RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2025
TEST BANK COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES VERIFIED ANSWERS |ALREADY GRADED
A+
You are inserting a urinary catheter into a male client.
As you
inflate a balloon, the patient complains of discomfort
what is the best action? - ...CORRECT ANS✔✔
Aspirate the fluid, advance the
catheter farther, then re-inflate the balloon
When assessing a client, you notice crepitus on the
right upper shoulder. You notify the physician and
anticipate which diagnosis? - ...CORRECT
ANS✔✔Subcutaneous emphysema
Your client continues to pull at their IV site located in
their left forearm despite verbal reminders and
increased observation. The nursing assistant
recommends using soft mitt restraints on the client.
What is your recommendation? -
...CORRECT ANS✔✔Request an order for soft mitts as
they are the least restrictive
,Your client was admitted for a hypertensive crisis and
has a history of HTN, Parkinson's disease, depression,
and alcohol use. On his second hospitalized day, you
notice he is more anxious and restless than his
baseline. What would be your FIRST nursing
intervention? - ...CORRECT ANS✔✔Ask the client when
his last drink of alcohol was.
You are providing client education to a client prior to
administering IV Protonix.... When there is no history
of GERD -
...CORRECT ANS✔✔Protonix is given as G.I. prophylaxis
to prevent stress ulcers
The client 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 ANS✔✔Narcan
Your patient is 4 hours post open appendectomy
and has not voided yet. You note his lower
abdomen is distended. What should you do NEXT? -
...CORRECT ANS✔✔Perform a bladder scan
A client with peritonitis presents with tachycardia,
hypotension, and dehydration. What other assessment
finding would you anticipate as part of your physical
assessment? -
...CORRECT ANS✔✔Severe abdominal pain or rebound
tenderness
What is the EARLIEST sign indicating increased
intracranial pressure (ICP)? - ...CORRECT ANS✔✔Level
of consciousness
In addition to pain, pallor, and pulselessness, a
neurovascular assessment also includes checking for:
-
...CORRECT ANS✔✔Paresthesia and paralysis
, You received a report on a client that sustained a
right hemisphere CVA 48 hours ago. What do you
expect the client to exhibit? - ...CORRECT ANS✔✔Left
sided weakness of the leg, arm, and face.
You are ordered to give digoxin (Lanoxin). Your clients
vital signs are: BP 130/70, Temp 97.9F, HR 52, RR 16,
O2 Sat 100% on room air. What should you do NEXT?
- ...CORRECT ANS✔✔Hold digoxin (Lanoxin) and call
the provider
TEST BANK COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES VERIFIED ANSWERS |ALREADY GRADED
A+
You are inserting a urinary catheter into a male client.
As you
inflate a balloon, the patient complains of discomfort
what is the best action? - ...CORRECT ANS✔✔
Aspirate the fluid, advance the
catheter farther, then re-inflate the balloon
When assessing a client, you notice crepitus on the
right upper shoulder. You notify the physician and
anticipate which diagnosis? - ...CORRECT
ANS✔✔Subcutaneous emphysema
Your client continues to pull at their IV site located in
their left forearm despite verbal reminders and
increased observation. The nursing assistant
recommends using soft mitt restraints on the client.
What is your recommendation? -
...CORRECT ANS✔✔Request an order for soft mitts as
they are the least restrictive
,Your client was admitted for a hypertensive crisis and
has a history of HTN, Parkinson's disease, depression,
and alcohol use. On his second hospitalized day, you
notice he is more anxious and restless than his
baseline. What would be your FIRST nursing
intervention? - ...CORRECT ANS✔✔Ask the client when
his last drink of alcohol was.
You are providing client education to a client prior to
administering IV Protonix.... When there is no history
of GERD -
...CORRECT ANS✔✔Protonix is given as G.I. prophylaxis
to prevent stress ulcers
The client 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 ANS✔✔Narcan
Your patient is 4 hours post open appendectomy
and has not voided yet. You note his lower
abdomen is distended. What should you do NEXT? -
...CORRECT ANS✔✔Perform a bladder scan
A client with peritonitis presents with tachycardia,
hypotension, and dehydration. What other assessment
finding would you anticipate as part of your physical
assessment? -
...CORRECT ANS✔✔Severe abdominal pain or rebound
tenderness
What is the EARLIEST sign indicating increased
intracranial pressure (ICP)? - ...CORRECT ANS✔✔Level
of consciousness
In addition to pain, pallor, and pulselessness, a
neurovascular assessment also includes checking for:
-
...CORRECT ANS✔✔Paresthesia and paralysis
, You received a report on a client that sustained a
right hemisphere CVA 48 hours ago. What do you
expect the client to exhibit? - ...CORRECT ANS✔✔Left
sided weakness of the leg, arm, and face.
You are ordered to give digoxin (Lanoxin). Your clients
vital signs are: BP 130/70, Temp 97.9F, HR 52, RR 16,
O2 Sat 100% on room air. What should you do NEXT?
- ...CORRECT ANS✔✔Hold digoxin (Lanoxin) and call
the provider
