSWER: A respiratory rate of 8 breaths per minute b b b b b b b b




Your patient was admitted with severe dehydration. Which of the following orders w
b b b b b b b b b b b b


ould you question -ANSWER: KCI 40 mEq IV push STAT
b b b b b b b b b