RELIAS MEDICAL SURGICAL TELEMETRY EXAM TEST BANK COMPLETE 240+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+

RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2023/202 u u u u u



4 TEST BANK COMPLETE 240+ QUESTIONS AND CORREC
u u u u u u u



T DETAILED ANSWERS WITH RATIONALES (VERIFIED AN
u u u u u u



SWERS) |ALREADY GRADED A+ u u u




- ansNormal sinus rhythm
u u u




- ansNormal sinus with VTach
u u u u u




- ansNot normal sinus rhythm into a flutter
u u u u u u u u




Correct answer is ventricular fibrillation
u u u u




- ansPaced rhythm
u u u




- ansSinus tachycardia
u u u




- ansVentricular tachycardia
u u u




A 56-year-
u

old man has an acute onset of shortness of breath, chest pain, apprehension, rapid pulse, cough with blood
u u u u u u u u u u u u u u u u u

y sputum, diaphoresis, and syncope. The symptoms are indicative of: - ansPulmonary embolism?
u u u u u u u u u u u u

NOT: tuberculosis u




A patient suddenly complains of new onset of chest pain. The doctor is suspecting a possible?... What is mo
u u u u u u u u u u u u u u u u u u

st likely to be ordered? - ansMorphine Duramorph, oxygen, nitrates,
u u u u u u u u u u

Aceticsalicylic acid, bayer buffered aspirin u u u u




A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert y
u u u u u u u u u u u u u u

ou to the potential of a narcotic overdose? - ansA respiratory rate of 8 breaths per minute
u u u u u u u u u u u u u u u u




After a patient completes dialysis, you should anticipate seeing an improvement in which of the following la
u u u u u u u u u u u u u u u u

b values? - ansNOT: ammonia
u u u u




At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. The patient's blood
u u u u u u u u u u u u u u u u u u

sugar is currently 60. Which of the following is the most appropriate intervention -
u u u u u u u u u u u u u

ansHave the patient drink 120 ML's of orange juice
u u u u u u u u u




Calculate the 12 hour intake for a patient that has received the following during your shift: normal saline 750
u u u u u u u u u u u u u u u u u u

ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter - ans1520
u u u u u u u u u u u u u u u u




cardiac rhythm - ansV-Tach u u u




Cardiac strip - ansSinus rhythm with PACu u u u u u




Cardiac strip - ansUnable to determine u u u u u




Deposition has ordered for your patience to begin a 24 hour urine collection. Your patient voids for the first ti
u u u u u u u u u u u u u u u u u u u

me two hours after the orders received. What should be done with this urine sample? -
u u u u u u u u u u u u u u u

ansDiscarded, then begin the 24 hour collection
u u u u u u u




Didn't nurse ask you about the typical signs and symptoms of myocardial infarction -
u u u u u u u u u u u u u

ansWomen could have pain in their arm, neck, back or jaw
u u u u u u u u u u u




Heart rate - ans80 u u u

,RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2023/202 u u u u u



4 TEST BANK COMPLETE 240+ QUESTIONS AND CORREC
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T DETAILED ANSWERS WITH RATIONALES (VERIFIED AN
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SWERS) |ALREADY GRADED A+ u u u




One of the signs of left sided heart failure is: - ansPulmonary edema
u u u u u u u u u u u u

NOT: pedal edemau u




Patient is admitted for shortness of breath. Do you notice the spouse adjusting the oxygen on the wall and s
u u u u u u u u u u u u u u u u u u u

he states "she always takes care of my husband" what would be an appropriate response? -
u u u u u u u u u u u u u u u

ansEducate the spouse on oxygen use as a medical device in the hospital
u u u u u u u u u u u u u




The doctor ordered Lasix 40 mg IV push, 100mg/10 mL - ans4ml
u u u u u u u u u u u




The Glasgow, scale ranges from: - ans3 to 15
u u u u u u u u




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

ardiac arrest and family wants CPR initiated. How should you respond? - ansHonor the patient's wishes
u u u u u u u u u u u u u u u




The patient has a morphine PCA post operatively. On rounding you notice respirations at eight per minute
u u u u u u u u u u u u u u u u u

O2 saturation of 82%. What medication would be given in the situation? - ansNarcan
u u u u u u u u u u u u u




What information is vital for you to know prior to administering an ordered dose of digoxin - ansHeart rate
u u u u u u u u u u u u u u u u u u




What is the first sign of increased intracranial pressure? - ansChange in LOC
u u u u u u u u u u u u




When assessing a patient, you notice crepitus on the right upper shoulder. You notify the physician and anti
u u u u u u u u u u u u u u u u u

cipate which diagnosis? - ansSubcutaneous emphysema
u u u u u




When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing intervention is: -
u u u u u u u u u u u u u u u u

ansProtecting the patient's head and extremities from contact with surrounding objects
u u u u u u u u u u u




