RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2024 TES
f f f f f f
T BANK COMPLETE 245+ QUESTIONS AND CORRECT DET
f f f f f f f
AILED ANSWERS WITH RATIONALES (VERIFIED ANSWER
f f f f f
S) |RATED A+
f f
Af56-year-
oldfmanfhasfanfacutefonsetfoffshortnessfoffbreath,fchestfpain,fapprehension,frapidfpulse,fcoughfwithfbloodyfs
putum,fdiaphoresis,fandfsyncope.fThefsymptomsfarefindicativefof:f-fansfPulmonaryfembolism?
NOT:ftuberculosis
Afpatientfsuddenlyfcomplainsfoffnewfonsetfoffchestfpain.fThefdoctorfisfsuspectingfafpossible?...fWhatfisfmostfli
kelyftofbefordered?f–fansfMorphinefDuramorph,foxygen,fnitrates,f
Aceticsalicylicfacid,fbayerfbufferedfaspirin
AfpostoperativeflaparoscopicfappendectomyfpatientfisfreceivingfmorphinefPCAfforfpainffindingsfwithfalertfyouf
tofthefpotentialfoffafnarcoticfoverdose?f–fansfAfrespiratoryfratefoff8fbreathsfperfminute
Afterfafpatientfcompletesfdialysis,fyoufshouldfanticipatefseeingfanfimprovementfinfwhichfofftheffollowingflabfva
lues?f–fansfNOT:fammonia
Atf0500,fyoufknowfyourfpatientftofbefdiaphoretic,fclammy,fandftheirfhandsfarefshaking.fThefpatient'sfbloodfsug
arfisfcurrentlyf60.fWhichfofftheffollowingfisfthefmostfappropriatefinterventionf–
f ansf Havef thef patientf drinkf 120f ML'sf off orangef juice
Calculatefthef12fhourfintakefforfafpatientfthatfhasfreceivedftheffollowingfduringfyourfshift:fnormalfsalinef750fML
,f24founcesfoffsprite,fLevaquinf50fML,f650fMLfurinefinfFoleyfcatheterf-fans1520
cardiacfrhythmf–fansfV-Tach
Cardiacfstripf–fansfSinusfrhythmfwithfPAC
Cardiacfstripf–fansfUnableftofdetermine
Depositionfhasforderedfforfyourfpatienceftofbeginfaf24fhourfurinefcollection.fYourfpatientfvoidsfforftheffirstftimef
twofhoursfafterfthefordersfreceived.fWhatfshouldfbefdonefwithfthisfurinefsample?f–
f ansf Discarded,f thenf beginf thef 24f hourf collection
Didn'tfnursefaskfyoufaboutftheftypicalfsignsfandfsymptomsfoffmyocardialfinfarctionf–
f ansfWomenf couldf havef painf inf theirf arm,f neck,f backf orf jaw
Heartfratef-fans80
Onefoffthefsignsfoffleftfsidedfheartffailurefis:f-fansfPulmonaryfedema
NOT:fpedalfedema
Patientfisfadmittedfforfshortnessfoffbreath.fDofyoufnoticefthefspousefadjustingfthefoxygenfonfthefwallfandfshefs
tatesf"shefalwaysftakesfcarefoffmyfhusband"fwhatfwouldfbefanfappropriatefresponse?f–
f ansf Educatef thef spousef onfoxygenf usef asf afmedicalf devicef inf thef hospital
ThefdoctorforderedfLasixf40fmgfIVfpush,f100mg/10fmLf-fans4ml
ThefGlasgow,fscalefrangesffrom:f-fans3ftof15
,RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2024 TES
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T BANK COMPLETE 245+ QUESTIONS AND CORRECT DET
f f f f f f f
AILED ANSWERS WITH RATIONALES (VERIFIED ANSWER
f f f f f
S) |RATED A+
f f
ThefnursefisftakingfcarefoffafpatientfwhofisfterminallyfillfandfhasfafDNRfonffile.fTheirfpatientfhasfafsuddenfcardia
