Prophecy medical surgical-telemetry exam test;answered & graded A+, latest summer 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 interpreterYou’re reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Which ofthe 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 amylaseYou’re caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding would indicate an emergency?Laryngeal striderWhich of the following actions would be considered a violation of Hyppa?Looking through the chart of a coworker admitted to your unit…Sinus tachycardiaYou 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 patientThe nurse is taking care of a patient who is terminally ill and has a DNR on file. Their patient hasa sudden cardiac arrest and family wants CPR initiated. How should you respond?Honor the patient’s wishes…
Not normal sinus rhythm into a flutterCorrect answer is ventricular fibrillationYour patient began deteriorating rapidly after complaining of shortness of breath. And ABG was drawn and the results are pH? HCO3 – 23. These values indicate the patient is experiencing:…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 balloonWhen assessing a patient, you notice crepitus on the right upper shoulder. You notify the physician and anticipate which diagnosis?Subcutaneous emphysemaYou are providing patient education to a patient prior to administering IV Protonix…. When thereis no history of GERDProtonix is given as G.I. prophylaxis to prevent stress ulcers…Normal sinus with VTachThe 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?NarcanYou 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 embolismCardiac stripUnable to determineAt 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 interventionHave the patient drink 120 ML’s of orange juice…Ventricular tachycardia…
Normal sinus rhythmWhich of the following food items would you question in the menu of your patient who is diagnosed with celiac disease?Wheat breadA postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose?A respiratory rate of 8 breaths per minute…Paced rhythmYour patient was admitted with severe dehydration. Which of the following orders would you questionKCI 40 mEq IV push STATWhat is the first sign of increased intracranial pressure?Change in LOCA patient suddenly complains of new onset of chest pain. The doctor is suspecting a possible?… What is most likely to be ordered?Morphine Duramorph, oxygen, nitrates,Aceticsalicylic acid, bayer buffered aspirinThe Glasgow, scale ranges from:3 to 15You deserve the nurse aid removing her gloves and immediately using alcohol hand sanitizer in aroom with a patient who has C-Diff. What education should you provide to the nurse aideAnd washing with soap and water is mandatory because alcohol based hand sanitizers do not kill C-diffHeart rate80Which of the following assessment findings should you report immediately to the physician for apatient who just had a bronchoscopy and biopsy?Sputum with streaks of bloodNOT: increased salivation
Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action?Compress the drain, then plug the bulb to establish suctionPatient is admitted for shortness of breath. Do you notice the spouse adjusting the oxygen on the wall and she states “she always takes care of my husband” what would be an appropriate response?Educate the spouse on oxygen use as a medical device in the hospitalDeposition has ordered for your patience to begin a 24 hour urine collection. Your patient voids for the first time two hours after the orders received. What should be done with this urine sample?Discarded, then begin the 24 hour collectionWhich of the following lab values would you expect to see in a patient diagnosed with?….Lipase – 196You were caring for a patient admitted with abdominal pain. Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis?Upper G.I. bleedYour COPD patient is complaining of wheezing and increased shortness of breathAssess your patient for a change in conditionWhat information is vital for you to know prior to administering an ordered dose of digoxinHeart rateYour patient has been diagnosed with a hemorrhagic CVAHeparin infusion per pharmacy protocolA 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid pulse, cough with bloody sputum, diaphoresis, and syncope. The symptoms are indicative of:Pulmonary embolism?NOT: tuberculosisYou’re reviewing the menu list of a patient on Warfran what food should they not eat?SpinachWhich of the following issues should be reported up the chain of commandA coworker arriving to work under the influence of alcoholYou’re providing discharge instructions to a CHF patient.
