RELIAS MEDICAL SURGICAL TELEMETRY EXAM
2026 TEST BANK COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
A patient presents with a heart rate of 45 bpm and is experiencing dizziness. What is
the most appropriate initial nursing intervention?
C) Assess the patient's blood pressure
RATIONALE:: Assessing blood pressure is essential to determine the hemodynamic
stability of the patient before further interventions.
When monitoring a patient's telemetry, what does a wide QRS complex indicate?
C) A bundle branch block or ventricular rhythm
RATIONALE:: A wide QRS complex can indicate a bundle branch block or a ventricular
rhythm, which could be life-threatening.
Which of the following is a common complication associated with telemetry
monitoring?
B) Skin irritation from electrode placement
RATIONALE:: Skin irritation can occur due to prolonged electrode placement, leading to
discomfort or skin breakdown.
A telemetry technician notices that a patient's heart rate suddenly increases from 70
bpm to 150 bpm. What should be the technician's first action?
C) Notify the nurse immediately
RATIONALE:: Immediate notification of the nurse is essential to assess the potential cause
of the tachycardia and intervene as necessary.
In telemetry monitoring, what does ST segment elevation typically indicate?
C) Myocardial injury
RATIONALE:: ST segment elevation is often associated with myocardial injury, indicating a
possible acute coronary event.
A patient is being monitored for potential arrhythmias. Which finding would most
likely indicate a need for immediate intervention?
, B) Ventricular tachycardia
RATIONALE:: Ventricular tachycardia is a serious arrhythmia that requires prompt
intervention to prevent further complications.
What is the best position for a patient experiencing shortness of breath and
tachycardia?
C) High Fowler's position
RATIONALE:: High Fowler's position facilitates better lung expansion and improves
oxygenation in patients experiencing respiratory distress.
If a telemetry monitor displays a flat line, what should the nurse do first?
B) Check the patient's leads and connections
RATIONALE:: The first step is to check the connections to ensure the monitor is
functioning correctly before assuming the patient has no pulse.
A patient has a history of atrial fibrillation. What medication is commonly prescribed
to prevent complications?
C) Anticoagulants
RATIONALE:: Anticoagulants are often prescribed to prevent thromboembolic
complications associated with atrial fibrillation.
In telemetry monitoring, what does a sinus rhythm with a PR interval of 0.24 seconds
suggest?
C) First-degree AV block
RATIONALE:: A PR interval greater than 0.20 seconds indicates a first-degree AV block,
which may require monitoring.
A patient in telemetry is experiencing palpitations. What is the first action the nurse
should take?
C) Assess the patient's vital signs
RATIONALE:: Assessing vital signs helps determine the patient's hemodynamic status and
guides further interventions.
What is the primary purpose of telemetry monitoring in a medical-surgical unit?
B) To continuously monitor cardiac rhythms
RATIONALE:: The main purpose of telemetry is to continuously monitor cardiac rhythms
for early detection of arrhythmias.
2026 TEST BANK COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
A patient presents with a heart rate of 45 bpm and is experiencing dizziness. What is
the most appropriate initial nursing intervention?
C) Assess the patient's blood pressure
RATIONALE:: Assessing blood pressure is essential to determine the hemodynamic
stability of the patient before further interventions.
When monitoring a patient's telemetry, what does a wide QRS complex indicate?
C) A bundle branch block or ventricular rhythm
RATIONALE:: A wide QRS complex can indicate a bundle branch block or a ventricular
rhythm, which could be life-threatening.
Which of the following is a common complication associated with telemetry
monitoring?
B) Skin irritation from electrode placement
RATIONALE:: Skin irritation can occur due to prolonged electrode placement, leading to
discomfort or skin breakdown.
A telemetry technician notices that a patient's heart rate suddenly increases from 70
bpm to 150 bpm. What should be the technician's first action?
C) Notify the nurse immediately
RATIONALE:: Immediate notification of the nurse is essential to assess the potential cause
of the tachycardia and intervene as necessary.
In telemetry monitoring, what does ST segment elevation typically indicate?
C) Myocardial injury
RATIONALE:: ST segment elevation is often associated with myocardial injury, indicating a
possible acute coronary event.
A patient is being monitored for potential arrhythmias. Which finding would most
likely indicate a need for immediate intervention?
, B) Ventricular tachycardia
RATIONALE:: Ventricular tachycardia is a serious arrhythmia that requires prompt
intervention to prevent further complications.
What is the best position for a patient experiencing shortness of breath and
tachycardia?
C) High Fowler's position
RATIONALE:: High Fowler's position facilitates better lung expansion and improves
oxygenation in patients experiencing respiratory distress.
If a telemetry monitor displays a flat line, what should the nurse do first?
B) Check the patient's leads and connections
RATIONALE:: The first step is to check the connections to ensure the monitor is
functioning correctly before assuming the patient has no pulse.
A patient has a history of atrial fibrillation. What medication is commonly prescribed
to prevent complications?
C) Anticoagulants
RATIONALE:: Anticoagulants are often prescribed to prevent thromboembolic
complications associated with atrial fibrillation.
In telemetry monitoring, what does a sinus rhythm with a PR interval of 0.24 seconds
suggest?
C) First-degree AV block
RATIONALE:: A PR interval greater than 0.20 seconds indicates a first-degree AV block,
which may require monitoring.
A patient in telemetry is experiencing palpitations. What is the first action the nurse
should take?
C) Assess the patient's vital signs
RATIONALE:: Assessing vital signs helps determine the patient's hemodynamic status and
guides further interventions.
What is the primary purpose of telemetry monitoring in a medical-surgical unit?
B) To continuously monitor cardiac rhythms
RATIONALE:: The main purpose of telemetry is to continuously monitor cardiac rhythms
for early detection of arrhythmias.
