Prophecy medical surgical-telemetry
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? - ANSThe
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? - ANSAcetylsalicylic acid ( Bauer buffered
aspirin)
When taking care of a patient with pancreatitis, which of the following lab should be reviewed? -
ANSLipase and amylase
You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding
would indicate an emergency? - ANSLaryngeal strider
Which of the following actions would be considered a violation of Hyppa? - ANSLooking through
the chart of a coworker admitted to your unit
- ANSSinus 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? - ANSDue 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? -
ANSHonor the patient's wishes
- ANSNot 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: -
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? - ANSAspirate 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? - ANSSubcutaneous emphysema
You are providing patient education to a patient prior to administering IV Protonix.... When there
is no history of GERD - ANSProtonix is given as G.I. prophylaxis to prevent stress ulcers
- ANSNormal 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? -
ANSNarcan
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: - ANSPulmonary embolism
Cardiac strip - ANSUnable 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 -
ANSHave the patient drink 120 ML's of orange juice
- ANSVentricular tachycardia
- ANSNormal sinus rhythm
Which of the following food items would you question in the menu of your patient who is
diagnosed with celiac disease? - ANSWheat bread
A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings
with alert you to the potential of a narcotic overdose? - ANSA respiratory rate of 8 breaths per
minute
- ANSPaced rhythm
Your patient was admitted with severe dehydration. Which of the following orders would you
question - ANSKCI 40 mEq IV push STAT
What is the first sign of increased intracranial pressure? - ANSChange 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? - ANSMorphine Duramorph, oxygen, nitrates,
Aceticsalicylic acid, bayer buffered aspirin
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? - ANSThe
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? - ANSAcetylsalicylic acid ( Bauer buffered
aspirin)
When taking care of a patient with pancreatitis, which of the following lab should be reviewed? -
ANSLipase and amylase
You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding
would indicate an emergency? - ANSLaryngeal strider
Which of the following actions would be considered a violation of Hyppa? - ANSLooking through
the chart of a coworker admitted to your unit
- ANSSinus 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? - ANSDue 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? -
ANSHonor the patient's wishes
- ANSNot 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: -
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? - ANSAspirate 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? - ANSSubcutaneous emphysema
You are providing patient education to a patient prior to administering IV Protonix.... When there
is no history of GERD - ANSProtonix is given as G.I. prophylaxis to prevent stress ulcers
- ANSNormal 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? -
ANSNarcan
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: - ANSPulmonary embolism
Cardiac strip - ANSUnable 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 -
ANSHave the patient drink 120 ML's of orange juice
- ANSVentricular tachycardia
- ANSNormal sinus rhythm
Which of the following food items would you question in the menu of your patient who is
diagnosed with celiac disease? - ANSWheat bread
A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings
with alert you to the potential of a narcotic overdose? - ANSA respiratory rate of 8 breaths per
minute
- ANSPaced rhythm
Your patient was admitted with severe dehydration. Which of the following orders would you
question - ANSKCI 40 mEq IV push STAT
What is the first sign of increased intracranial pressure? - ANSChange 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? - ANSMorphine Duramorph, oxygen, nitrates,
Aceticsalicylic acid, bayer buffered aspirin
