RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2023/20
m m m m m
24 TEST BANK COMPLETE 240+ QUESTIONS AND CORR
m m m m m m m
ECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
m m m m m
ANSWERS) |ALREADY GRADED A+
m m m m
-mansNormalmsinusmrhythm
- ansNormalmsinusmwithmVTach
m m
- ansNotmnormalmsinusmrhythmmintomamflutter
m m
Correctmanswermismventricularmfibrillation
- ansPacedmrhythm
m m
- ansSinusmtachycardia
m m
- ansVentricularmtachycardia
m m
Am56-year-
oldmmanmhasmanmacutemonsetmofmshortnessmofmbreath,mchestmpain,mapprehension,mrapidmpulse,mcoughmwit
hmbloodymsputum,mdiaphoresis,mandmsyncope.mThemsymptomsmaremindicativemof:m-
mansPulmonarymembolism?
NOT:mtuberculosis
Ampatientmsuddenlymcomplainsmofmnewmonsetmofmchestmpain.mThemdoctormismsuspectingmampossible?...mWh
atmismmostmlikelymtombemordered?m-mansMorphinemDuramorph,moxygen,mnitrates,m
Aceticsalicylicmacid,mbayermbufferedmaspirin
AmpostoperativemlaparoscopicmappendectomympatientmismreceivingmmorphinemPCAmformpainmfindingsmwithm
alertmyoumtomthempotentialmofmamnarcoticmoverdose?m-mansAmrespiratorymratemofm8mbreathsmpermminute
Aftermampatientmcompletesmdialysis,myoumshouldmanticipatemseeingmanmimprovementminmwhichmofmthemfollo
wingmlabmvalues?m-mansNOT:mammonia
Atm0500,myoumknowmyourmpatientmtombemdiaphoretic,mclammy,mandmtheirmhandsmaremshaking.mThempatient's
mbloodmsugarmismcurrentlym60.mWhichmofmthemfollowingmismthemmostmappropriateminterventionm-
mansHavemthempatientmdrinkm 120mML'smofmorangemjuice
Calculatemthem12mhourmintakemformampatientmthatmhasmreceivedmthemfollowingmduringmyourmshift:mnormalmsal
inem750mML,m24mouncesmofmsprite,mLevaquinm50mML,m650mMLmurineminmFoleymcatheterm-mans1520
cardiacmrhythmm-mansV-Tach
Cardiacmstripm-mansSinusmrhythmmwithmPAC
Cardiacmstripm-mansUnablemtomdetermine
Depositionmhasmorderedmformyourmpatiencemtombeginmam24mhourmurinemcollection.mYourmpatientmvoidsmformt
hemfirstmtimemtwomhoursmaftermthemordersmreceived.mWhatmshouldmbemdonemwithmthismurinemsample?m-
mansDiscarded,mthenmbeginm them24mhourmcollection
Didn'tmnursemaskmyoumaboutmthemtypicalmsignsmandmsymptomsmofmmyocardialminfarctionm-
mansWomenmcouldmhavempainminmtheirmarm,mneck,mbackmormjaw
,RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2023/20
m m m m m
24 TEST BANK COMPLETE 240+ QUESTIONS AND CORR
m m m m m m m
ECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
m m m m m
ANSWERS) |ALREADY GRADED A+
m m m m
Heartmratem-mans80
Onemofmthemsignsmofmleftmsidedmheartmfailuremis:m-mansPulmonarymedema
NOT:mpedalmedema
Patientmismadmittedmformshortnessmofmbreath.mDomyoumnoticemthemspousemadjustingmthemoxygenmonmthemwa
llmandmshemstatesm"shemalwaysmtakesmcaremofmmymhusband"mwhatmwouldmbemanmappropriatemresponse?m-
mansEducatemthemspousemonmoxygenmusemasmammedicalmdeviceminmthemhospital
ThemdoctormorderedmLasixm40mmgmIVmpush,m100mg/10mmLm-mans4ml
ThemGlasgow,mscalemrangesmfrom:m-mans3mtom15