cfarrestfandffamilyfwantsfCPRfinitiated.fHowfshouldfyoufrespond?f–fansfHonorfthefpatient'sfwishes
ThefpatientfhasfafmorphinefPCAfpostfoperatively.fOnfroundingfyoufnoticefrespirationsfatfeightfperfminutefO2fs
aturationfoff82%.fWhatfmedicationfwouldfbefgivenfinfthefsituation?f–fansfNarcan
Whatfinformationfisfvitalfforfyouftofknowfpriorftofadministeringfanforderedfdosefoffdigoxinf–fansfHeartfrate
Whatfisftheffirstfsignfoffincreasedfintracranialfpressure?f–fansfChangefinfLOC
Whenfassessingfafpatient,fyoufnoticefcrepitusfonfthefrightfupperfshoulder.fYoufnotifyfthefphysicianfandfanticip
atefwhichfdiagnosis?f–fansfSubcutaneousfemphysema
Whenfcaringfforfafpatientfexperiencingfaftonicfclonicfseizure,fthefmostfappropriatefnursingfinterventionfis:f-
f ansf Protectingf thef patient'sfheadf andf extremitiesffromfcontactf withf surroundingf objects
Whenftakingfcarefoffafpatientfwithfpancreatitis,fwhichfofftheffollowingflabfshouldfbefreviewed?f-
f ansLipasef andf amylase
WhichfofftheffollowingfactionsfwouldfbefconsideredfafviolationfoffHyppa?f–
f ansf Lookingf throughf thefchartf off afcoworkerf admittedf tof yourf unit
Whichfofftheffollowingfantidiabeticfmedicationfisfcontraindicatedf48fhoursfafterfreceivingfcontrastfdyef–
f ansf Metformin
Whichfofftheffollowingfassessmentffindingsfshouldfyoufreportfimmediatelyftofthefphysicianfforfafpatientfwhofjus
tfhadfafbronchoscopyfandfbiopsy?f–fansfSputumfwithfstreaksfoffblood
NOT:fincreasedfsalivation
Whichfofftheffollowingfelectrolytefvaluefshouldfbefaddressedfimmediatelyfbyfthefnursef–
f ansf Potassiumf 2.5fmEq/L
Whichfofftheffollowingffoodfitemsfwouldfyoufquestionfinfthefmenufoffyourfpatientfwhofisfdiagnosedfwithfceliacfdi
sease?f–fansfWheatfbread
Whichfofftheffollowingfissuesfshouldfbefreportedfupfthefchainfoffcommandf–
f ansf Afcoworkerf arrivingf tof workf underf thef influencef off alcohol
Whichfofftheffollowingflabfvaluesfwouldfyoufexpectftofseefinfafpatientfdiagnosedfwith?f–fansfLipasef-f196
Whichfofftheffollowingfmedicationfmayfcausefurinefdiscolorationf–fansfRifampin
Whilefperformingfthefnarcoticfcountfatfthefendfoffthefshift,fmyfcoworkerfadmitsftofsomething,fcoworkerftofsignff
orfthefwaysfthatfyoufdidfnotfwitnessf–fansfrefusedftofsignfforfthefwaste
YoufarefprovidingfpatientfeducationftofafpatientfpriorftofadministeringfIVfProtonix....fWhenftherefisfnofhistoryfoff
GERDf–fansfProtonixfisfgivenfasfG.I.fprophylaxisftofpreventfstressfulcers
, RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2024 TES
f f f f f f
T BANK COMPLETE 245+ QUESTIONS AND CORRECT DET
f f f f f f f
AILED ANSWERS WITH RATIONALES (VERIFIED ANSWER
f f f f f
S) |RATED A+
f f
Youfareftakingfcarefoffafpatientfwhofisfadmittedfforfleftfflankfpainfwithfafkidneyfstonefoff1.5fcm.fHefasksfyoufabo
utfthefprocedurefwhatfwouldfbefthefmostftherapeuticfresponse?f-
f ansDuef tof thef sizef off thefkidneyf stonef itf isf anf appropriatef treatment?