When taking care of a patient with pancreatitis, which of the following lab should be reviewed? -
u u u u u u u u u u u u u u u u

ansLipase and amylase
u u u




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

ansLooking through the chart of a coworker admitted to your unit
u u u u u u u u u u u




Which of the following antidiabetic medication is contraindicated 48 hours after receiving contrast dye -
u u u u u u u u u u u u u u

ansMetformin
u




Which of the following assessment findings should you report immediately to the physician for a patient who
u u u u u u u u u u u u u u u u

just had a bronchoscopy and biopsy? - ansSputum with streaks of blood
u u u u u u u u u u u u

NOT: increased salivation
u u




Which of the following electrolyte value should be Addressed immediately by the nurse -
u u u u u u u u u u u u u

ansPotassium 2.5 mEq/L
u u u




Which of the following food items would you question in the menu of your patient who is diagnosed with celi
u u u u u u u u u u u u u u u u u u u

ac disease? - ansWheat bread
u u u u




Which of the following issues should be reported up the chain of command -
u u u u u u u u u u u u u

ansA coworker arriving to work under the influence of alcohol
u u u u u u u u u u

, RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2023/202 u u u u u



4 TEST BANK COMPLETE 240+ QUESTIONS AND CORREC
u u u u u u u



T DETAILED ANSWERS WITH RATIONALES (VERIFIED AN
u u u u u u



SWERS) |ALREADY GRADED A+ u u u




Which of the following lab values would you expect to see in a patient diagnosed with?.... - ansLipase - 196
u u u u u u u u u u u u u u u u u u u




Which of the following medication may cause urine discoloration - ansRifampin
u u u u u u u u u u




While performing the narcotic count at the end of the shift, my coworker admits to something, coworker to si
u u u u u u u u u u u u u u u u u u

gn for the ways that you did not witness - ansRefused to sign for the waste
u u u u u u u u u u u u u u u




You are providing patient education to a patient prior to administering IV Protonix.... When there is no histor
u u u u u u u u u u u u u u u u u

y of GERD - ansProtonix is given as G.I. prophylaxis to prevent stress ulcers
u u u u u u u u u u u u u




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
u u u u u u u u u u u u u u u u u u u u u u u

about the procedure what would be the most therapeutic response? -
u u u u u u u u u u u

ansDue to the size of the kidney stone it is an appropriate treatment?
u u u u u u u u u u u u u

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




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

speaking patient scheduled for surgery. You do not speak Spanish and are having difficulty communicating
u u u u u u u u u u u u u u u

with your patient. Which of the following resources would be most appropriate to utilize in order to obtain co
u u u u u u u u u u u u u u u u u u

nsent? - ansThe hospitals language interpreter
u u u u u




You deserve the nurse aid removing her gloves and immediately using alcohol hand sanitizer in a room with
u u u u u u u u u u u u u u u u u

a patient who has C-Diff. What education should you provide to the nurse aide -
u u u u u u u u u u u u u u u

ansAnd washing with soap and water is mandatory because alcohol based hand sanitizers do not kill C-diff
u u u u u u u u u u u u u u u u u




You went to the room of a 58-year-
u u u u u u u

old female. You find that the patient's cardiac monitor shows asystolye, what should be your first action? -
u u u u u u u u u u u u u u u u u

ansAssess the patient
u u u u

Not: start CPR u u




You were caring for a patient admitted with abdominal pain. Your patient has a bowel movement and you kn
u u u u u u u u u u u u u u u u u u

ow dark tarry stool what would be the diagnosis? - ansUpper G.I. bleed
u u u u u u u u u u u u




You were caring for a patient who is 18 hours postop after a right BKA a. They report sudden chest pain pul
u u u u u u u u u u u u u u u u u u u u u

se ox at 86%. The patient may be experiencing: - ansPulmonary embolism
u u u u u u u u u u u




You're a king for a patient who is postop after surgical removal of fibroids. She hears a pop sound after coug
u u u u u u u u u u u u u u u u u u u u

hing in her surgical wound has dehisced - ansApply sterile saline soap towels over the extruding site
u u u u u u u u u u u u u u u u




You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding would indic
u u u u u u u u u u u u u

ate an emergency? - ansLaryngeal strider
u u u u u




You're preparing your patient for discharge need to provide dietary education related to his diagnosis what s
u u u u u u u u u u u u u u u u

hould you instruct the patient to avoid? - ansCanned meats
u u u u u u u u u




You're providing discharge instructions to a CHF patient. - ansIncrease shortness of breath
u u u u u u u u u u u u




You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Which of the followi
u u u u u u u u u u u u u u u u

ng medication should you question? - ansAcetylsalicylic acid ( Bauer buffered aspirin)
u u u u u u u u u u u




You're reviewing the menu list of a patient on Warfran what food should they not eat? - ansSpinach
u u u u u u u u u u u u u u u u u