ThemnursemismtakingmcaremofmampatientmwhomismterminallymillmandmhasmamDNRmonmfile.mTheirmpatientmhasmam
suddenmcardiacmarrestmandmfamilymwantsmCPRminitiated.mHowmshouldmyoumrespond?m-
mansHonormthempatient'smwishes
ThempatientmhasmammorphinemPCAmpostmoperatively.mOnmroundingmyoumnoticemrespirationsmatmeightmpermm
inutemO2msaturationmofm82%.mWhatmmedicationmwouldmbemgivenminmthemsituation?m-mansNarcan
Whatminformationmismvitalmformyoumtomknowmpriormtomadministeringmanmorderedmdosemofmdigoxinm-
mansHeartmrate
Whatmismthemfirstmsignmofmincreasedmintracranialmpressure?m-mansChangeminmLOC
Whenmassessingmampatient,myoumnoticemcrepitusmonmthemrightmuppermshoulder.mYoumnotifymthemphysicianma
ndmanticipatemwhichmdiagnosis?m-mansSubcutaneousmemphysema
Whenmcaringmformampatientmexperiencingmamtonicmclonicmseizure,mthemmostmappropriatemnursingminterventio
nmis:m-mansProtectingmthempatient'smheadmandmextremitiesmfrommcontactmwithmsurroundingmobjects
Whenmtakingmcaremofmampatientmwithmpancreatitis,mwhichmofmthemfollowingmlabmshouldmbemreviewed?m-
mansLipasemandmamylase
WhichmofmthemfollowingmactionsmwouldmbemconsideredmamviolationmofmHyppa?m-
mansLookingmthroughmthemchartmofmamcoworkermadmittedmtom yourmunit
Whichmofmthemfollowingmantidiabeticmmedicationmismcontraindicatedm48mhoursmaftermreceivingmcontrastmdye
m-mansMetformin
Whichmofmthemfollowingmassessmentmfindingsmshouldmyoumreportmimmediatelymtomthemphysicianmformampatie
ntmwhomjustmhadmambronchoscopymandmbiopsy?m-mansSputummwithmstreaksmofmblood
NOT:mincreasedmsalivation
WhichmofmthemfollowingmelectrolytemvaluemshouldmbemAddressedmimmediatelymbymthemnursem-
mansPotassiumm2.5mmEq/L
Whichmofmthemfollowingmfoodmitemsmwouldmyoumquestionminmthemmenumofmyourmpatientmwhomismdiagnosedm
withmceliacmdisease?m-mansWheatmbread
, RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2023/20
m m m m m
24 TEST BANK COMPLETE 240+ QUESTIONS AND CORR
m m m m m m m
ECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
m m m m m
ANSWERS) |ALREADY GRADED A+
m m m m
Whichmofmthemfollowingmissuesmshouldmbemreportedmupmthemchainmofmcommandm-
mansAmcoworkermarrivingmtom workmundermtheminfluencemofmalcohol
Whichmofmthemfollowingmlabmvaluesmwouldmyoumexpectmtomseeminmampatientmdiagnosedmwith?....m-
mansLipasem-m196
Whichmofmthemfollowingmmedicationmmaymcausemurinemdiscolorationm-mansRifampin
Whilemperformingmthemnarcoticmcountmatmthemendmofmthemshift,mmymcoworkermadmitsmtomsomething,mcowork
ermtomsignmformthemwaysmthatmyoumdidmnotmwitnessm-mansRefusedmtomsignmformthemwaste
YoumaremprovidingmpatientmeducationmtomampatientmpriormtomadministeringmIVmProtonix....mWhenmtheremismn
omhistorymofmGERDm-mansProtonixmismgivenmasmG.I.mprophylaxismtompreventmstressmulcers
Youmaremtakingmcaremofmampatientmwhomismadmittedmformleftmflankmpainmwithmamkidneymstonemofm1.5mcm.mHe
masksmyoumaboutmthemproceduremwhatmwouldmbemthemmostmtherapeuticmresponse?m-
mansDuemtomthemsizemofmthemkidneymstonemitmismanmappropriatemtreatment?