NOT:Printfreadingfmaterialsfaboutfthefsubjectfandfgivefitftofthefpatient
YoufareftofobtainfinformedfconsentfforfafSpanish-
speakingfpatientfscheduledfforfsurgery.fYoufdofnotfspeakfSpanishfandfarefhavingfdifficultyfcommunicatingfwit
hfyourfpatient.fWhichfofftheffollowingfresourcesfwouldfbefmostfappropriateftofutilizefinforderftofobtainfconsent?f
-fansThefhospitalsflanguagefinterpreter
Youfdeservefthefnursefaidfremovingfherfglovesfandfimmediatelyfusingfalcoholfhandfsanitizerfinfafroomfwithfafp
atientfwhofhasfC-Diff.fWhatfeducationfshouldfyoufprovideftofthefnursefaidef-
f ansAndf washingf withf soapf andf waterf isfmandatoryf becausef alcoholf basedf handf sanitizersf dof notfkillf C-diff
Youfwentftofthefroomfoffaf58-year-
oldffemale.fYouffindfthatfthefpatient'sfcardiacfmonitorfshowsfasystolye,fwhatfshouldfbefyourffirstfaction?f-
f ansAssessfthef patientf
Not:fstartfCPR
Youfwerefcaringfforfafpatientfadmittedfwithfabdominalfpain.fYourfpatientfhasfafbowelfmovementfandfyoufknowf
darkftarryfstoolfwhatfwouldfbefthefdiagnosis?f-fansUpperfG.I.fbleed
Youfwerefcaringfforfafpatientfwhofisf18fhoursfpostopfafterfafrightfBKAfa.fTheyfreportfsuddenfchestfpainfpulsefo
xfatf86%.fThefpatientfmayfbefexperiencing:f-fansPulmonaryfembolism
You'refafkingfforfafpatientfwhofisfpostopfafterfsurgicalfremovalfofffibroids.fShefhearsfafpopfsoundfafterfcoughin
gfinfherfsurgicalfwoundfhasfdehiscedf-fansApplyfsterilefsalinefsoapftowelsfoverfthefextrudingfsite
You'refcaringfforfaf12fhourfpostoperativefparathyroidectomyfpatient.fWhichfassessmentffindingfwouldfindicat
efanfemergency?f-fansLaryngealfstrider
You'refpreparingfyourfpatientfforfdischargefneedftofprovidefdietaryfeducationfrelatedftofhisfdiagnosisfwhatfsho
uldfyoufinstructfthefpatientftofavoid?f-fansCannedfmeats
You'refprovidingfdischargefinstructionsftofafCHFfpatient.f-fansIncreasefshortnessfoffbreath
You'refreviewingfthefdischargefmedicationflistfoffafpatientfdiagnosedfwithfgastricfulcer.fWhichfofftheffollowingf
medicationfshouldfyoufquestion?f-fansAcetylsalicylicfacidf(fBauerfbufferedfaspirin)
You'refreviewingfthefmenuflistfoffafpatientfonfWarfranfwhatffoodfshouldftheyfnotfeat?f-fansSpinach
YourfCOPDfpatientfisfcomplainingfoffwheezingfandfincreasedfshortnessfoffbreathf-
f ansAssessf yourf patientf forf afchangef inf condition
Yourfinsertingfafurinaryfcatheterfintofafmalefpatient.fAsfyoufinflatefafballoon,fthefpatientfcomplainsfoffdiscomfo
rtfwhatfisfthefbestfaction?f-fansAspirateftheffluid,fadvancefthefcatheterffarther,fthenfre-inflatefthefballoon
Yourfpatientfbeganfdeterioratingfrapidlyfafterfcomplainingfoffshortnessfoffbreath.fAndfABGfwasfdrawnfandfthef
resultsfarefpH?fHCO3f-f23.fThesefvaluesfindicatefthefpatientfisfexperiencing:f-fans
f f f f f f
T BANK COMPLETE 245+ QUESTIONS AND CORRECT DET
f f f f f f f
AILED ANSWERS WITH RATIONALES (VERIFIED ANSWER
f f f f f
S) |RATED A+
f f
Af56-year-
oldfmanfhasfanfacutefonsetfoffshortnessfoffbreath,fchestfpain,fapprehension,frapidfpulse,fcoughfwithfbloodyfs
putum,fdiaphoresis,fandfsyncope.fThefsymptomsfarefindicativefof:f-fansfPulmonaryfembolism?