Increase shortness of breathcardiac rhythmV-TachWhich of the following electrolyte value should be Addressed immediately by the nursePotassium 2.5 mEq/LWhich of the following medication may cause urine discolorationRifampinCalculate the 12 hour intake for a patient that has received the following during your shift: normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter1520When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing intervention is:Protecting the patient’s head and extremities from contact with surrounding objectsYou went to the room of a 58-year-old female. You find that the patient’s cardiac monitor shows asystolye, what should be your first action?Assess the patientNot: start CPRDidn’t nurse ask you about the typical signs and symptoms of myocardial infarctionWomen could have pain in their arm, neck, back or jawWhile performing the narcotic count at the end of the shift, my coworker admits to something, coworker to sign for the ways that you did not witnessRefused to sign for the wasteCardiac stripSinus rhythm with PACYou’re preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid?Canned meatsYour patient complains of not being able to urinate since 0500. It is now 1900. What should be your next step?Perform a bladder scanThe doctor ordered Lasix 40 mg IV push, 100mg/10 mL
4mlAfter a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values?NOT: ammoniaYour patient fell and hit his head on the bed rail during a physical therapy session. Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. The patient is lying in a supine position. What should be your first response?Call a rapid responseWhich of the following antidiabetic medication is contraindicated 48 hours after receiving contrast dyeMetforminYou’re a king for a patient who is postop after surgical removal of fibroids. She hears a pop sound after coughing in her surgical wound has dehiscedApply sterile saline soap towels over the extruding siteOne of the signs of left sided heart failure is:Pulmonary edemaNOT: pedal edemaYour patient had a TB skin test done on Thursday at 2:45 PMSaturday at 3 PM
Prophecy medical surgical-telemetry exam test; answered
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?
Correct Ans 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?
Correct Ans Acetylsalicylic acid ( Bauer buffered aspirin)
When taking care of a patient with pancreatitis, which of the following lab should be reviewed?
Correct Ans Lipase and amylase
You’re caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding
would indicate an emergency?
Correct Ans Laryngeal strider
Which of the following actions would be considered a violation of Hyppa? Correct Ans Looking
through the chart of a coworker admitted to your unit
Correct Ans 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?
Correct Ans 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?
Correct Ans Honor the patient’s wishes
Correct Ans Not normal sinus rhythm into a flutter
Correct answer is ventricular fibrillation
Your patient began deteriorating rapidly after complaining of shortness of breath. And ABG was
drawn and the results are pH? HCO3 – 23. These values indicate the patient is experiencing:
Correct Ans
Your inserting a urinary catheter into a male patient. 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 patient, you notice crepitus on the right upper shoulder. You notify the
physician and anticipate which diagnosis?
Correct Ans Subcutaneous emphysema
You are providing patient education to a patient 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
Correct Ans 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?
Correct Ans 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:
Correct Ans Pulmonary embolism
Cardiac strip Correct Ans 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 Correct Ans Have the patient drink 120 ML’s of orange juice
Correct Ans Ventricular tachycardia
Correct Ans Normal sinus rhythm
Which of the following food items would you question in the menu of your patient who is
diagnosed with celiac disease? Correct Ans Wheat bread
A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings
with alert you to the potential of a narcotic overdose? Correct Ans A respiratory rate of 8
breaths per minute
Correct Ans Paced rhythm
Your patient was admitted with severe dehydration. Which of the following orders would you
question Correct Ans KCI 40 mEq IV push STAT
What is the first sign of increased intracranial pressure? Correct Ans Change in LOC
A patient suddenly complains of new onset of chest pain. The doctor is suspecting a possible?…
What is most likely to be ordered? Correct Ans Morphine Duramorph, oxygen, nitrates,
Aceticsalicylic acid, bayer buffered aspirin
The Glasgow, scale ranges from: Correct Ans 3 to 15
You deserve the nurse aid removing her gloves and immediately using alcohol hand sanitizer in
a room with a patient who has C-Diff. What education should you provide to the nurse aide
Correct Ans And washing with soap and water is mandatory because alcohol based hand
sanitizers do not kill C-diff
Heart rate Correct Ans 80
Which of the following assessment findings should you report immediately to the physician for
a patient who just had a bronchoscopy and biopsy? Correct Ans Sputum with streaks of blood
NOT: increased salivation
Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the
following is the best nursing action? Correct Ans Compress the drain, then plug the bulb to
establish suction
Patient is admitted for shortness of breath. Do you notice the spouse adjusting the oxygen on
the wall and she states “she always takes care of my husband” what would be an appropriate
response? Correct Ans Educate the spouse on oxygen use as a medical device in the hospital
Deposition has ordered for your patience to begin a 24 hour urine collection. Your patient voids
for the first time two hours after the orders received. What should be done with this urine
sample? Correct Ans Discarded, then begin the 24 hour collection
Which of the following lab values would you expect to see in a patient diagnosed with?….