NOT:Printmreadingmmaterialsmaboutmthemsubjectmandmgivemitmtomthempatient
YoumaremtomobtainminformedmconsentmformamSpanish-
speakingmpatientmscheduledmformsurgery.mYoumdomnotmspeakmSpanishmandmaremhavingmdifficultymcommuni
catingmwithmyourmpatient.mWhichmofmthemfollowingmresourcesmwouldmbemmostmappropriatemtomutilizeminmorde
rmtomobtainmconsent?m-mansThemhospitalsmlanguageminterpreter
Youmdeservemthemnursemaidmremovingmhermglovesmandmimmediatelymusingmalcoholmhandmsanitizerminmamro
ommwithmampatientmwhomhasmC-Diff.mWhatmeducationmshouldmyoumprovidemtomthemnursemaidem-
mansAndmwashingmwithmsoapmandmwatermismmandatorym becausemalcoholmbasedmhandmsanitizersmdomnotmki
llmC-diff
Youmwentmtomthemroommofmam58-year-
oldmfemale.mYoumfindmthatmthempatient'smcardiacmmonitormshowsmasystolye,mwhatmshouldmbemyourmfirstmacti
on?m-mansAssessmthempatientm
Not:mstartmCPR
Youmweremcaringmformampatientmadmittedmwithmabdominalmpain.mYourmpatientmhasmambowelmmovementmand
myoumknowmdarkmtarrymstoolm whatmwouldmbemthemdiagnosis?m-mansUppermG.I.mbleed
Youmweremcaringmformampatientmwhomism18mhoursmpostopmaftermamrightmBKAma.mTheymreportmsuddenmchestm
painmpulsemoxmatm86%.mThempatientmmaymbemexperiencing:m-mansPulmonarymembolism
You'remamkingmformampatientmwhomismpostopmaftermsurgicalmremovalmofmfibroids.mShemhearsmampopmsoundma
ftermcoughingminmhermsurgicalmwoundmhasmdehiscedm-
mansApplymsterilemsalinemsoapmtowelsmovermthemextrudingmsite
You'remcaringmformam12mhourmpostoperativemparathyroidectomympatient.mWhichmassessmentmfindingmwould
mindicatemanmemergency?m-m ansLaryngealmstrider
You'rempreparingmyourmpatientmformdischargemneedmtomprovidemdietarymeducationmrelatedmtomhismdiagnosis
mwhatmshouldm youminstructmthempatientmtomavoid?m-mansCannedmmeats
m m m m m
24 TEST BANK COMPLETE 240+ QUESTIONS AND CORR
m m m m m m m
ECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
m m m m m
ANSWERS) |ALREADY GRADED A+
m m m m
-mansNormalmsinusmrhythm
- ansNormalmsinusmwithmVTach
m m
- ansNotmnormalmsinusmrhythmmintomamflutter
m m
Correctmanswermismventricularmfibrillation
- ansPacedmrhythm
m m
- ansSinusmtachycardia
m m
- ansVentricularmtachycardia
m m
Am56-year-
oldmmanmhasmanmacutemonsetmofmshortnessmofmbreath,mchestmpain,mapprehension,mrapidmpulse,mcoughmwit
hmbloodymsputum,mdiaphoresis,mandmsyncope.mThemsymptomsmaremindicativemof:m-
mansPulmonarymembolism?