NOT:ftuberculosis
Afpatientfsuddenlyfcomplainsfoffnewfonsetfoffchestfpain.fThefdoctorfisfsuspectingfafpossible?...fWhatfisfmostfli
kelyftofbefordered?f–fansfMorphinefDuramorph,foxygen,fnitrates,f
Aceticsalicylicfacid,fbayerfbufferedfaspirin
AfpostoperativeflaparoscopicfappendectomyfpatientfisfreceivingfmorphinefPCAfforfpainffindingsfwithfalertfyouf
tofthefpotentialfoffafnarcoticfoverdose?f–fansfAfrespiratoryfratefoff8fbreathsfperfminute
Afterfafpatientfcompletesfdialysis,fyoufshouldfanticipatefseeingfanfimprovementfinfwhichfofftheffollowingflabfva
lues?f–fansfNOT:fammonia
Atf0500,fyoufknowfyourfpatientftofbefdiaphoretic,fclammy,fandftheirfhandsfarefshaking.fThefpatient'sfbloodfsug
arfisfcurrentlyf60.fWhichfofftheffollowingfisfthefmostfappropriatefinterventionf–
f ansf Havef thef patientf drinkf 120f ML'sf off orangef juice
Calculatefthef12fhourfintakefforfafpatientfthatfhasfreceivedftheffollowingfduringfyourfshift:fnormalfsalinef750fML
,f24founcesfoffsprite,fLevaquinf50fML,f650fMLfurinefinfFoleyfcatheterf-fans1520
cardiacfrhythmf–fansfV-Tach
Cardiacfstripf–fansfSinusfrhythmfwithfPAC
Cardiacfstripf–fansfUnableftofdetermine
Depositionfhasforderedfforfyourfpatienceftofbeginfaf24fhourfurinefcollection.fYourfpatientfvoidsfforftheffirstftimef
twofhoursfafterfthefordersfreceived.fWhatfshouldfbefdonefwithfthisfurinefsample?f–
f ansf Discarded,f thenf beginf thef 24f hourf collection
Didn'tfnursefaskfyoufaboutftheftypicalfsignsfandfsymptomsfoffmyocardialfinfarctionf–
f ansfWomenf couldf havef painf inf theirf arm,f neck,f backf orf jaw
Heartfratef-fans80
Onefoffthefsignsfoffleftfsidedfheartffailurefis:f-fansfPulmonaryfedema
NOT:fpedalfedema
Patientfisfadmittedfforfshortnessfoffbreath.fDofyoufnoticefthefspousefadjustingfthefoxygenfonfthefwallfandfshefs
tatesf"shefalwaysftakesfcarefoffmyfhusband"fwhatfwouldfbefanfappropriatefresponse?f–
f ansf Educatef thef spousef onfoxygenf usef asf afmedicalf devicef inf thef hospital
ThefdoctorforderedfLasixf40fmgfIVfpush,f100mg/10fmLf-fans4ml
ThefGlasgow,fscalefrangesffrom:f-fans3ftof15
,RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2024 TES
f f f f f f
T BANK COMPLETE 245+ QUESTIONS AND CORRECT DET
f f f f f f f
AILED ANSWERS WITH RATIONALES (VERIFIED ANSWER
f f f f f
S) |RATED A+
f f
ThefnursefisftakingfcarefoffafpatientfwhofisfterminallyfillfandfhasfafDNRfonffile.fTheirfpatientfhasfafsuddenfcardia
cfarrestfandffamilyfwantsfCPRfinitiated.fHowfshouldfyoufrespond?f–fansfHonorfthefpatient'sfwishes
ThefpatientfhasfafmorphinefPCAfpostfoperatively.fOnfroundingfyoufnoticefrespirationsfatfeightfperfminutefO2fs
aturationfoff82%.fWhatfmedicationfwouldfbefgivenfinfthefsituation?f–fansfNarcan
