Prophecy Medical Surgical-Telemetry Exam
2022
You are to obtain informed consent for a Spanish-speaking patient scheduled for
surgery. You do not speak Spanish and are having difficulty communicating with your
patient. Which of the following resources would be most appropriate to utilize in order
to obtain consent?
- The hospitals language interpreter
You're reviewing the discharge medication list of a patient diagnosed with gastric
ulcer. Which of the following medication should you question?
- Acetylsalicylic acid ( Bauer buffered aspirin)
When taking care of a patient with pancreatitis, which of the following lab should be
reviewed?
- Lipase and amylase
You're caring for a 12 hour postoperative parathyroidectomy patient. Which
assessment finding would indicate an emergency?
- Laryngeal strider
Which of the following actions would be considered a violation of Hyppa?
- Looking through the chart of a coworker admitted to your unit
- Sinus tachycardia
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 about the procedure what would be the most therapeutic
response?
- Due to the size of the kidney stone it is an appropriate treatment?
NOT:Print reading materials about the subject and give it to the patient
The nurse is taking care of a patient who is terminally ill and has a DNR on file. Their
patient has a sudden cardiac arrest and family wants CPR initiated. How should you
respond?
, - Honor the patient's wishes
- Not normal sinus rhythm into a flutter
Correct answer is ventricular fibrillation
Your inserting a urinary catheter into a male patient. As you inflate a balloon, the
patient complains of discomfort what is the best action?
- Aspirate the fluid, advance the catheter farther, then re-inflate the balloon
When assessing a patient, you notice crepitus on the right upper shoulder. You notify
the physician and anticipate which diagnosis?
- Subcutaneous emphysema
You are providing patient education to a patient prior to administering IV Protonix....
When there is no history of GERD
- Protonix is given as G.I. prophylaxis to prevent stress ulcers
- Normal sinus with VTach
The patient 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?
- Narcan
You were caring for a patient who is 18 hours postop after a right BKA a. They report
sudden chest pain pulse ox at 86%. The patient may be experiencing:
- Pulmonary embolism
Cardiac strip - Unable to determine
At 0500, you know your patient to be diaphoretic, clammy, and their hands are
shaking. The patient's blood sugar is currently 60. Which of the following is the most
appropriate intervention
- Have the patient drink 120 ML's of orange juice
2022
You are to obtain informed consent for a Spanish-speaking patient scheduled for
surgery. You do not speak Spanish and are having difficulty communicating with your
patient. Which of the following resources would be most appropriate to utilize in order
to obtain consent?
- The hospitals language interpreter
You're reviewing the discharge medication list of a patient diagnosed with gastric
ulcer. Which of the following medication should you question?
- Acetylsalicylic acid ( Bauer buffered aspirin)
When taking care of a patient with pancreatitis, which of the following lab should be
reviewed?
- Lipase and amylase
You're caring for a 12 hour postoperative parathyroidectomy patient. Which
assessment finding would indicate an emergency?
- Laryngeal strider
Which of the following actions would be considered a violation of Hyppa?
- Looking through the chart of a coworker admitted to your unit
- Sinus tachycardia
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 about the procedure what would be the most therapeutic
response?
- Due to the size of the kidney stone it is an appropriate treatment?
NOT:Print reading materials about the subject and give it to the patient
The nurse is taking care of a patient who is terminally ill and has a DNR on file. Their
patient has a sudden cardiac arrest and family wants CPR initiated. How should you
respond?
, - Honor the patient's wishes
- Not normal sinus rhythm into a flutter
Correct answer is ventricular fibrillation
Your inserting a urinary catheter into a male patient. As you inflate a balloon, the
patient complains of discomfort what is the best action?
- Aspirate the fluid, advance the catheter farther, then re-inflate the balloon
When assessing a patient, you notice crepitus on the right upper shoulder. You notify
the physician and anticipate which diagnosis?
- Subcutaneous emphysema
You are providing patient education to a patient prior to administering IV Protonix....
When there is no history of GERD
- Protonix is given as G.I. prophylaxis to prevent stress ulcers
- Normal sinus with VTach
The patient 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?
- Narcan
You were caring for a patient who is 18 hours postop after a right BKA a. They report
sudden chest pain pulse ox at 86%. The patient may be experiencing:
- Pulmonary embolism
Cardiac strip - Unable to determine
At 0500, you know your patient to be diaphoretic, clammy, and their hands are
shaking. The patient's blood sugar is currently 60. Which of the following is the most
appropriate intervention
- Have the patient drink 120 ML's of orange juice