NOT:mtuberculosis
Ampatientmsuddenlymcomplainsmofmnewmonsetmofmchestmpain.mThemdoctormismsuspectingmampossible?...mWh
atmismmostmlikelymtombemordered?m-mansMorphinemDuramorph,moxygen,mnitrates,m
Aceticsalicylicmacid,mbayermbufferedmaspirin
AmpostoperativemlaparoscopicmappendectomympatientmismreceivingmmorphinemPCAmformpainmfindingsmwithm
alertmyoumtomthempotentialmofmamnarcoticmoverdose?m-mansAmrespiratorymratemofm8mbreathsmpermminute
Aftermampatientmcompletesmdialysis,myoumshouldmanticipatemseeingmanmimprovementminmwhichmofmthemfollo
wingmlabmvalues?m-mansNOT:mammonia
Atm0500,myoumknowmyourmpatientmtombemdiaphoretic,mclammy,mandmtheirmhandsmaremshaking.mThempatient's
mbloodmsugarmismcurrentlym60.mWhichmofmthemfollowingmismthemmostmappropriateminterventionm-
mansHavemthempatientmdrinkm 120mML'smofmorangemjuice
Calculatemthem12mhourmintakemformampatientmthatmhasmreceivedmthemfollowingmduringmyourmshift:mnormalmsal
inem750mML,m24mouncesmofmsprite,mLevaquinm50mML,m650mMLmurineminmFoleymcatheterm-mans1520
cardiacmrhythmm-mansV-Tach
Cardiacmstripm-mansSinusmrhythmmwithmPAC
Cardiacmstripm-mansUnablemtomdetermine
Depositionmhasmorderedmformyourmpatiencemtombeginmam24mhourmurinemcollection.mYourmpatientmvoidsmformt
hemfirstmtimemtwomhoursmaftermthemordersmreceived.mWhatmshouldmbemdonemwithmthismurinemsample?m-
mansDiscarded,mthenmbeginm them24mhourmcollection
Didn'tmnursemaskmyoumaboutmthemtypicalmsignsmandmsymptomsmofmmyocardialminfarctionm-
mansWomenmcouldmhavempainminmtheirmarm,mneck,mbackmormjaw
,RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2023/20
m m m m m
24 TEST BANK COMPLETE 240+ QUESTIONS AND CORR
m m m m m m m
ECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
m m m m m
ANSWERS) |ALREADY GRADED A+
m m m m
Heartmratem-mans80
Onemofmthemsignsmofmleftmsidedmheartmfailuremis:m-mansPulmonarymedema
NOT:mpedalmedema
Patientmismadmittedmformshortnessmofmbreath.mDomyoumnoticemthemspousemadjustingmthemoxygenmonmthemwa
llmandmshemstatesm"shemalwaysmtakesmcaremofmmymhusband"mwhatmwouldmbemanmappropriatemresponse?m-
mansEducatemthemspousemonmoxygenmusemasmammedicalmdeviceminmthemhospital
ThemdoctormorderedmLasixm40mmgmIVmpush,m100mg/10mmLm-mans4ml
ThemGlasgow,mscalemrangesmfrom:m-mans3mtom15
ThemnursemismtakingmcaremofmampatientmwhomismterminallymillmandmhasmamDNRmonmfile.mTheirmpatientmhasmam
suddenmcardiacmarrestmandmfamilymwantsmCPRminitiated.mHowmshouldmyoumrespond?m-
mansHonormthempatient'smwishes
ThempatientmhasmammorphinemPCAmpostmoperatively.mOnmroundingmyoumnoticemrespirationsmatmeightmpermm
inutemO2msaturationmofm82%.mWhatmmedicationmwouldmbemgivenminmthemsituation?m-mansNarcan
Whatminformationmismvitalmformyoumtomknowmpriormtomadministeringmanmorderedmdosemofmdigoxinm-
mansHeartmrate
Whatmismthemfirstmsignmofmincreasedmintracranialmpressure?m-mansChangeminmLOC
Whenmassessingmampatient,myoumnoticemcrepitusmonmthemrightmuppermshoulder.mYoumnotifymthemphysicianma
ndmanticipatemwhichmdiagnosis?m-mansSubcutaneousmemphysema
Whenmcaringmformampatientmexperiencingmamtonicmclonicmseizure,mthemmostmappropriatemnursingminterventio
nmis:m-mansProtectingmthempatient'smheadmandmextremitiesmfrommcontactmwithmsurroundingmobjects
Whenmtakingmcaremofmampatientmwithmpancreatitis,mwhichmofmthemfollowingmlabmshouldmbemreviewed?m-
mansLipasemandmamylase
WhichmofmthemfollowingmactionsmwouldmbemconsideredmamviolationmofmHyppa?m-
mansLookingmthroughmthemchartmofmamcoworkermadmittedmtom yourmunit