Whatfinformationfisfvitalfforfyouftofknowfpriorftofadministeringfanforderedfdosefoffdigoxinf–fansfHeartfrate
Whatfisftheffirstfsignfoffincreasedfintracranialfpressure?f–fansfChangefinfLOC
Whenfassessingfafpatient,fyoufnoticefcrepitusfonfthefrightfupperfshoulder.fYoufnotifyfthefphysicianfandfanticip
atefwhichfdiagnosis?f–fansfSubcutaneousfemphysema
Whenfcaringfforfafpatientfexperiencingfaftonicfclonicfseizure,fthefmostfappropriatefnursingfinterventionfis:f-
f ansf Protectingf thef patient'sfheadf andf extremitiesffromfcontactf withf surroundingf objects
Whenftakingfcarefoffafpatientfwithfpancreatitis,fwhichfofftheffollowingflabfshouldfbefreviewed?f-
f ansLipasef andf amylase
WhichfofftheffollowingfactionsfwouldfbefconsideredfafviolationfoffHyppa?f–
f ansf Lookingf throughf thefchartf off afcoworkerf admittedf tof yourf unit
Whichfofftheffollowingfantidiabeticfmedicationfisfcontraindicatedf48fhoursfafterfreceivingfcontrastfdyef–
f ansf Metformin
Whichfofftheffollowingfassessmentffindingsfshouldfyoufreportfimmediatelyftofthefphysicianfforfafpatientfwhofjus
tfhadfafbronchoscopyfandfbiopsy?f–fansfSputumfwithfstreaksfoffblood
NOT:fincreasedfsalivation
Whichfofftheffollowingfelectrolytefvaluefshouldfbefaddressedfimmediatelyfbyfthefnursef–
f ansf Potassiumf 2.5fmEq/L
Whichfofftheffollowingffoodfitemsfwouldfyoufquestionfinfthefmenufoffyourfpatientfwhofisfdiagnosedfwithfceliacfdi
sease?f–fansfWheatfbread
Whichfofftheffollowingfissuesfshouldfbefreportedfupfthefchainfoffcommandf–
f ansf Afcoworkerf arrivingf tof workf underf thef influencef off alcohol
Whichfofftheffollowingflabfvaluesfwouldfyoufexpectftofseefinfafpatientfdiagnosedfwith?f–fansfLipasef-f196
Whichfofftheffollowingfmedicationfmayfcausefurinefdiscolorationf–fansfRifampin
Whilefperformingfthefnarcoticfcountfatfthefendfoffthefshift,fmyfcoworkerfadmitsftofsomething,fcoworkerftofsignff
orfthefwaysfthatfyoufdidfnotfwitnessf–fansfrefusedftofsignfforfthefwaste
YoufarefprovidingfpatientfeducationftofafpatientfpriorftofadministeringfIVfProtonix....fWhenftherefisfnofhistoryfoff
GERDf–fansfProtonixfisfgivenfasfG.I.fprophylaxisftofpreventfstressfulcers
, RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2024 TES
f f f f f f
T BANK COMPLETE 245+ QUESTIONS AND CORRECT DET
f f f f f f f
AILED ANSWERS WITH RATIONALES (VERIFIED ANSWER
f f f f f
S) |RATED A+
f f
Youfareftakingfcarefoffafpatientfwhofisfadmittedfforfleftfflankfpainfwithfafkidneyfstonefoff1.5fcm.fHefasksfyoufabo
utfthefprocedurefwhatfwouldfbefthefmostftherapeuticfresponse?f-
f ansDuef tof thef sizef off thefkidneyf stonef itf isf anf appropriatef treatment?
