1 of 16
RELIAS MEDICAL SURGICAL TELEMETRY EXAM
2025 /2026TEST BANK COMPLETE 250
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Your 18-year-old female patient was admitted with dehydration secondary to anorexia
nervosa. During your assessment you note she has a flat effect and says," I just want to
die, I'm tired of my life ". What should be your 1st intervention? - ANSWER - Stay with the
patient and ask if she has a plan to carry out this wish
Your 68-year-old patient is a is a Type one diabetic with a history of schizophrenia And
exhibit signs and symptoms of tardiness dyskinesia. Is what long-term medication is
associated with signs and symptoms of tardive dyskinesia? - ANSWER – Chlorpromazine
(Thorazine)
Your 72-Year-old male patient is admitted for colon cancer Related complications and has
a history of CHF, stroke and a recent Knee replacement. Based on your patient's risk
assessment,
You determine he is at risk for Venous thromboembolism (VTE) What is an appropriate VTE
prophylaxis order for this patient? - ANSWER – Enoxaparin (Loven ox) once daily and
intermittent pneumatic compressions (IPC)
Your 85 year old patient with atrial fibrillation fell at home 3 days ago. You notice she has
been having several episodes of acute confusion since being admitted to your unit. What is
the most important order you should anticipate from the provider? You're? - ANSWER -
Hold wayfaring (coumadin) for the next 48 hours
Your coworker posted photos on social media from a birthday party they had for her in the
unit break room. What should be your next course of action? - ANSWER - No action is
necessary because no PHI was displayed.
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Your male patient complaints of discomfort while inflating the balloon during insertion of a
endwelling urinary catheter. What would be the most appropriate action? - ANSWER -
Deflate the balloon, advance the catheter further, then reinflate the balloon.
Your new admission presents with a cough, unintentional weight loss, frequent knot
sweats, and bloody sputum. What type of isolation precautions should you initiate, if any?
- ANSWER - Airborne precautions
Your new patient understands very limited English. How should you communicate with
them when completing the admission assessment? - ANSWER - Use the organizations
interpreter services
Your new patient was admitted with Blunt force trauma to the abdomen Following a motor
vehicle accident. A NG Tube is in place for decompression, however, you note during the
assessment that the stomach is rigid and hard during palpation. What condition do you
suspect. - ANSWER - Hemorrhage
Your patient appears dusky colored and you cannot palpate a pulse. What is the 1st thing
you should do? - ANSWER - Initiate a code per facility protocol and begin CPR
Your patient continues to pull at their iv located in their left forearm despite verbal
reminders and increased observation. The nursing assistant recommends using soft mitt
Restraints on the patient. What is your recommendation? - ANSWER - Request and order
for soft mitts as they are the least restrictive.
Your patient has a non productive cough and presence of secretions in his tracheostomy.
Prior to sectioning the patient, what should you do 1st? - ANSWER - Hyper oxygenate
patient
Your patient has symptomatic anemia but is refusing a blood transfusion for religious
reasons. What is an appropriate response? - ANSWER - Respect his wishes and notify the
provider
Your patient is 4 hours post open appendectomy Anne has not voided yet. You note his
lower abdomen is distended. What should you do next? - ANSWER - Perform a bladder
scan
Your patient is admitted from the ED with failure to thrive and advanced dementia. You
note he is extremely underweight, appears unbathed for some time, and has a stage 4
pressure injury to his coccyx. You were told in report that he lives at home with family
, 3 of 16
members. What should you do? - ANSWER - Notify the charge nurse and social worker of
your concerns.
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered
for the patient? - ANSWER - Clear liquids
Your patient is on contact precautions for active MRSA. What proper PPE should you use
before entering the room? - ANSWER - Gown and gloves
Your patient takes 5 mg of warfarin(coumadin) day and reports having black cored stool
today. What do you most likely suspect? - ANSWER - Gastrointestinal bleeding
Your patient takes regular insulin and NPH twice A-day for glucose control. What times
should the patient be taught to be alert for signs of hypoglycemia? - ANSWER - Is late
afternoon and early morning
Your patient tells you I hope I don't die, but if I do, I don't want to be brought back. You
notice on her chart and wrist band that she is a full code. What would be the most
appropriate action? - ANSWER - Discuss code status with the patient and follow up with
the provider to ensure the medical record reflects her wishes
Your patient was admitted for a hypertensive crisis and has a history of HTN. Parkinson
disease, depression and alcohol use. On his 2nd hospitalized day, you notice he is more
anxious and restless than his baseline. What would be your 1st nursing intervention? -
ANSWER - Ask the patient when his last drink of alcohol was
Your patient with a known history of diabetes is displaying symptoms of diaphoresis, Cool
skin, lethargy, And shakiness. What is your 1st action? - ANSWER - Check the patient's
blood glucose level
Your patient's morning labs revealed a hemoglobin level of 6.3 and hematocrit of 18. What
blood product do you expect to administer? - ANSWER - PRBCs
Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective drain
function? - ANSWER - Compress the drain, then plug the bulb to establish suction.
1.2 milligrams is equal to how many micrograms? - ANSWER - 1200 mcg
A female patient requests a female nurse to provide care for her based on her religious
beliefs. What is the MOST appropriate action to take? - ANSWER - Accommodate her
request if possible.
