Prophecy PACU RN A v1-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.
You receive a patient to Phase I recovery from IR status post cerebral aneurysm clipping.
Which assessment is most important for you to perform?
,A) Cardiac rhythm, heart rate, blood pressure
***B) Pupil response, facial and extremity movement
C) Bowel sounds, urinary output, and oral cavity
D) RR, BP, Temp
Which patient is MOST at risk for developing postoperative cardiogenic shock?
A) A 78 year old male adult with CKD
***B) Pt with recent MI
C) Female pt with ES liver disease
D) Pediatric patient with metastatic lymphadenopathy
Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for shivering in the PACU.
Meperidine is available in 50mg/1ml. How many mililiters should be given?
0.25 mililiters
Upon inspecting a patient's epidural insertion site, you notice swelling around the catheter.
What should you do?
A) Position the patient on their side
B) Place the patient in a prone position
C) Check the epidural line for kinks
***D) Contact the anesthesia provider
What set of findings indicates a patient is likely to be ready for phase 1 discharge?
A) Has received discharge instructions, pain level 9 out 10, shortness of breath
B) Drowsy, blood pressure returned to preoperative levels, on 6 liters oxygen via face mask
***C) Drowsy, oxygen saturation of 96%, able to cough, and move all extremities
D) Fully alert, shallow breathing, on 3 liters via T-piece, can move 2 extremities
What do you consider to be a safe dose of intravenous fentanyl for an adult who does not
have tolerance to opioids?
A) 1.5 miligrams
***B) 25 micrograms
C) 100 micrograms
D 25 miligrams
Your patient in the PACU has a blood pressure of 171/92 mmHg, a heart rate of 120,
respiratory rate of 24, is grimacing, restless, and moaning in bed. What medication should you
prepare to give FIRST?
, A) 10 mg hydralazine IV push
***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
D) 5 mg metoprolol IV push
You are about to discharge a day surgery patient with aphasia and you discover the family
members are not available for the discharge instructions and are not responding to your
phone calls. Business hours are over and the PACU is about to close. How will you handle the
situation?
***A) Wait until the family returns
B) Leave the discharge education on voicemail and discharge patient
C) Discharge patient with non-emergency transport
D) Take patient home yourself
You received a patient from OR post hip replacement surgery. The anesthesiologist is planning
a nerve block in PACU, but the patient did not sign the consent for the nerve block. How will
you proceed?
A) Wake up the patient to sign the consent
B) Ask a friend to sign the consent
***C) Obtain the consent from medical POA
D) Proceed with the procedure
What position would help alleviate headaches after spinal anesthesia?
A) Prone
B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)?
A) Decreased consciousness
B) Decreased pupillary light reflex
**C) Decreased respiratory effort
D) Decreased sensation of pain
The surgeon has ordered ampicillin (Ancef) for a patient. When you check their chart, you see
an allergy to penicillin. What is the BEST action?
A) Administer the medication with diphenhydramine
B) Ask the patient to describe their reaction to penicillin
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.
You receive a patient to Phase I recovery from IR status post cerebral aneurysm clipping.
Which assessment is most important for you to perform?
,A) Cardiac rhythm, heart rate, blood pressure
***B) Pupil response, facial and extremity movement
C) Bowel sounds, urinary output, and oral cavity
D) RR, BP, Temp
Which patient is MOST at risk for developing postoperative cardiogenic shock?
A) A 78 year old male adult with CKD
***B) Pt with recent MI
C) Female pt with ES liver disease
D) Pediatric patient with metastatic lymphadenopathy
Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for shivering in the PACU.
Meperidine is available in 50mg/1ml. How many mililiters should be given?
0.25 mililiters
Upon inspecting a patient's epidural insertion site, you notice swelling around the catheter.
What should you do?
A) Position the patient on their side
B) Place the patient in a prone position
C) Check the epidural line for kinks
***D) Contact the anesthesia provider
What set of findings indicates a patient is likely to be ready for phase 1 discharge?
A) Has received discharge instructions, pain level 9 out 10, shortness of breath
B) Drowsy, blood pressure returned to preoperative levels, on 6 liters oxygen via face mask
***C) Drowsy, oxygen saturation of 96%, able to cough, and move all extremities
D) Fully alert, shallow breathing, on 3 liters via T-piece, can move 2 extremities
What do you consider to be a safe dose of intravenous fentanyl for an adult who does not
have tolerance to opioids?
A) 1.5 miligrams
***B) 25 micrograms
C) 100 micrograms
D 25 miligrams
Your patient in the PACU has a blood pressure of 171/92 mmHg, a heart rate of 120,
respiratory rate of 24, is grimacing, restless, and moaning in bed. What medication should you
prepare to give FIRST?
, A) 10 mg hydralazine IV push
***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
D) 5 mg metoprolol IV push
You are about to discharge a day surgery patient with aphasia and you discover the family
members are not available for the discharge instructions and are not responding to your
phone calls. Business hours are over and the PACU is about to close. How will you handle the
situation?
***A) Wait until the family returns
B) Leave the discharge education on voicemail and discharge patient
C) Discharge patient with non-emergency transport
D) Take patient home yourself
You received a patient from OR post hip replacement surgery. The anesthesiologist is planning
a nerve block in PACU, but the patient did not sign the consent for the nerve block. How will
you proceed?
A) Wake up the patient to sign the consent
B) Ask a friend to sign the consent
***C) Obtain the consent from medical POA
D) Proceed with the procedure
What position would help alleviate headaches after spinal anesthesia?
A) Prone
B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)?
A) Decreased consciousness
B) Decreased pupillary light reflex
**C) Decreased respiratory effort
D) Decreased sensation of pain
The surgeon has ordered ampicillin (Ancef) for a patient. When you check their chart, you see
an allergy to penicillin. What is the BEST action?
A) Administer the medication with diphenhydramine
B) Ask the patient to describe their reaction to penicillin