NOT:Printfreadingfmaterialsfaboutfthefsubjectfandfgivefitftofthefpatient
YoufareftofobtainfinformedfconsentfforfafSpanish-
speakingfpatientfscheduledfforfsurgery.fYoufdofnotfspeakfSpanishfandfarefhavingfdifficultyfcommunicatingfwit
hfyourfpatient.fWhichfofftheffollowingfresourcesfwouldfbefmostfappropriateftofutilizefinforderftofobtainfconsent?f
-fansThefhospitalsflanguagefinterpreter
Youfdeservefthefnursefaidfremovingfherfglovesfandfimmediatelyfusingfalcoholfhandfsanitizerfinfafroomfwithfafp
atientfwhofhasfC-Diff.fWhatfeducationfshouldfyoufprovideftofthefnursefaidef-
f ansAndf washingf withf soapf andf waterf isfmandatoryf becausef alcoholf basedf handf sanitizersf dof notfkillf C-diff
Youfwentftofthefroomfoffaf58-year-
oldffemale.fYouffindfthatfthefpatient'sfcardiacfmonitorfshowsfasystolye,fwhatfshouldfbefyourffirstfaction?f-
f ansAssessfthef patientf
Not:fstartfCPR
Youfwerefcaringfforfafpatientfadmittedfwithfabdominalfpain.fYourfpatientfhasfafbowelfmovementfandfyoufknowf
darkftarryfstoolfwhatfwouldfbefthefdiagnosis?f-fansUpperfG.I.fbleed
Youfwerefcaringfforfafpatientfwhofisf18fhoursfpostopfafterfafrightfBKAfa.fTheyfreportfsuddenfchestfpainfpulsefo
xfatf86%.fThefpatientfmayfbefexperiencing:f-fansPulmonaryfembolism
You'refafkingfforfafpatientfwhofisfpostopfafterfsurgicalfremovalfofffibroids.fShefhearsfafpopfsoundfafterfcoughin
gfinfherfsurgicalfwoundfhasfdehiscedf-fansApplyfsterilefsalinefsoapftowelsfoverfthefextrudingfsite
You'refcaringfforfaf12fhourfpostoperativefparathyroidectomyfpatient.fWhichfassessmentffindingfwouldfindicat
efanfemergency?f-fansLaryngealfstrider
You'refpreparingfyourfpatientfforfdischargefneedftofprovidefdietaryfeducationfrelatedftofhisfdiagnosisfwhatfsho
uldfyoufinstructfthefpatientftofavoid?f-fansCannedfmeats
You'refprovidingfdischargefinstructionsftofafCHFfpatient.f-fansIncreasefshortnessfoffbreath
You'refreviewingfthefdischargefmedicationflistfoffafpatientfdiagnosedfwithfgastricfulcer.fWhichfofftheffollowingf
medicationfshouldfyoufquestion?f-fansAcetylsalicylicfacidf(fBauerfbufferedfaspirin)
You'refreviewingfthefmenuflistfoffafpatientfonfWarfranfwhatffoodfshouldftheyfnotfeat?f-fansSpinach
YourfCOPDfpatientfisfcomplainingfoffwheezingfandfincreasedfshortnessfoffbreathf-
f ansAssessf yourf patientf forf afchangef inf condition
Yourfinsertingfafurinaryfcatheterfintofafmalefpatient.fAsfyoufinflatefafballoon,fthefpatientfcomplainsfoffdiscomfo
rtfwhatfisfthefbestfaction?f-fansAspirateftheffluid,fadvancefthefcatheterffarther,fthenfre-inflatefthefballoon
Yourfpatientfbeganfdeterioratingfrapidlyfafterfcomplainingfoffshortnessfoffbreath.fAndfABGfwasfdrawnfandfthef
resultsfarefpH?fHCO3f-f23.fThesefvaluesfindicatefthefpatientfisfexperiencing:f-fans