RELIAS MEDICAL SURGICAL TELEMETRY EXAM
2025 /2026TEST BANK COMPLETE 250
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Your 18-year-old female patient was admitted with dehydration secondary to anorexia
nervosa. During your assessment you note she has a flat effect and says," I just want to
die, I'm tired of my life ". What should be your 1st intervention? - ANSWER - Stay with the
patient and ask if she has a plan to carry out this wish
Your 68-year-old patient is a is a Type one diabetic with a history of schizophrenia And
exhibit signs and symptoms of tardiness dyskinesia. Is what long-term medication is
associated with signs and symptoms of tardive dyskinesia? - ANSWER – Chlorpromazine
(Thorazine)
Your 72-Year-old male patient is admitted for colon cancer Related complications and has
a history of CHF, stroke and a recent Knee replacement. Based on your patient's risk
assessment,
You determine he is at risk for Venous thromboembolism (VTE) What is an appropriate VTE
prophylaxis order for this patient? - ANSWER – Enoxaparin (Loven ox) once daily and
intermittent pneumatic compressions (IPC)
Your 85 year old patient with atrial fibrillation fell at home 3 days ago. You notice she has
been having several episodes of acute confusion since being admitted to your unit. What is
the most important order you should anticipate from the provider? You're? - ANSWER -
Hold wayfaring (coumadin) for the next 48 hours
Your coworker posted photos on social media from a birthday party they had for her in the
unit break room. What should be your next course of action? - ANSWER - No action is
necessary because no PHI was displayed.
,2 of 16
Your male patient complaints of discomfort while inflating the balloon during insertion of a
endwelling urinary catheter. What would be the most appropriate action? - ANSWER -
Deflate the balloon, advance the catheter further, then reinflate the balloon.
Your new admission presents with a cough, unintentional weight loss, frequent knot
sweats, and bloody sputum. What type of isolation precautions should you initiate, if any?
- ANSWER - Airborne precautions
Your new patient understands very limited English. How should you communicate with
them when completing the admission assessment? - ANSWER - Use the organizations
interpreter services
Your new patient was admitted with Blunt force trauma to the abdomen Following a motor
vehicle accident. A NG Tube is in place for decompression, however, you note during the
assessment that the stomach is rigid and hard during palpation. What condition do you
suspect. - ANSWER - Hemorrhage
Your patient appears dusky colored and you cannot palpate a pulse. What is the 1st thing
you should do? - ANSWER - Initiate a code per facility protocol and begin CPR
Your patient continues to pull at their iv located in their left forearm despite verbal
reminders and increased observation. The nursing assistant recommends using soft mitt
Restraints on the patient. What is your recommendation? - ANSWER - Request and order
for soft mitts as they are the least restrictive.
Your patient has a non productive cough and presence of secretions in his tracheostomy.
Prior to sectioning the patient, what should you do 1st? - ANSWER - Hyper oxygenate
patient
Your patient has symptomatic anemia but is refusing a blood transfusion for religious
reasons. What is an appropriate response? - ANSWER - Respect his wishes and notify the
provider
Your patient is 4 hours post open appendectomy Anne has not voided yet. You note his
lower abdomen is distended. What should you do next? - ANSWER - Perform a bladder
scan
Your patient is admitted from the ED with failure to thrive and advanced dementia. You
note he is extremely underweight, appears unbathed for some time, and has a stage 4
pressure injury to his coccyx. You were told in report that he lives at home with family
, 3 of 16
members. What should you do? - ANSWER - Notify the charge nurse and social worker of
your concerns.
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered
for the patient? - ANSWER - Clear liquids
Your patient is on contact precautions for active MRSA. What proper PPE should you use
before entering the room? - ANSWER - Gown and gloves
Your patient takes 5 mg of warfarin(coumadin) day and reports having black cored stool
today. What do you most likely suspect? - ANSWER - Gastrointestinal bleeding
Your patient takes regular insulin and NPH twice A-day for glucose control. What times
should the patient be taught to be alert for signs of hypoglycemia? - ANSWER - Is late
afternoon and early morning
Your patient tells you I hope I don't die, but if I do, I don't want to be brought back. You
notice on her chart and wrist band that she is a full code. What would be the most
appropriate action? - ANSWER - Discuss code status with the patient and follow up with
the provider to ensure the medical record reflects her wishes
Your patient was admitted for a hypertensive crisis and has a history of HTN. Parkinson
disease, depression and alcohol use. On his 2nd hospitalized day, you notice he is more
anxious and restless than his baseline. What would be your 1st nursing intervention? -
ANSWER - Ask the patient when his last drink of alcohol was
Your patient with a known history of diabetes is displaying symptoms of diaphoresis, Cool
skin, lethargy, And shakiness. What is your 1st action? - ANSWER - Check the patient's
blood glucose level
Your patient's morning labs revealed a hemoglobin level of 6.3 and hematocrit of 18. What
blood product do you expect to administer? - ANSWER - PRBCs
Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective drain
function? - ANSWER - Compress the drain, then plug the bulb to establish suction.
1.2 milligrams is equal to how many micrograms? - ANSWER - 1200 mcg
A female patient requests a female nurse to provide care for her based on her religious
beliefs. What is the MOST appropriate action to take? - ANSWER - Accommodate her
request if possible.
