Medical-Surgical RN A Prophecy Relias-
Prophecy Medical-Surgical Telemetry Exam
Study Guide 2026-2027 | Accurate Questions
and Correct Detailed Answers with Rationales
| 100% Guaranteed Pass (Brand New Version)
The Prophecy Medical-Surgical Telemetry Exam Study Guide 2026-2027 is an essential
resource for healthcare professionals preparing for the medical-surgical telemetry exam.
Designed to align with Prophecy's certification standards, this guide includes a full range of
accurate questions, detailed answers, and rationales to help you thoroughly understand the key
concepts of medical-surgical nursing and telemetry. Whether you're aiming for a certification,
preparing for an exam, or advancing your knowledge in the medical-surgical field, this guide is
tailored to ensure success.
This study guide provides an in-depth review of critical topics such as patient monitoring,
telemetry interpretation, cardiovascular nursing, respiratory care, and managing common
medical-surgical conditions. The rationales provided with each answer ensure a deeper
understanding of the concepts, helping you apply knowledge to real-world situations. With this
guide, you'll gain confidence in managing complex cases involving cardiac monitoring,
emergency care, and other critical medical-surgical issues. Updated for the 2026-2027 exam
cycle, the guide reflects the latest practices, standards, and technologies used in medical-
surgical telemetry.
The guide offers a 100% guaranteed pass, ensuring you're fully prepared to meet the demands
of your exam and excel in the field of medical-surgical nursing.
Key Features:
• Accurate, Exam-Focused Questions: Questions align with the standards set by Prophecy
for medical-surgical telemetry certification.
• Detailed Rationales: Helps reinforce understanding of key concepts and clinical
reasoning.
, • Updated for 2026-2027: Includes the latest standards, procedures, and technologies in
medical-surgical telemetry.
• 100% Guaranteed Pass: Structured content to ensure success in the exam.
• Comprehensive Coverage: Topics include telemetry interpretation, patient care,
pharmacology, and medical-surgical nursing.
Key Terms:
1. Telemetry Monitoring: The continuous monitoring of a patient’s vital signs using
electronic devices.
2. Cardiovascular Nursing: Nursing care related to heart and vascular conditions, including
monitoring and treatment of arrhythmias.
3. Medical-Surgical Nursing: The care of patients undergoing surgical procedures or
managing medical conditions in a hospital setting.
4. ECG Interpretation: The process of analyzing electrocardiogram (ECG) patterns to
identify heart conditions.
5. Critical Care Nursing: Specialized nursing care for patients experiencing life-threatening
conditions.
6. Respiratory Care: Management of patients with respiratory disorders, including oxygen
therapy and ventilator support.
7. Arrhythmia Management: The identification and treatment of irregular heartbeats,
often using telemetry data.
8. Cardiac Arrest: The sudden loss of heart function, requiring immediate intervention and
monitoring.
9. Hypertension Management: Treatment and monitoring of high blood pressure in
medical-surgical patients.
10. Patient Monitoring: The process of continuously assessing the patient's health status to
detect changes in their condition.
1.2 milligrams is equal to how many micrograms?
1200 mcg
,Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain
function?
Compress the drain, then plug the bulb to establish suction
Your male patient complains of discomfort while inflating the balloon during insertion of an
indwelling urinary catheter. What would be the MOST appropriate action?
Deflate the balloon, advance the catheter further, then reinflate the balloon
Your patient has symptomatic anemia but is refusing a blood transfusion for religious reason.
What is an appropriate response?
Respect his wishes and notify the provider
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for
the patient?
broth, jello, soft fruit no skin,
You were hired to work the medical unit and when you arrive at work the charge nurse has
assigned you to the post-surgical unit since they are understaffed. Which is the MOST
appropriate action?
Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
Acid Reduction
Which adaptive equipment would be MOST appropriate to use for a severely contracted
patient who is unable to bear weight when transferring from the bed to the chair?
Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with severe dementia?
PAINAD scale
Your patient is admitted from the ED with failure to thrive and advanced dementia. You note
he is extremely underweight, appears unbathed for some time, and has a stage 4 pressure
injury to his coccyx. You were told in report that he lives at home with family members. What
should you do?
Notify the charge nurse and social worker of your concerns.
, Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. You notice she has
been having several episodes of acute confusion since being admitted to your unit. What is
the MOST important order you should anticipate from the provider?
Stat CT of head
Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the indwelling
urinary catheter in the last 2 hours. What is your patient MOST likely experiencing.
Sepsis
What type of personal protective equipment (PPE) is applied prior to entering a room for a
patient with C. diff?
Gown and gloves
Your patient continues to pull at their IV site located in their left forearm despite verbal
reminders and increased observation. The nursing assistant recommends using soft mitt
restraints on the patient. What is your recommendation?
Request an order for soft mitts as they are the least restrictive
Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson's
disease, depression, and alcohol use. On his second hospitalized day, you notice he is more
anxious and restless than his baseline. What would be your FIRST nursing intervention?
Ask the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem?
Change in level of consciousness
While in a supine position your patient states, "I'm tired and cannot catch my breath."
Physical assessment reveals jugular vein distention and a third heart sound (S3). These
symptoms are indicative of what condition?
Heart failure
Your new admission presents with a cough, unintentional weight loss, frequent night sweats,
and bloody sputum. What type of isolation precautions should you initiate, if any?
Airborne precautions
Patients with diabetes are at high risk for complications from damage to what body areas?
