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RELIAS MEDICAL SURGICAL TELEMETRY EXAM, MOST RECENT EXAM 2026/2027
|| ACTUAL COMPLETE REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ | NEWEST EXAM | JUST RELEASED!!
RELIAS MEDICAL-SURGICAL
TELEMETRY EXAM
1
A patient’s telemetry strip shows an irregularly irregular rhythm with no identifiable P waves.
What rhythm is this?
Answer:
Atrial fibrillation
Rationale:
A-fib is characterized by absent P waves and an irregular ventricular response.
2
Which complication is the greatest risk for a patient with atrial fibrillation?
Answer:
Stroke
Rationale:
Blood can pool in the atria, leading to clot formation.
3
Which medication is commonly prescribed to prevent stroke in atrial fibrillation?
Answer:
Anticoagulants
Rationale:
They reduce the risk of thrombus formation.
2026 2027 GRADED A+
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4
A patient develops a heart rate of 160 bpm with narrow QRS complexes. What rhythm is most
likely?
Answer:
Supraventricular tachycardia (SVT)
Rationale:
SVT presents with rapid heart rate and narrow QRS complexes.
5
What is the first nursing action for a patient with unstable SVT?
Answer:
Prepare for synchronized cardioversion
Rationale:
Unstable patients require immediate electrical intervention.
6
Which electrolyte imbalance increases the risk of dysrhythmias?
Answer:
Hypokalemia
Rationale:
Low potassium disrupts cardiac conduction.
7
Which telemetry change indicates hypokalemia?
Answer:
Presence of U waves
2026 2027 GRADED A+
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Rationale:
U waves are classic for low potassium.
8
Which electrolyte abnormality causes peaked T waves?
Answer:
Hyperkalemia
Rationale:
Elevated potassium alters ventricular repolarization.
9
A patient’s heart rate drops to 38 bpm but blood pressure is stable. What is the priority nursing
action?
Answer:
Continue monitoring
Rationale:
Asymptomatic bradycardia does not require immediate intervention.
10
Which rhythm is life-threatening and requires immediate defibrillation?
Answer:
Ventricular fibrillation
Rationale:
V-fib produces no cardiac output.
11
Which medication is first-line for symptomatic bradycardia?
2026 2027 GRADED A+
, 4|Page
Answer:
Atropine
Rationale:
It increases heart rate by blocking vagal stimulation.
12
What is the primary purpose of telemetry monitoring?
Answer:
Early detection of cardiac dysrhythmias
Rationale:
Continuous monitoring allows rapid intervention.
13
Which rhythm shows regular P waves with a prolonged PR interval?
Answer:
First-degree AV block
Rationale:
The PR interval is >0.20 seconds.
14
Which AV block is characterized by progressively lengthening PR intervals?
Answer:
Second-degree AV block type I (Wenckebach)
Rationale:
PR interval increases until a QRS is dropped.
15
Which rhythm requires immediate pacing if symptomatic?
2026 2027 GRADED A+
RELIAS MEDICAL SURGICAL TELEMETRY EXAM, MOST RECENT EXAM 2026/2027
|| ACTUAL COMPLETE REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ | NEWEST EXAM | JUST RELEASED!!
RELIAS MEDICAL-SURGICAL
TELEMETRY EXAM
1
A patient’s telemetry strip shows an irregularly irregular rhythm with no identifiable P waves.
What rhythm is this?
Answer:
Atrial fibrillation
Rationale:
A-fib is characterized by absent P waves and an irregular ventricular response.
2
Which complication is the greatest risk for a patient with atrial fibrillation?
Answer:
Stroke
Rationale:
Blood can pool in the atria, leading to clot formation.
3
Which medication is commonly prescribed to prevent stroke in atrial fibrillation?
Answer:
Anticoagulants
Rationale:
They reduce the risk of thrombus formation.
2026 2027 GRADED A+
,2|Page
4
A patient develops a heart rate of 160 bpm with narrow QRS complexes. What rhythm is most
likely?
Answer:
Supraventricular tachycardia (SVT)
Rationale:
SVT presents with rapid heart rate and narrow QRS complexes.
5
What is the first nursing action for a patient with unstable SVT?
Answer:
Prepare for synchronized cardioversion
Rationale:
Unstable patients require immediate electrical intervention.
6
Which electrolyte imbalance increases the risk of dysrhythmias?
Answer:
Hypokalemia
Rationale:
Low potassium disrupts cardiac conduction.
7
Which telemetry change indicates hypokalemia?
Answer:
Presence of U waves
2026 2027 GRADED A+
,3|Page
Rationale:
U waves are classic for low potassium.
8
Which electrolyte abnormality causes peaked T waves?
Answer:
Hyperkalemia
Rationale:
Elevated potassium alters ventricular repolarization.
9
A patient’s heart rate drops to 38 bpm but blood pressure is stable. What is the priority nursing
action?
Answer:
Continue monitoring
Rationale:
Asymptomatic bradycardia does not require immediate intervention.
10
Which rhythm is life-threatening and requires immediate defibrillation?
Answer:
Ventricular fibrillation
Rationale:
V-fib produces no cardiac output.
11
Which medication is first-line for symptomatic bradycardia?
2026 2027 GRADED A+
, 4|Page
Answer:
Atropine
Rationale:
It increases heart rate by blocking vagal stimulation.
12
What is the primary purpose of telemetry monitoring?
Answer:
Early detection of cardiac dysrhythmias
Rationale:
Continuous monitoring allows rapid intervention.
13
Which rhythm shows regular P waves with a prolonged PR interval?
Answer:
First-degree AV block
Rationale:
The PR interval is >0.20 seconds.
14
Which AV block is characterized by progressively lengthening PR intervals?
Answer:
Second-degree AV block type I (Wenckebach)
Rationale:
PR interval increases until a QRS is dropped.
15
Which rhythm requires immediate pacing if symptomatic?
2026 2027 GRADED A+