Whichmofmthemfollowingmantidiabeticmmedicationmismcontraindicatedm48mhoursmaftermreceivingmcontrastmdye
m-mansMetformin
Whichmofmthemfollowingmassessmentmfindingsmshouldmyoumreportmimmediatelymtomthemphysicianmformampatie
ntmwhomjustmhadmambronchoscopymandmbiopsy?m-mansSputummwithmstreaksmofmblood
NOT:mincreasedmsalivation
WhichmofmthemfollowingmelectrolytemvaluemshouldmbemAddressedmimmediatelymbymthemnursem-
mansPotassiumm2.5mmEq/L
Whichmofmthemfollowingmfoodmitemsmwouldmyoumquestionminmthemmenumofmyourmpatientmwhomismdiagnosedm
withmceliacmdisease?m-mansWheatmbread
, RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2023/20
m m m m m
24 TEST BANK COMPLETE 240+ QUESTIONS AND CORR
m m m m m m m
ECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
m m m m m
ANSWERS) |ALREADY GRADED A+
m m m m
Whichmofmthemfollowingmissuesmshouldmbemreportedmupmthemchainmofmcommandm-
mansAmcoworkermarrivingmtom workmundermtheminfluencemofmalcohol
Whichmofmthemfollowingmlabmvaluesmwouldmyoumexpectmtomseeminmampatientmdiagnosedmwith?....m-
mansLipasem-m196
Whichmofmthemfollowingmmedicationmmaymcausemurinemdiscolorationm-mansRifampin
Whilemperformingmthemnarcoticmcountmatmthemendmofmthemshift,mmymcoworkermadmitsmtomsomething,mcowork
ermtomsignmformthemwaysmthatmyoumdidmnotmwitnessm-mansRefusedmtomsignmformthemwaste
YoumaremprovidingmpatientmeducationmtomampatientmpriormtomadministeringmIVmProtonix....mWhenmtheremismn
omhistorymofmGERDm-mansProtonixmismgivenmasmG.I.mprophylaxismtompreventmstressmulcers
Youmaremtakingmcaremofmampatientmwhomismadmittedmformleftmflankmpainmwithmamkidneymstonemofm1.5mcm.mHe
masksmyoumaboutmthemproceduremwhatmwouldmbemthemmostmtherapeuticmresponse?m-
mansDuemtomthemsizemofmthemkidneymstonemitmismanmappropriatemtreatment?
NOT:Printmreadingmmaterialsmaboutmthemsubjectmandmgivemitmtomthempatient
YoumaremtomobtainminformedmconsentmformamSpanish-
speakingmpatientmscheduledmformsurgery.mYoumdomnotmspeakmSpanishmandmaremhavingmdifficultymcommuni
catingmwithmyourmpatient.mWhichmofmthemfollowingmresourcesmwouldmbemmostmappropriatemtomutilizeminmorde
rmtomobtainmconsent?m-mansThemhospitalsmlanguageminterpreter
Youmdeservemthemnursemaidmremovingmhermglovesmandmimmediatelymusingmalcoholmhandmsanitizerminmamro
ommwithmampatientmwhomhasmC-Diff.mWhatmeducationmshouldmyoumprovidemtomthemnursemaidem-
mansAndmwashingmwithmsoapmandmwatermismmandatorym becausemalcoholmbasedmhandmsanitizersmdomnotmki
llmC-diff
Youmwentmtomthemroommofmam58-year-
oldmfemale.mYoumfindmthatmthempatient'smcardiacmmonitormshowsmasystolye,mwhatmshouldmbemyourmfirstmacti
on?m-mansAssessmthempatientm
Not:mstartmCPR
Youmweremcaringmformampatientmadmittedmwithmabdominalmpain.mYourmpatientmhasmambowelmmovementmand
myoumknowmdarkmtarrymstoolm whatmwouldmbemthemdiagnosis?m-mansUppermG.I.mbleed
Youmweremcaringmformampatientmwhomism18mhoursmpostopmaftermamrightmBKAma.mTheymreportmsuddenmchestm
painmpulsemoxmatm86%.mThempatientmmaymbemexperiencing:m-mansPulmonarymembolism
You'remamkingmformampatientmwhomismpostopmaftermsurgicalmremovalmofmfibroids.mShemhearsmampopmsoundma
ftermcoughingminmhermsurgicalmwoundmhasmdehiscedm-
mansApplymsterilemsalinemsoapmtowelsmovermthemextrudingmsite
You'remcaringmformam12mhourmpostoperativemparathyroidectomympatient.mWhichmassessmentmfindingmwould
mindicatemanmemergency?m-m ansLaryngealmstrider
You'rempreparingmyourmpatientmformdischargemneedmtomprovidemdietarymeducationmrelatedmtomhismdiagnosis
mwhatmshouldm youminstructmthempatientmtomavoid?m-mansCannedmmeats