Nerve and kidney damage
Prophecy Medical-Surgical Telemetry Exam
Study Guide 2026-2027 | Accurate Questions
and Correct Detailed Answers with Rationales
| 100% Guaranteed Pass (Brand New Version)
The Prophecy Medical-Surgical Telemetry Exam Study Guide 2026-2027 is an essential
resource for healthcare professionals preparing for the medical-surgical telemetry exam.
Designed to align with Prophecy's certification standards, this guide includes a full range of
accurate questions, detailed answers, and rationales to help you thoroughly understand the key
concepts of medical-surgical nursing and telemetry. Whether you're aiming for a certification,
preparing for an exam, or advancing your knowledge in the medical-surgical field, this guide is
tailored to ensure success.
This study guide provides an in-depth review of critical topics such as patient monitoring,
telemetry interpretation, cardiovascular nursing, respiratory care, and managing common
medical-surgical conditions. The rationales provided with each answer ensure a deeper
understanding of the concepts, helping you apply knowledge to real-world situations. With this
guide, you'll gain confidence in managing complex cases involving cardiac monitoring,
emergency care, and other critical medical-surgical issues. Updated for the 2026-2027 exam
cycle, the guide reflects the latest practices, standards, and technologies used in medical-
surgical telemetry.
The guide offers a 100% guaranteed pass, ensuring you're fully prepared to meet the demands
of your exam and excel in the field of medical-surgical nursing.
Key Features:
• Accurate, Exam-Focused Questions: Questions align with the standards set by Prophecy
for medical-surgical telemetry certification.
• Detailed Rationales: Helps reinforce understanding of key concepts and clinical
reasoning.
, • Updated for 2026-2027: Includes the latest standards, procedures, and technologies in
medical-surgical telemetry.
• 100% Guaranteed Pass: Structured content to ensure success in the exam.
• Comprehensive Coverage: Topics include telemetry interpretation, patient care,
pharmacology, and medical-surgical nursing.
Key Terms:
1. Telemetry Monitoring: The continuous monitoring of a patient’s vital signs using
electronic devices.
2. Cardiovascular Nursing: Nursing care related to heart and vascular conditions, including
monitoring and treatment of arrhythmias.
3. Medical-Surgical Nursing: The care of patients undergoing surgical procedures or
managing medical conditions in a hospital setting.
4. ECG Interpretation: The process of analyzing electrocardiogram (ECG) patterns to
identify heart conditions.
5. Critical Care Nursing: Specialized nursing care for patients experiencing life-threatening
conditions.
6. Respiratory Care: Management of patients with respiratory disorders, including oxygen
therapy and ventilator support.
7. Arrhythmia Management: The identification and treatment of irregular heartbeats,
often using telemetry data.
8. Cardiac Arrest: The sudden loss of heart function, requiring immediate intervention and
monitoring.
9. Hypertension Management: Treatment and monitoring of high blood pressure in
medical-surgical patients.
10. Patient Monitoring: The process of continuously assessing the patient's health status to
detect changes in their condition.
1.2 milligrams is equal to how many micrograms?
1200 mcg
,Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain
function?
Compress the drain, then plug the bulb to establish suction
Your male patient complains of discomfort while inflating the balloon during insertion of an
indwelling urinary catheter. What would be the MOST appropriate action?
Deflate the balloon, advance the catheter further, then reinflate the balloon
Your patient has symptomatic anemia but is refusing a blood transfusion for religious reason.
What is an appropriate response?
Respect his wishes and notify the provider
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for
the patient?
broth, jello, soft fruit no skin,
You were hired to work the medical unit and when you arrive at work the charge nurse has
assigned you to the post-surgical unit since they are understaffed. Which is the MOST
appropriate action?
Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
Acid Reduction
Which adaptive equipment would be MOST appropriate to use for a severely contracted
patient who is unable to bear weight when transferring from the bed to the chair?
Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with severe dementia?
PAINAD scale
Your patient is admitted from the ED with failure to thrive and advanced dementia. You note
he is extremely underweight, appears unbathed for some time, and has a stage 4 pressure
injury to his coccyx. You were told in report that he lives at home with family members. What
should you do?
Notify the charge nurse and social worker of your concerns.
, Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. You notice she has
been having several episodes of acute confusion since being admitted to your unit. What is
the MOST important order you should anticipate from the provider?
Stat CT of head
Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the indwelling
urinary catheter in the last 2 hours. What is your patient MOST likely experiencing.
Sepsis
What type of personal protective equipment (PPE) is applied prior to entering a room for a
patient with C. diff?
Gown and gloves
Your patient continues to pull at their IV site located in their left forearm despite verbal
reminders and increased observation. The nursing assistant recommends using soft mitt
restraints on the patient. What is your recommendation?
Request an order for soft mitts as they are the least restrictive
Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson's
disease, depression, and alcohol use. On his second hospitalized day, you notice he is more
anxious and restless than his baseline. What would be your FIRST nursing intervention?
Ask the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem?
Change in level of consciousness
While in a supine position your patient states, "I'm tired and cannot catch my breath."
Physical assessment reveals jugular vein distention and a third heart sound (S3). These
symptoms are indicative of what condition?
Heart failure
Your new admission presents with a cough, unintentional weight loss, frequent night sweats,
and bloody sputum. What type of isolation precautions should you initiate, if any?
Airborne precautions
Patients with diabetes are at high risk for complications from damage to what body areas?
Nerve and kidney damage
