PROPHECY MEDICAL SURGICAL TELEMETRY
EXAM FINAL SCRIPT 2026 SOLVED
QUESTIONS WITH FULL SOLUTIONS
◉ You have 4 patients who have high priority needs. One needs to go
to surgery, one needs STAT lab draws from a PICC line, another has
chest pain rated 8/10, and another needs toileting. Which patient
should you tend to FIRST? Answer: The patient with chest pain
◉ Your patient with Hepatitis C exhibits signs of jaundice and a
distended abdomen. What procedure would you anticipate being
performed by the provider at the bedside for this patient? Answer:
Paracentesis
◉ What is clubbing of the fingers MOST likely associated with?
Answer: Chronic oxygen deficiency
◉ A patient on warfarin (Coumadin/Jantoven) has an INR of 6.
Which medication would you anticipate administering? Answer:
Vitamin K
◉ To reduce the risk of infection and phlebitis in an adult patient
with a peripheral IV, what is the MINIMUM duration the catheter
, should remain in place before ROUTINE replacement? Answer: 72
hours
◉ You are caring for a patient post lobectomy with a chest tube in
place for drainage. What is a priority in care for this patient?
Answer: Encourage the patient to cough and deep breathe.
◉ What patient population is the pneumococcal vaccine, PPSV23
indicated for? Answer: Adults aged 65 years and older
◉ Your patient with stave IV terminal lung cancer continues to
experience increasing pain as each day passes. What would you
anticipate the provider ordering for this patient? Answer: Palliative
care consult
◉ The provider gives you a telephone order to explain a surgical
procedure to your patient and obtain surgical consent. How should
you respond? Answer: Inform the provider that explaining the
procedure is outside the nurse's scope of practice.
◉ The patient has diltiazem HCl (Cardizem CD) ordered and is
requesting the capsule be mixed into her morning yogurt. How
should you respond? Answer: "Sorry, it is a slow-release medication
that cannot be opened or crushed."
EXAM FINAL SCRIPT 2026 SOLVED
QUESTIONS WITH FULL SOLUTIONS
◉ You have 4 patients who have high priority needs. One needs to go
to surgery, one needs STAT lab draws from a PICC line, another has
chest pain rated 8/10, and another needs toileting. Which patient
should you tend to FIRST? Answer: The patient with chest pain
◉ Your patient with Hepatitis C exhibits signs of jaundice and a
distended abdomen. What procedure would you anticipate being
performed by the provider at the bedside for this patient? Answer:
Paracentesis
◉ What is clubbing of the fingers MOST likely associated with?
Answer: Chronic oxygen deficiency
◉ A patient on warfarin (Coumadin/Jantoven) has an INR of 6.
Which medication would you anticipate administering? Answer:
Vitamin K
◉ To reduce the risk of infection and phlebitis in an adult patient
with a peripheral IV, what is the MINIMUM duration the catheter
, should remain in place before ROUTINE replacement? Answer: 72
hours
◉ You are caring for a patient post lobectomy with a chest tube in
place for drainage. What is a priority in care for this patient?
Answer: Encourage the patient to cough and deep breathe.
◉ What patient population is the pneumococcal vaccine, PPSV23
indicated for? Answer: Adults aged 65 years and older
◉ Your patient with stave IV terminal lung cancer continues to
experience increasing pain as each day passes. What would you
anticipate the provider ordering for this patient? Answer: Palliative
care consult
◉ The provider gives you a telephone order to explain a surgical
procedure to your patient and obtain surgical consent. How should
you respond? Answer: Inform the provider that explaining the
procedure is outside the nurse's scope of practice.
◉ The patient has diltiazem HCl (Cardizem CD) ordered and is
requesting the capsule be mixed into her morning yogurt. How
should you respond? Answer: "Sorry, it is a slow-release medication
that cannot be opened or crushed."