Correct Ans Lipase – 196
You were caring for a patient admitted with abdominal pain. Your patient has a bowel
movement and you know dark tarry stool what would be the diagnosis? Correct Ans Upper G.I.
bleed
Your COPD patient is complaining of wheezing and increased shortness of breath Correct Ans
Assess your patient for a change in condition
What information is vital for you to know prior to administering an ordered dose of digoxin
Correct Ans Heart rate
Your patient has been diagnosed with a hemorrhagic CVA Correct Ans Heparin infusion per
pharmacy protocol
A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid
pulse, cough with bloody sputum, diaphoresis, and syncope. The symptoms are indicative of:
Correct Ans Pulmonary embolism?
NOT: tuberculosis
You’re reviewing the menu list of a patient on Warfran what food should they not eat? Correct
Ans Spinach
Which of the following issues should be reported up the chain of command Correct Ans A
coworker arriving to work under the influence of alcohol
You’re providing discharge instructions to a CHF patient. Correct Ans Increase shortness of
breath
cardiac rhythm Correct Ans V-Tach
Which of the following electrolyte value should be Addressed immediately by the nurse Correct
Ans Potassium 2.5 mEq/L
Which of the following medication may cause urine discoloration Correct Ans Rifampin
Calculate the 12 hour intake for a patient that has received the following during your shift:
normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter
Correct Ans 1520
When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing
intervention is: Correct Ans Protecting the patient’s head and extremities from contact with
surrounding objects
You went to the room of a 58-year-old female. You find that the patient’s cardiac monitor
shows asystolye, what should be your first action? Correct Ans Assess the patient
Not: start CPR
Didn’t nurse ask you about the typical signs and symptoms of myocardial infarction Correct Ans
Women could have pain in their arm, neck, back or jaw
While performing the narcotic count at the end of the shift, my coworker admits to something,
coworker to sign for the ways that you did not witness Correct Ans Refused to sign for the
waste
Cardiac strip Correct Ans Sinus rhythm with PAC
You’re preparing your patient for discharge need to provide dietary education related to his
diagnosis what should you instruct the patient to avoid? Correct Ans Canned meats
Your patient complains of not being able to urinate since 0500. It is now 1900. What should be
your next step? Correct Ans Perform a bladder scan
The doctor ordered Lasix 40 mg IV push, 100mg/10 mL Correct Ans 4ml
After a patient completes dialysis, you should anticipate seeing an improvement in which of the
following lab values? Correct Ans NOT: ammonia
Your patient fell and hit his head on the bed rail during a physical therapy session. Upon initial
assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil.
The patient is lying in a supine position. What should be your first response? Correct Ans Call a
rapid response
Which of the following antidiabetic medication is contraindicated 48 hours after receiving
contrast dye Correct Ans Metformin
You’re a king for a patient who is postop after surgical removal of fibroids. She hears a pop
sound after coughing in her surgical wound has dehisced Correct Ans Apply sterile saline soap
towels over the extruding site
One of the signs of left sided heart failure is: Correct Ans Pulmonary edema
NOT: pedal edema
Your patient had a TB skin test done on Thursday at 2:45 PM Correct Ans Saturday at 3 PM