Prophecy Medical Surgical-Telemetry Exam Test
(Solved) Grade A+ 2026
SECTION 1: COMMUNICATION, INFORMED CONSENT & LEGAL ISSUES
1. You are to obtain informed consent for a Spanish-speaking patient scheduled
for surgery. You do not speak Spanish and are having difficulty communicating
with your patient. Which of the following resources would be most appropriate
to utilize in order to obtain consent?
• A) The patient's family member
• B) The hospital's language interpreter
• C) A bilingual staff member who is not certified
• D) A translation app on your phone
Correct Answer: B
Rationale: The hospital's language interpreter is the most appropriate resource for
obtaining informed consent. Using untrained interpreters or family members can
lead to misunderstandings and is not legally appropriate for obtaining informed
consent .
2. Which of the following actions would be considered a violation of HIPAA?
• A) Discussing a patient's case with the care team in a private conference
room
• B) Looking through the chart of a coworker admitted to your unit
• C) Sharing patient information with the patient's spouse with consent
• D) Filing a patient's chart in a secure location
,Correct Answer: B
Rationale: Accessing medical records without a legitimate treatment, payment, or
operations reason is a HIPAA violation. Looking through the chart of a coworker
admitted to your unit is a violation unless you are directly involved in their care .
3. The nurse is taking care of a patient who is terminally ill and has a DNR on
file. Their patient has a sudden cardiac arrest and family wants CPR initiated.
How should you respond?
• A) Honor the patient's wishes
• B) Initiate CPR despite the DNR
• C) Call the hospital ethics committee
• D) Ask the family to sign a waiver
Correct Answer: A
Rationale: The patient's advance directive (DNR) must be honored. The patient's
wishes take precedence over family requests. A DNR order is a legal document that
must be followed .
4. While performing the narcotic count at the end of the shift, your coworker
admits to something and asks you to sign for waste that you did not witness.
What should you do?
• A) Sign to avoid conflict
• B) Refuse to sign for the waste
• C) Report the coworker immediately
• D) Complete the count and document later
Correct Answer: B
Rationale: You should never sign for waste you did not witness. This is a violation
, of narcotic administration policies and could lead to legal and disciplinary
consequences .
SECTION 2: CARDIAC RHYTHM & TELEMETRY INTERPRETATION
5. Which ECG finding is most consistent with sinus bradycardia?
• A) P waves absent, irregularly irregular rhythm
• B) Rate < 60 bpm, regular P-Q-R-S-T complexes
• C) Wide QRS complexes with a rate > 100 bpm
• D) Saw-tooth flutter waves at 300 bpm
Correct Answer: B
Rationale: Sinus bradycardia shows a rate below 60 bpm with normal, regularly
occurring P-Q-R-S-T sequences. Sinus bradycardia may be normal in athletes but
can also indicate underlying pathology .
6. A patient's telemetry strip shows an irregularly irregular rhythm with no
distinct P waves. Which arrhythmia is most likely?
• A) Atrial flutter
• B) Atrial fibrillation
• C) Ventricular tachycardia
• D) Sinus tachycardia
Correct Answer: B
Rationale: Atrial fibrillation is characterized by an irregularly irregular ventricular
response and absent discrete P waves. This is the most common sustained
arrhythmia .
(Solved) Grade A+ 2026
SECTION 1: COMMUNICATION, INFORMED CONSENT & LEGAL ISSUES
1. You are to obtain informed consent for a Spanish-speaking patient scheduled
for surgery. You do not speak Spanish and are having difficulty communicating
with your patient. Which of the following resources would be most appropriate
to utilize in order to obtain consent?
• A) The patient's family member
• B) The hospital's language interpreter
• C) A bilingual staff member who is not certified
• D) A translation app on your phone
Correct Answer: B
Rationale: The hospital's language interpreter is the most appropriate resource for
obtaining informed consent. Using untrained interpreters or family members can
lead to misunderstandings and is not legally appropriate for obtaining informed
consent .
2. Which of the following actions would be considered a violation of HIPAA?
• A) Discussing a patient's case with the care team in a private conference
room
• B) Looking through the chart of a coworker admitted to your unit
• C) Sharing patient information with the patient's spouse with consent
• D) Filing a patient's chart in a secure location
,Correct Answer: B
Rationale: Accessing medical records without a legitimate treatment, payment, or
operations reason is a HIPAA violation. Looking through the chart of a coworker
admitted to your unit is a violation unless you are directly involved in their care .
3. The nurse is taking care of a patient who is terminally ill and has a DNR on
file. Their patient has a sudden cardiac arrest and family wants CPR initiated.
How should you respond?
• A) Honor the patient's wishes
• B) Initiate CPR despite the DNR
• C) Call the hospital ethics committee
• D) Ask the family to sign a waiver
Correct Answer: A
Rationale: The patient's advance directive (DNR) must be honored. The patient's
wishes take precedence over family requests. A DNR order is a legal document that
must be followed .
4. While performing the narcotic count at the end of the shift, your coworker
admits to something and asks you to sign for waste that you did not witness.
What should you do?
• A) Sign to avoid conflict
• B) Refuse to sign for the waste
• C) Report the coworker immediately
• D) Complete the count and document later
Correct Answer: B
Rationale: You should never sign for waste you did not witness. This is a violation
, of narcotic administration policies and could lead to legal and disciplinary
consequences .
SECTION 2: CARDIAC RHYTHM & TELEMETRY INTERPRETATION
5. Which ECG finding is most consistent with sinus bradycardia?
• A) P waves absent, irregularly irregular rhythm
• B) Rate < 60 bpm, regular P-Q-R-S-T complexes
• C) Wide QRS complexes with a rate > 100 bpm
• D) Saw-tooth flutter waves at 300 bpm
Correct Answer: B
Rationale: Sinus bradycardia shows a rate below 60 bpm with normal, regularly
occurring P-Q-R-S-T sequences. Sinus bradycardia may be normal in athletes but
can also indicate underlying pathology .
6. A patient's telemetry strip shows an irregularly irregular rhythm with no
distinct P waves. Which arrhythmia is most likely?
• A) Atrial flutter
• B) Atrial fibrillation
• C) Ventricular tachycardia
• D) Sinus tachycardia
Correct Answer: B
Rationale: Atrial fibrillation is characterized by an irregularly irregular ventricular
response and absent discrete P waves. This is the most common sustained
arrhythmia .
