PROPHECY EMERGENCY DEPARTMENT
RN A-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.
What is the proper procedure for testing visual acuity?
BOTH WRONG
1) Test the affected eye first, then the unaffected eye without corrective lenses
2) Test the unaffected eye first, then the affected eye with corrective lenses when
available
A 22-year-old man with sickle cell disease is brought into the ED by Campus Police
from his local university. He is complaining of increasing pain to his bilateral lower
extremities, consistent with his past sickle cell pain crisis. Which intervention would
you expect the provider to order?
BOTH WRONG
1) Oral hydrocodone
2) Intravenous acetaminophen
TPA would be contraindicated for which of the following patients?
WRONG
1) 67 year old with symptom onset 3 hours ago
A 24 year old female, who has recently received methotrexate for a tubal pregnancy,
presents to the ED with severe abdominal pain. What would be the PRIORITY nursing
intervention?
BOTH WRONG
1) Administer pain medication and fluids as ordered
2) Prepare for a pelvic exam and assess for vaginal bleeding
A 3 year old boy with a history of hydrocephalus with a cerebral shunt arrives to the
ED with a fever of 102.0°F, an enlarged abdomen, tachycardia and hypotension. The
, patient is mildly lethargic, however is cooperative with the ED staff. Immediate
treatment for this child should include:
BOTH WRONG
1) Removal of the shunt
2) Draining the shunt
When caring for a patient who has received a massive blood transfusion, monitoring
which of the following lab results is a top priority?
BOTH WRONG
1) B-type natriuretic peptide
2) Hematocrit count
What medication would you anticipate administering to a six month old having an
active tonic-clonic seizure?
BOTH WRONG
1) Phenobarbital
2)Phenytoin
Patient presents to the ED with a snake bite that occurred 30 minutes ago. The snake
was identified as a poisonous rattlesnake. What medication would you expect the
physician to order for this patient?
CroFab Crotalidae Polyvalent Immune Fab (Ovine)
A 26 year old male with a history of asthma presents to the ED with dyspnea, audible
expiratory wheezes, substernal retractions, accessory muscle use, with BP-145/72, HR -
26, RR-32, O2 Sat 88% on room air. What is the FIRST treatment of choice for this
patient?
Give albuterol and atrovent nebulizer with oxygen
A 40-year-old man presents to the ED with shortness of breath and a headache, after
being sprayed by pesticides while working on a farm. What is the FIRST nursing
intervention?
RN A-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.
What is the proper procedure for testing visual acuity?
BOTH WRONG
1) Test the affected eye first, then the unaffected eye without corrective lenses
2) Test the unaffected eye first, then the affected eye with corrective lenses when
available
A 22-year-old man with sickle cell disease is brought into the ED by Campus Police
from his local university. He is complaining of increasing pain to his bilateral lower
extremities, consistent with his past sickle cell pain crisis. Which intervention would
you expect the provider to order?
BOTH WRONG
1) Oral hydrocodone
2) Intravenous acetaminophen
TPA would be contraindicated for which of the following patients?
WRONG
1) 67 year old with symptom onset 3 hours ago
A 24 year old female, who has recently received methotrexate for a tubal pregnancy,
presents to the ED with severe abdominal pain. What would be the PRIORITY nursing
intervention?
BOTH WRONG
1) Administer pain medication and fluids as ordered
2) Prepare for a pelvic exam and assess for vaginal bleeding
A 3 year old boy with a history of hydrocephalus with a cerebral shunt arrives to the
ED with a fever of 102.0°F, an enlarged abdomen, tachycardia and hypotension. The
, patient is mildly lethargic, however is cooperative with the ED staff. Immediate
treatment for this child should include:
BOTH WRONG
1) Removal of the shunt
2) Draining the shunt
When caring for a patient who has received a massive blood transfusion, monitoring
which of the following lab results is a top priority?
BOTH WRONG
1) B-type natriuretic peptide
2) Hematocrit count
What medication would you anticipate administering to a six month old having an
active tonic-clonic seizure?
BOTH WRONG
1) Phenobarbital
2)Phenytoin
Patient presents to the ED with a snake bite that occurred 30 minutes ago. The snake
was identified as a poisonous rattlesnake. What medication would you expect the
physician to order for this patient?
CroFab Crotalidae Polyvalent Immune Fab (Ovine)
A 26 year old male with a history of asthma presents to the ED with dyspnea, audible
expiratory wheezes, substernal retractions, accessory muscle use, with BP-145/72, HR -
26, RR-32, O2 Sat 88% on room air. What is the FIRST treatment of choice for this
patient?
Give albuterol and atrovent nebulizer with oxygen
A 40-year-old man presents to the ED with shortness of breath and a headache, after
being sprayed by pesticides while working on a farm. What is the FIRST nursing
intervention?
