PROPHECY MEDICAL SURGICAL-TELEMETRY EXAMS
WITH CORRECT SOLUTIONS 2026/2027/UPDATED
/GRADED A+
1. 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: - ANSWER-Pulmonary embolism?NOT: tuberculosis
2. A patient suddenly complains of new onset of chest pain. The doctor is suspecting a
possible?... What is most likely to be ordered? - ANSWER-Morphine Duramorph, oxygen,
nitrates,Aceticsalicylic acid, bayer buffered aspirin
3. A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain
findings with alert you to the potential of a narcotic overdose? - ANSWER-A respiratory
rate of 8 breaths per minute
4. After a patient completes dialysis, you should anticipate seeing an improvement in
which of the following lab values? - ANSWER-NOT: ammonia
5. 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 - ANSWER-Have the patient drink 120 ML's of orange juice
6. 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 - ANSWER-1520
7. cardiac rhythm - ANSWER-V-Tach
, 8. Cardiac strip - ANSWER-Sinus rhythm with PAC
9. Cardiac strip - ANSWER-Unable to determine
10. 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? - ANSWER-Discarded, then begin the 24 hour collection
11. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction -
ANSWER-Women could have pain in their arm, neck, back or jaw
12. Heart rate - ANSWER-80
13. One of the signs of left sided heart failure is: - ANSWER-Pulmonary edema
14. NOT: pedal edema
15. 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? - ANSWER-Educate the spouse on oxygen use as a medical
device in the hospital
16. The doctor ordered Lasix 40 mg IV push, 100mg/10 mL - ANSWER-4ml
17. The Glasgow, scale ranges from: - ANSWER-3 to 15
18. 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? - ANSWER-Honor the patient's wishes
WITH CORRECT SOLUTIONS 2026/2027/UPDATED
/GRADED A+
1. 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: - ANSWER-Pulmonary embolism?NOT: tuberculosis
2. A patient suddenly complains of new onset of chest pain. The doctor is suspecting a
possible?... What is most likely to be ordered? - ANSWER-Morphine Duramorph, oxygen,
nitrates,Aceticsalicylic acid, bayer buffered aspirin
3. A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain
findings with alert you to the potential of a narcotic overdose? - ANSWER-A respiratory
rate of 8 breaths per minute
4. After a patient completes dialysis, you should anticipate seeing an improvement in
which of the following lab values? - ANSWER-NOT: ammonia
5. 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 - ANSWER-Have the patient drink 120 ML's of orange juice
6. 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 - ANSWER-1520
7. cardiac rhythm - ANSWER-V-Tach
, 8. Cardiac strip - ANSWER-Sinus rhythm with PAC
9. Cardiac strip - ANSWER-Unable to determine
10. 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? - ANSWER-Discarded, then begin the 24 hour collection
11. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction -
ANSWER-Women could have pain in their arm, neck, back or jaw
12. Heart rate - ANSWER-80
13. One of the signs of left sided heart failure is: - ANSWER-Pulmonary edema
14. NOT: pedal edema
15. 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? - ANSWER-Educate the spouse on oxygen use as a medical
device in the hospital
16. The doctor ordered Lasix 40 mg IV push, 100mg/10 mL - ANSWER-4ml
17. The Glasgow, scale ranges from: - ANSWER-3 to 15
18. 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? - ANSWER-Honor the patient's wishes
